Τόμος 12 (1994) – Τεύχος 3 – Άρθρο 2 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Ελληνική Έκδοση – Volume 12 (1994) – Issue 3 – Article 2 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-Greek Edition

 

Τίτλος – Title

Η ινσουλινομιμητική δράση του βαναδίου

Insulinomimetic Activity of Vanadium

Συγγραφέας – Author

Α. Τσατσούλης, Α. Ευαγγέλου, Γ. Μανουσάκου, Τ.Α. Καβάνος4

1 Εργαστήριο Ενδοκρινολογίας, Ιατρική Σχολή, Πανεπιστήμιο Ιωαννίνων, 45110 Ιωάννινα, Ελλάδα 2 Εργαστήριο Πειραματικής Φυσιολογίας, Ιατρική Σχολή Πανεπιστημίου Ιωαννίνων, 45 332 Ιωάννινα 3 Εργαστήριο Ανόργανης Χημείας, Τμήμα Χημείας, Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης , 540 06 Θεσσαλονίκη 4 Εργαστήριο Ανόργανης Χημείας, Τμήμα Χημείας, Πανεπιστήμιο Ιωαννίνων, 45 110 Ιωάννινα, Ελλάδα

A. Tsatsoulis1, A. Evangelou2, G. Manousakis3 and T.A. Kabanos4

1 Laboratory of Endocrinology, Faculty of Medi­cine, University of Ioannina, 45110 Ioannina, Greece 2 Laboratory of Experimental Physiology, Faculty of Medicine, University of Ioannina, 45 332 Ioan­nina, Greece 3 Laboratory of Inorganic Chemistry, Department of Chemistry, Aristotelian University of Thessalo­niki, 540 06 Thessaloniki, Greece 4 Laboratory of Inorganic Chemistry, Department of Chemistry, University of Ioannina, 45 110 Ioan­nina, Greece

Παραπομπή – Citation

Τσατσούλης,Α.,  Ευαγγέλου,A., Μανουσάκου,Γ., Καβάνος,Κ.Α. : Η ινσουλινομιμητική δράση του βαναδίου , Επιθεώρηση Κλιν. Φαρμακολ. Φαρμακοκινητ. 12 : 123-134 (1994)

Tsatsoulis,A.,  Evangelou,A., Manousakis,G., Kabanos,T.A. : Insulinomimetic Activity of Vanadium , Epitheorese Klin. Farmakol. Farmakokinet. 12 : 123-134 (1994)

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Λέξεις κλειδιά – Keywords

Σακ­χα­ρώ­δης δια­βή­της, ιν­σου­λι­νο­μι­μη­τι­κή δρά­ση, ε­νώ­σεις βα­να­δί­ου, δια­βη­τι­κοί α­ρου­ραί­οι με χρή­ση στρε­πτο­ζο­το­σί­νης, ε­νώ­σεις βα­να­δί­ου με βελ­τιω­μέ­νη κυτ­τα­ρι­κή δια­πε­ρα­τό­τη­τα, ε­λατ­τω­μέ­νη το­ξι­κό­τη­τα, μη­χα­νι­σμός δρά­σης του βα­να­δί­ου, ιν­σου­λι­νι­κός υ­πο­δο­χέ­ας

Diabetes mellitus, insulinomimetic activity, vanadium compounds, streptozo­tocin-treated rats, reduced toxicity, mechanism of action of vanadium, insulin receptor
Λοιποί Όροι – Other Terms

Άρθρο

Article

Περίληψη – Summary

Η γλυ­κό­ζη, φυ­σιο­λο­γι­κός ρυθ­μι­στής του με­τα­βο­λι­σμού του γλυ­κο­γό­νου στο ή­παρ, α­να­στέλ­λει (ά­με­σα) τη δρά­ση της γλυ­κο­γο­νι­κής φω­σφο­ρυ­λά­σης και ε­νερ­γο­ποι­ε­ί (έμ­με­σα) τη δρά­ση της γλυ­κο­γο­νι­κής συν­θε­τά­σης. Παρά­γω­γα της γλυ­κό­ζης, με ι­σχυρό­τε­ρη α­να­σταλ­τι­κή δρά­ση έ­να­ντι της γλυ­κο­γο­νι­κής φω­σφο­ρυ­λά­σης, μπο­ρεί να έ­χουν κα­λύ­τε­ρες ρυθ­μι­στι­κές ι­διό­τη­τες, με­τα­το­πί­ζο­ντας την ι­σορ­ρο­πί­α με­τα­ξύ α­ποι­κο­δό­μη­σης και σύν­θε­σης γλυ­κο­γό­νου προς την κα­τεύ­θυν­ση της σύν­θε­σης, και ως εκ τού­του κλι­νι­κό εν­δια­φέ­ρον στην α­ντι­με­τώ­πι­ση του σακ­χα­ρώδη δια­βή­τη (τύ­που Ι­Ι), ό­που η α­δυ­να­μί­α κα­τα­στο­λής της πα­ρα­γω­γής γλυ­κό­ζης εί­ναι α­πό τις κύ­ριες εκ­δη­λώ­σεις της α­σθενεί­ας. Η γνώ­ση της τρισ­διά­στα­της δο­μής της γλυ­κο­γο­νι­κής φω­σφο­ρυ­λά­σης, σε υ­ψη­λή ευ­κρί­νεια, πα­ρέ­χει τη δυ­να­τό­τη­τα σχε­δια­σμού πα­ρα­γώ­γων γλυ­κό­ζης, με αυ­ξη­μέ­νη (συ­γκρι­τι­κά με τη γλυ­κό­ζη) συγ­γέ­νει­α σύν­δε­σης προς το εν­ζυ­μι­κό μό­ριο. Πε­ρι­γρά­φο­νται κι­νη­τι­κά και κρυ­σταλ­λο­γρα­φι­κά α­πο­τε­λέ­σμα­τα μιας νέ­ας σει­ράς α­να­στο­λέ­ων της GPb, πα­ρα­γώ­γων της β-D-γλυκό­ζης.

Research efforts for the improve­ment of the treatment of Diabetes Mellitus have led to the discovery and development of new substances with insulin mimetic effects. Important among these are the Vanadium compounds. In vitro studies in various cellular systems have shown that vanadium salts can mimic almost all of the metabolic effects of insulin. These include the stimulation of glucose transport and oxidation, the stimulation of lipogenesis and inhibition of lipolysis, the activation of glycogen synthase and the enhancement of K+ uptake ad Ca2+ influx into the cells. In vivo  studies in experimental and genetic models of diabetic animals have shown that oral administration of vanadium salts can dramatically improve the diabetic state. Thus administration of vanadium salts in Streptozoto­cin-treated rats resulted in normalization of blood glucose levels and correction of the lipid distur­bances. Further studies in genetic models of type II diabetes have shown that treatment with vana­dium maintains glucose homeostasis and im­proves peripheric tissue responses to insulin. Parallel research has focused on the development of new vanadium compounds with improved cell membrane permeability and thus biological affinity with less toxic effects. Experimental studies have shown that these compounds are more effective. The mechanism of action of vanadium is not clearly known. It appears from the available evi­dence that vanadate exerts its metabolic effects by either an alternative (insulin-independent) cas­cade mechanism or at least by bypassing the early (receptor) events in the cascade. In con­clusion, vanadium and its compounds can mimic effectively most of insulin’s actions in-vitro  and in vivo. Further longer term studies in diabetic ani­mals are needed in order to substantiate the beneficial effects of vanadium are lasting and without major toxic consequences, before phase I, human studies can be undertaken.

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