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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Biosci+Rep
2017 ; 37
(5
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Impaired insulin/IGF-1 is responsible for diabetic gastroparesis by damaging
myenteric cholinergic neurones and interstitial cells of Cajal
#MMPMID28931726
Yang S
; Wu B
; Sun H
; Sun T
; Han K
; Li D
; Ji F
; Zhang G
; Zhou D
Biosci Rep
2017[Oct]; 37
(5
): ä PMID28931726
show ga
Diabetic gastroparesis is a common complication of diabetes mellitus (DM) that is
characterized by decreased serum insulin and insulin-like growth factor-1
(IGF-1). Despite the fact that insulin treatment not glycemic control potently
accelerated gastric emptying in type 1 DM patients, the role of insulin/InsR and
IGF-1/IGF-1R signaling in diabetic gastroparesis remains incompletely elucidated.
In the present study, type 1 DM mice were established and treated with insulin or
Voglibose for 8 weeks. The gastric emptying was delayed from DM week 4 when the
gastric InsR and IGF-1R were declined. Meanwhile, the gastric choline
acetyltransferase (ChAT) was significantly reduced and the myenteric cholinergic
neurones and their fibers were significantly diminished. The production of stem
cell factor (SCF) was dramatically repressed in the gastric smooth muscles in DM
week 6. TWereafter, interstitial cells of Cajal (ICC) were clearly lost and their
networks were impaired in DM week 8. Significantly, compared with Voglibose, an
8-week treatment with insulin more efficiently delayed diabetic gastroparesis
development by protecting the myenteric cholinergic neurones and ICC. In
conclusion, diabetic gastroparesis was an aggressive process due to the
successive damages of myenteric cholinergic neurones and ICC by impairing the
insulin/InsR and IGF-1/IGF-1R signaling. Insulin therapy in the early stage may
delay diabetic gastroparesis.