論文

査読有り
2015年12月

Glucose Homeostatic Law: Insulin Clearance Predicts the Progression of Glucose Intolerance in Humans

PLOS ONE
  • Kaoru Ohashi
  • Hisako Komada
  • Shinsuke Uda
  • Hiroyuki Kubota
  • Toshinao Iwaki
  • Hiroki Fukuzawa
  • Yasunori Komori
  • Masashi Fujii
  • Yu Toyoshima
  • Kazuhiko Sakaguchi
  • Wataru Ogawa
  • Shinya Kuroda
  • 全て表示

10
12
開始ページ
e0143880
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1371/journal.pone.0143880
出版者・発行元
PUBLIC LIBRARY SCIENCE

Homeostatic control of blood glucose is regulated by a complex feedback loop between glucose and insulin, of which failure leads to diabetes mellitus. However, physiological and pathological nature of the feedback loop is not fully understood. We made a mathematical model of the feedback loop between glucose and insulin using time course of blood glucose and insulin during consecutive hyperglycemic and hyperinsulinemic-euglycemic clamps in 113 subjects with variety of glucose tolerance including normal glucose tolerance (NGT), impaired glucose tolerance (IGT) and type 2 diabetes mellitus (T2DM). We analyzed the correlation of the parameters in the model with the progression of glucose intolerance and the conserved relationship between parameters. The model parameters of insulin sensitivity and insulin secretion significantly declined from NGT to IGT, and from IGT to T2DM, respectively, consistent with previous clinical observations. Importantly, insulin clearance, an insulin degradation rate, significantly declined from NGT, IGT to T2DM along the progression of glucose intolerance in the mathematical model. Insulin clearance was positively correlated with a product of insulin sensitivity and secretion assessed by the clamp analysis or determined with the mathematical model. Insulin clearance was correlated negatively with postprandial glucose at 2h after oral glucose tolerance test. We also inferred a square-law between the rate constant of insulin clearance and a product of rate constants of insulin sensitivity and secretion in the model, which is also conserved among NGT, IGT and T2DM subjects. Insulin clearance shows a conserved relationship with the capacity of glucose disposal among the NGT, IGT and T2DM subjects. The decrease of insulin clearance predicts the progression of glucose intolerance.

リンク情報
DOI
https://doi.org/10.1371/journal.pone.0143880
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26623647
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000365891600063&DestApp=WOS_CPL
ID情報
  • DOI : 10.1371/journal.pone.0143880
  • ISSN : 1932-6203
  • PubMed ID : 26623647
  • Web of Science ID : WOS:000365891600063

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