Cell Metab:重磅!2型糖尿病的福音,研究表明低卡路里饮食可以逆转2型糖尿病

2017-11-10 白木清水 来宝网

在一项新的研究中,一个由耶鲁领导的研究团队揭示了一个低卡路里饮食如何在动物模型中快速逆转2型糖尿病。研究人员说,如果在人身上得到证实,这种见解为治疗这种常见的慢性疾病提供了潜在的新药靶标。

在一项新的研究中,一个由耶鲁领导的研究团队揭示了一个低卡路里饮食如何在动物模型中快速逆转2型糖尿病。研究人员说,如果在人身上得到证实,这种见解为治疗这种常见的慢性疾病提供了潜在的新药靶标。

这项研究发表在《细胞代谢》上。

根据疾病控制与预防中心(Center for Disease Control and Prevention)最近的预测,到2050年,三分之一的美国人将患上2型糖尿病。报告指出,在许多接受减肥手术的患者中,这种疾病会进入缓解期,这大大限制了在临床上显着减轻体重之前的热量摄入。耶鲁领导的研究小组的研究重点是了解卡路里限制快速逆转2型糖尿病的机制。

研究小组调查了一种低卡路里饮食(VLCD)的效果,其中包括四分之一的正常摄入量,这是一种2型糖尿病的啮齿类动物模型。研究人员使用了一种新型的稳定(自然产生的)同位素方法,研究并计算了一些代谢过程,这些过程有助于提高肝脏的葡萄糖产量。这种名为PINTA的方法允许研究者对肝脏内的关键代谢通量进行全面的分析,这可能会导致胰岛素抵抗,而肝-两个关键过程会增加葡萄糖的产量,而这两个关键过程会导致糖尿病的血糖浓度升高。

利用这种方法,研究人员确定了三种主要机制,负责VLCD在糖尿病动物体内快速降低血糖浓度的显着效果。在肝脏中,VLCD降低葡萄糖的产量:1)减少乳酸和氨基酸转化为葡萄糖;2)降低肝脏糖原转化为葡萄糖;3)降低脂肪含量,进而提高肝脏对胰岛素的反应。VLCD的这些正效应仅在3天内就得到了观察。

高级作家Gerald i . Shulman博士说:“使用这种方法来全面检查肝碳水化合物和脂肪代谢,我们发现这是三种机制的结合,这是在低卡路里饮食后快速逆转高糖血症的原因。”

研究人员下一步要做的是确认这些发现是否可以在2型糖尿病患者中进行,他们要么接受减肥手术,要么吃低热量的饮食。他的团队已经开始将PINTA方法应用于人类。

Shulman说:“这些结果如果在人类身上得到证实,将为我们提供新的药物靶点,以更有效地治疗2型糖尿病患者。”

原始出处:

Rachel J. Perry, Liang Peng, Gary W. Cline, et al. Mechanisms by which a Very-Low-Calorie Diet Reverses Hyperglycemia in a Rat Model of Type 2 Diabetes. Cell Metabolism, 2017.

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    2017-11-18 维他命
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    2018-02-02 一闲
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    2017-12-28 guojianrong
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    2017-11-12 xxxx1054

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