High insulin requirements and poor metabolic control do not modify the expression, regulation and PKC mediated activation of the p21ras pathway in PBMC from type II diabetic patients.

M J Rapoport, O Levi, M Weiss, A Buchs, Y Ramot, D Aharoni, A Mor, G Elberg, Y Katz, J Weissgarten
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Abstract

Aims: To asses whether clinically severe insulin resistance and poor metabolic control in patients with type 11 diabetes are associated with aberrant expression or function of the p21ras pathway.

Methods: We examined the expression and function of the p21ras pathway in resting and activated PBMC from 10 insulin treated patients with type II diabetes characterized by high insulin requirements and poor metabolic control (IR group) and 10 age and sex matched well controlled patients treated by diet alone or oral hypoglycemic medications (WC group).

Results: Levels of p21ras and its regulatory elements: p21rasGAP and hSOS1, were comparable in the two groups. The induced activities of p21ras and its associated down-stream regulatory enzyme MAP-kinase following TPA stimulation were also comparable in the IR and WC patients.

Conclusions: Taken together, these data indicate that clinically significant severe insulin resistance does not modify the expression, regulation and activation of p21ras pathway in PBMC of patients with type II diabetes.

高胰岛素需求和不良代谢控制不会改变2型糖尿病患者PBMC中p21ras通路的表达、调节和PKC介导的激活。
目的:评估11型糖尿病患者临床严重胰岛素抵抗和代谢控制不良是否与p21ras通路的异常表达或功能相关。方法:我们检测了10例胰岛素治疗的高胰岛素需求和代谢控制差的II型糖尿病患者(IR组)和10例年龄和性别匹配的控制良好的单独饮食或口服降糖药治疗的患者(WC组)静息和激活的PBMC中p21ras通路的表达和功能。结果:p21ras及其调控元件p21rasGAP和hSOS1的水平在两组中具有可同性。在TPA刺激下,IR和WC患者的p21ras及其相关的下游调节酶map -激酶的诱导活性也具有可比性。结论:综上所述,这些数据表明临床上显著的严重胰岛素抵抗不会改变2型糖尿病患者PBMC中p21ras通路的表达、调节和激活。
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