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1.
Nutr Metab Cardiovasc Dis ; 22(10): 823-30, 2012 Oct.
Article in English | MEDLINE | ID: mdl-21546230

ABSTRACT

BACKGROUND AND AIMS: The first step in the alternative pathway of bile acid biosynthesis is the 27-hydroxylation of cholesterol, which takes place both in liver and extrahepatic tissues. This pathway is believed to play a role in peripheral cholesterol degradation. Aim of this study was to investigate the impact of hyperlipidemia on 27-hydroxycholesterol appearance rate, and to assess the effects induced by treatment with statins. METHODS AND RESULTS: Seven patients with familial hypercholesterolemia and eight patients with familial combined hyperlipidemia underwent determination of 27-hydroxylation rates in vivo by i.v. infusion of deuterated 27-hydroxycholesterol. Isotope enrichment was assayed by gas chromatography-mass spectrometry, allowing to calculate 27-hydroxycholesterol appearance rates. Six normocholesterolemic subjects were regarded as controls. In some hypercholesterolemic patients the infusions were repeated during treatment with atorvastatin or rosuvastatin. Hydroxylation rates were higher in hypercholesterolemic patients (8.7 ± 2.5 mg/h; controls, 3.4 ± 2.0 mg/h; combined hyperlipidemia, 4.4 ± 1.6 mg/h; mean ± SD, P < 0.01 vs both). After statin treatment, both plasma cholesterol levels and hydroxylation rates dropped by nearly 50%. No difference was detectable between the two statins. A linear correlation was shown between plasma cholesterol and 27-hydroxylation rates. CONCLUSION: Hypercholesterolemia associates with increased 27-hydroxycholesterol appearance rates, which decrease during hypocholesterolemic treatment. The correlation with cholesterol levels supports the view that 27-hydroxylation may act as a compensatory mechanism in a condition of larger plasma cholesterol pool. A regulatory role for hepatic and extrahepatic nuclear receptors seems reasonable. These data prompt novel pharmacological approaches for the management of hypercholesterolemia and the prevention of atherosclerosis.


Subject(s)
Hydroxycholesterols/blood , Hypercholesterolemia/blood , Hypercholesterolemia/drug therapy , Adult , Aged , Anticholesteremic Agents/therapeutic use , Atorvastatin , Case-Control Studies , Cholesterol/blood , Cholesterol/metabolism , Female , Fluorobenzenes/therapeutic use , Gas Chromatography-Mass Spectrometry , Heptanoic Acids/therapeutic use , Humans , Hydroxylation , Hypercholesterolemia/physiopathology , Hyperlipidemia, Familial Combined/drug therapy , Hyperlipidemia, Familial Combined/physiopathology , Hyperlipoproteinemia Type II/drug therapy , Hyperlipoproteinemia Type II/physiopathology , Male , Middle Aged , Pyrimidines/therapeutic use , Pyrroles/therapeutic use , Rosuvastatin Calcium , Sulfonamides/therapeutic use
2.
Appl Radiat Isot ; 64(2): 182-6, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16169239

ABSTRACT

An improved synthesis of the precursor acetic acid-piperidine-4-yl ester by acetylation of 4-hydroxypiperidine hydrochloride in anhydrous chloroform was developed. A procedure for fast evaluation and characterization of products originated by acetylation of the 4-piperidinol using LC-APCI/MS with an acetonitrile-water gradient method on a Merck Purosphere RP-18 column was also developed. The highly purified precursor allowed the production of [11C]MP4A for PET studies of acetylcholine neurotransmission system. The tracer was produced with >98% radiochemical purity, with yields ranging 20-60% (decay-corrected) from EOB.


Subject(s)
Acetates/chemical synthesis , Hydrocarbons, Iodinated/chemistry , Piperidines/chemical synthesis , Radiopharmaceuticals/chemical synthesis , Acetates/chemistry , Acetylation , Acetylcholinesterase/analysis , Chromatography, High Pressure Liquid , Gas Chromatography-Mass Spectrometry , Humans , Isotope Labeling/methods , Magnetic Resonance Spectroscopy , Piperidines/chemistry , Positron-Emission Tomography/methods , Radiopharmaceuticals/chemistry
3.
Eur J Nucl Med Mol Imaging ; 32(4): 405-13, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15549298

ABSTRACT

PURPOSE: The aim of this study was to evaluate the suitability of [11C]SCH442416 for the in vivo imaging of adenosine A2A receptors. METHODS: In rats and Macaca nemestrina, we evaluated the time course of the cerebral distribution of [11C]SCH442416. Furthermore, in rats we investigated the rate of metabolic degradation, the inhibitory effects of different drugs acting on adenosine or dopamine receptors and the modification induced by the intrastriatal administration of quinolinic acid (QA). RESULTS: The rate of metabolic degradation of [11C]SCH442416 in rats was slow; 60 min after tracer injection, more than 40% of total plasma activity was due to unmetabolised [11C]SCH442416. At the time of maximum uptake, radioactive metabolites represented only 6% of total extractable activity in the cerebellum and less than 1% in the striatum. In the striatum, the region with the highest expression of A2A receptors, the in vivo uptake of [11C]SCH442416 was significantly reduced only by drugs acting on A2A receptors or by QA, a neurotoxin that selectively reduces the number of intrastriatal GABAergic neurons. Position emission tomography (PET) studies in monkeys indicated that the tracer rapidly accumulates in brain, reaching maximum uptake between 5 and 10 min. Twenty minutes after the injection, radioactivity concentration in the striatum was two times that in the cerebellum. CONCLUSION: The specificity of binding, the rank order of regional distribution in the brain of rats and M. nemestrina, the good signal to noise ratios and the low amount of radioactive metabolites in brain and periphery indicate that [11C]SCH442416 is a promising tracer for the in vivo imaging of A2A adenosine receptors using PET.


Subject(s)
Brain Diseases/diagnostic imaging , Brain Diseases/metabolism , Corpus Striatum/diagnostic imaging , Corpus Striatum/metabolism , Pyrazoles/pharmacokinetics , Pyrimidines/pharmacokinetics , Receptor, Adenosine A2A/metabolism , Animals , Brain Diseases/chemically induced , Carbon Radioisotopes/pharmacokinetics , Macaca nemestrina , Male , Metabolic Clearance Rate , Quinolinic Acid , Radionuclide Imaging , Radiopharmaceuticals/pharmacokinetics , Rats , Species Specificity , Tissue Distribution
4.
Neurochem Int ; 44(6): 433-40, 2004 May.
Article in English | MEDLINE | ID: mdl-14687608

ABSTRACT

The peripheral-type benzodiazepine receptors (PBRs) are only minimally expressed in normal brain parenchyma, where they are primarily localized in glial cells. Their basal expression rises in different neurodegenerative disorders, due to the presence of infiltrating inflammatory cells and activated microglia. [11C]PK11195, a selective PBR antagonist, has been used for the in vivo PET monitoring of neurodegeneration in clinical observations. We recently developed and labeled with carbon-11 three new carboxamide derivatives: [11C]VC193M, [11C]VC195 and [11C]VC198M. Aim of this study was to evaluate these ligands for the in vivo measuring of PBRs expression in neurodegenerations and compare their kinetic behavior with that of the reference tracer [11C]PK11195. Radioligands were evaluated in a preclinical model of Huntington's disease consisting in the monolateral striatal injection of quinolinic acid (QA). Activated microglia and astrocytic gliosis was present only within the affected striatum. A concomitant increase in radioactivity accumulation was observed for all the tracers examined (P<0.01). Among the new compounds, [11C]VC195 showed higher levels of lesioned/unlesioned striatum ratios (3.28+/-0.44), in comparison with [11C]VC193M and [11C]VC198M (2.69+/-0.53 and 1.52+/-0.36, respectively), but slightly inferior to that observed for [11C]PK11195 (3.76+/-1.41).In conclusion, the results of the study indicate that [11C]VC195 is a promising candidate for in vivo PET monitoring of neurodegenerative processes but its in vivo behavior overlap that of [11C]PK11195.


Subject(s)
Amides/metabolism , Neurodegenerative Diseases/diagnostic imaging , Quinolines/metabolism , Radiopharmaceuticals/metabolism , Tomography, Emission-Computed , Amides/blood , Amides/pharmacokinetics , Animals , Immunohistochemistry , Isoquinolines/pharmacology , Ligands , Male , Quinolines/blood , Quinolines/pharmacokinetics , Radiopharmaceuticals/blood , Radiopharmaceuticals/pharmacokinetics , Rats
5.
J Mass Spectrom ; 36(6): 670-6, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11433541

ABSTRACT

Therapy with cyclosporin A (CsA) for immunosuppression after organ transplantation requires monitoring of its levels in blood owing to the narrow therapeutic index of the drug and to the high inter-individual variability of the drug absorption and metabolism. We describe the preparation of CsA labelled with stable isotopes ((13)C and (2)H) with an isotopic enrichment of about 99% using labelled glucose and its use as internal standard for quantification of CsA blood levels by isotope dilution/electrospray ionization mass spectrometry. The method was found to be linear in the tested range (1-1000 ng) with and without the matrix. The accuracy of the bracketting calibration curves prepared using 100 ng ml(-1) labelled CsA was within +/-1.7% (bias). The results confirmed the usefulness of the procedure as a reference method for the external quality assessment of the field methods for the evaluation of CsA blood concentration, the imprecision (relative standard deviation) and accuracy (bias) being <2%.


Subject(s)
Cyclosporine/blood , Immunosuppressive Agents/blood , Chromatography, High Pressure Liquid , Chromatography, Liquid , Humans , Solutions , Spectrometry, Mass, Electrospray Ionization
6.
Diabetes Care ; 24(5): 875-80, 2001 May.
Article in English | MEDLINE | ID: mdl-11347747

ABSTRACT

UNLABELLED: The aim of this study was to evaluate whether long-term administration of arginine acting through a normalization of NO/cyclic-guanosine-3' 5'-cyclic monophosphate (cGMP) pathway was able to ameliorate peripheral and hepatic insulin sensitivity in 12 lean type 2 diabetic patients. RESEARCH DESIGN AND METHODS: A double-blind study was performed for 3 months. In the first month, patients were treated with their usual diet. Then they were randomly allocated into to groups. In group 1, patients were treated with diet plus placebo (orally three times per day) for 2 months. In group 2 patients were treated for 1 month with diet plus placebo orally, three times per day) and then for 1 month with diet plus L-arginine (3 g three times per day). At the end of the first and the second month of therapy, patients underwent a euglycemic-hyperinsulinemic clamp combined with [6,6-2H2] glucose infusion. A total of 10 normal subjects underwent the same test as control subjects. RESULTS: In group 1, no changes in basal cGMP levels, systolic blood pressure, forearm blood flow, glucose disposal, and endogenous glucose production were observed throughout. In group 2, L-arginine normalized basal cGMP levels and significantly increased forearm blood flow by 36% and glucose disposal during the clamp by 34% whereas it decreased systolic blood pressure and endogenous glucose production by 14 and 29%, respectively. However, compared with normal subjects, L-arginine treatment was not able to completely overcome the defect in glucose disposal. CONCLUSIONS: L-Arginine treatment significantly improves but does not completely normalizc peripheral and hepatic insulin sensitivity in type 2 diabetic patients.


Subject(s)
Arginine/therapeutic use , Diabetes Mellitus, Type 2/drug therapy , Diabetes Mellitus, Type 2/physiopathology , Insulin/blood , Liver/physiopathology , Administration, Oral , Arginine/administration & dosage , Blood Glucose/metabolism , Blood Pressure , Body Weight , Cyclic GMP/blood , Diabetes Mellitus, Type 2/diet therapy , Diet, Diabetic , Double-Blind Method , Forearm/blood supply , Glucose Clamp Technique , Glycated Hemoglobin/analysis , Heart Rate , Humans , Insulin/metabolism , Insulin Secretion , Liver/drug effects , Middle Aged , Potassium/blood , Reference Values , Regional Blood Flow
7.
J Lipid Res ; 42(3): 437-41, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11254756

ABSTRACT

Little is known about the effects of cholesterol-lowering agents in hypercholesterolemic patients with primary biliary cirrhosis (PBC). The aim of this study was to compare the changes induced by simvastatin and ursodeoxycholic acid (UDCA) on cholesterol metabolism in patients with PBC and preserved liver function. Six patients with PBC were administered simvastatin (40 mg/day) for 30 days and, after a washout period of 30 days, ursodeoxycholic acid (600 mg/day) for 30 days. Serum levels of lathosterol, campesterol, 7 alpha-hydroxycholesterol, and 27-hydroxycholesterol were measured by gas chromatography-mass spectrometry. During simvastatin administration, reduction of cholesterol levels (34% in 30 days) was paralleled by the decrease of lathosterol (55%), whereas concentrations of campesterol and of the two hydroxysterols were not substantially modified. During ursodeoxycholic acid administration, a trend toward a decrease of serum cholesterol concentrations was observed after only one year of treatment, and these changes were paralleled by the decrease of campesterol serum levels. Both simvastatin and UDCA were well tolerated, and a reduction of serum liver enzyme levels occurred with the latter. Simvastatin proved to be safe and effective in reducing serum cholesterol levels in patients with PBC by an inhibitory effect on cholesterol synthesis occurring within 24 h. --Del Puppo, M., M. Galli Kienle, A. Crosignani, M. L. Petroni, B. Amati, M. Zuin, and M. Podda. Cholesterol metabolism in primary biliary cirrhosis during simvastatin and UDCA administration. J. Lipid Res. 2001. 42: 437--441.


Subject(s)
Anticholesteremic Agents/pharmacology , Cholagogues and Choleretics/pharmacology , Cholesterol/blood , Liver Cirrhosis, Biliary/metabolism , Simvastatin/pharmacology , Ursodeoxycholic Acid/pharmacology , Aged , Female , Gas Chromatography-Mass Spectrometry , Humans , Hydroxycholesterols/blood , Hypercholesterolemia/complications , Hypercholesterolemia/drug therapy , Liver Cirrhosis, Biliary/complications , Male , Middle Aged , Simvastatin/therapeutic use , Ursodeoxycholic Acid/therapeutic use
8.
Appl Radiat Isot ; 54(1): 93-5, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11144258

ABSTRACT

The procedure previously reported for the radiosynthesis of [123I]betaCIT was modified in order to improve both radiochemical yield and purity of betaCIT (2beta-carbomethoxy-3beta(4-iodophenyl) tropane) to be injected for SPECT (Single Photon Emission Computed Tomography) analysis imaging. The overall procedure, involving a HPLC purification step, results in quite good and reproducible yields of a highly purified tracer.


Subject(s)
Brain/diagnostic imaging , Brain/metabolism , Cocaine/chemical synthesis , Dopamine/metabolism , Iodine Radioisotopes , Radiopharmaceuticals/chemical synthesis , Serotonin/metabolism , Tomography, Emission-Computed, Single-Photon/methods , Chromatography, High Pressure Liquid , Cocaine/analogs & derivatives , Cocaine/pharmacokinetics , Humans , Ligands , Radiopharmaceuticals/pharmacokinetics
9.
Nucl Med Biol ; 27(6): 565-9, 2000 Aug.
Article in English | MEDLINE | ID: mdl-11056370

ABSTRACT

This paper describes the radiosynthesis of [(11)C]CGP62349, a potential ligand to assess GABA(B) receptors in vivo. (11)C was introduced by O-methylation of the corresponding des-methyl precursor, namely CGP67780. The final product was obtained with a reliable method in good yield. The radioligand was tested in monkey, revealing negligible blood-brain barrier penetration and brain uptake, thus prompting us to search for a new target structure with a better lipophilicity.


Subject(s)
Benzoates/chemical synthesis , Benzoates/pharmacokinetics , Brain/metabolism , GABA-B Receptor Antagonists , Organophosphorus Compounds/chemical synthesis , Organophosphorus Compounds/pharmacokinetics , Animals , Benzoates/blood , Benzoates/chemistry , Blood-Brain Barrier/drug effects , Brain/blood supply , Brain/diagnostic imaging , Carbon Radioisotopes/chemistry , Chromatography, High Pressure Liquid , Female , Hydrocarbons, Iodinated/chemistry , Ligands , Macaca nemestrina , Mass Spectrometry , Organophosphorus Compounds/blood , Phosphinic Acids/chemistry , Radioactive Tracers , Radioligand Assay , Receptors, GABA-B/metabolism , Tomography, Emission-Computed
10.
Anal Biochem ; 282(1): 136-41, 2000 Jun 15.
Article in English | MEDLINE | ID: mdl-10860510

ABSTRACT

Identification of sulfonylureas in serum is important in the diagnosis of hypoglycemic crisis of unknown origin. Methods based on HPLC with UV or fluorescence detection may give false positive results. Mass spectrometry may successfully avoid this problem. The described method allows the simultaneous identification and quantification of tolbutamide, chlorpropamide, glibenclamide, and glipizide in human serum using one of the tested sulfonylureas as the internal standard. Serum purification is carried out by solid-phase extraction with ENVI-C18 cartridges and samples are analyzed by liquid chromatography-electrospray mass spectrometry. For all drugs, the limit of detection and the limit of quantification are about 2 and 10 ng/ml, respectively.


Subject(s)
Mass Spectrometry/methods , Sulfonylurea Compounds/blood , Calibration , Chlorpropamide/blood , Chromatography, Liquid , Glipizide/blood , Glyburide/blood , Humans , Models, Chemical , Tolbutamide/blood , Ultraviolet Rays
11.
J Clin Endocrinol Metab ; 84(5): 1658-63, 1999 May.
Article in English | MEDLINE | ID: mdl-10323396

ABSTRACT

The aim of the study was to investigate the acute effect of GH per se, independent from its lipolytic activity, on glucose and lipid oxidation and glucose turnover in seven healthy subjects. Five tests lasting 360 min were performed. Each test consisted of a 4-h equilibration period followed by a euglycemic hyperinsulinemic (25 mU/kg x h) clamp lasting 2 h. In test 1 (control experiment) saline was infused, leaving GH and FFA at basal levels. In tests 2, 3, and 4, GH was infused (80 ng/kg x min) to increase GH levels. Whereas in test 2 FFA levels were free to increase due to GH lipolytic activity, in test 3 FFA elevation was prevented by using an antilipolytic compound (Acipimox) that allowed evaluation of the effect of GH at low FFA levels. In test 4 (GH+Acipimox+heparin) GH infusion was associated with the administration of Acipimox and heparin to maintain FFA at the basal level to evaluate the effect of GH per se independent from GH lipolytic activity. In test 5 Acipimox and a variable heparin infusion were given to evaluate possible effects of Acipimox other than the inhibition of lipolysis. During the euglycemic hyperinsulinemic clamp in the presence of high GH and FFA levels (test 2), glucose oxidation was significantly lower and lipid oxidation was significantly higher than in tests 1, 3, 4, and 5. During the same period, hepatic glucose production was completely suppressed in the control study (test 1; 94%) and in test 5 (99.6%), whereas it was significantly less inhibited (65%, 74%, and 73%) when GH was administered in tests 2, 3, and 4. In conclusion, these results suggest that GH directly mediates the reduction of insulin's effect on the liver. In addition, the effect of GH on glucose and lipid oxidation is not direct, but is mediated by its lipolytic activity.


Subject(s)
Human Growth Hormone/pharmacology , Lipolysis/physiology , Liver/physiology , Adult , Blood Glucose/metabolism , Calorimetry, Indirect , Fatty Acids, Nonesterified/blood , Glucagon/blood , Glucose/metabolism , Glucose Clamp Technique , Humans , Insulin/blood , Insulin/pharmacology , Liver/drug effects , Liver/metabolism , Male , Oxidation-Reduction
12.
Kidney Int ; 54(3): 857-63, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9734610

ABSTRACT

BACKGROUND: In a prior study the 21-aminosteroid (lazaroid) U74389F provided in vivo protection from oxidative stress when used as a preventive therapy in ischemia-reperfusion injury in the kidney. As the cell membrane is the principal site for lipoperoxidation, in the current study the very lipophilic 2-methylaminochroman U83836E, a recently developed lazaroid, was administered to rats at 3 mg/kg before renal ischemia-reperfusion. In addition to the biochemical parameters, the renal function and the histological appearance were carefully evaluated. METHODS: Glutathione, adenine nucleotides and lipid peroxidation products were determined in kidneys reperfused for 2 and 24 hours after 90 minutes of ischemia. Renal function was assessed by plasma creatinine, and renal injury by histological examination. RESULTS: Reperfusion-induced glutathione oxidation, expressed as an oxidized-to-total glutathione ratio, was significantly attenuated both after 2 and 24 hours of reperfusion by treatment with U83836E. Adenosine triphosphate (ATP) was still significantly depleted after 24 hours in the control group, while at the same time treated animals had already recovered to baseline values. Lipid peroxidation products were significantly lower in lazaroid-groups both after 2 and 24 hours of reperfusion. Renal function after 24 hours of reperfusion was notably better in the treated rats. Histological examination confirmed the protective action of the drug. After 24 hours the control group showed large areas of parenchymal hemorrhage and necrosis with dilated tubules and blood vessel thrombosis, while treated animals showed small necrotic areas with a background of mild interstitial inflammatory cells. CONCLUSIONS: Our results suggest that there is a protective effect of U83836E in ischemia-reperfusion injury, in that tissue damage due to oxidative stress is reduced, thus ameliorating renal function impairment.


Subject(s)
Antioxidants/pharmacology , Chromans/pharmacology , Ischemia/drug therapy , Kidney/blood supply , Piperazines/pharmacology , Reperfusion Injury/prevention & control , Animals , Glutathione/metabolism , Kidney/metabolism , Kidney/pathology , Male , Rats , Rats, Wistar
13.
Appl Radiat Isot ; 48(6): 749-54, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9204526

ABSTRACT

5-Methoxy-1-[4-(trifluoromethyl)-phenyl]-1-pentanone-O-(2-aminoethyl)oxi me (fluvoxamine), a potent clinically used antidepressant, was labelled with carbon-11 (t1/2 = 20.4 min) as a potential radioligand for the non-invasive assessment of serotonin uptake sites in the human brain with positron emission tomography (PET). The two-step radiochemical synthesis consisted of O-methylation of an amino-protected desmethyl precursor with [11C]methyl iodide under mild conditions in the presence of tetrabutylammonium hydroxide in acetonitrile, followed by deprotection with trifluoroacetic acid. 5-[11C]Methoxy-1-[4-(trifluoromethyl)-phenyl]-1-pentanone-O-(2-aminoethy l) oxime was obtained in > 98% radiochemical purity in 40 min with a radiochemical yield of 4 +/- 2% (non-decay corrected) and a specific radioactivity of 1 +/- 0.5 Ci/mumol. 5-Hydroxy-1-[4-(trifluoromethyl)-phenyl]-1-pentanone-O-[2- (tert-butoxycarbonylamino)ethyl]oxime, the precursor for the radiosynthesis of [11C]fluvoxamine, was prepared by a convenient three-step synthesis from the pharmaceutical form of fluvoxamine maleate by converting it into the free base, demethylation by trimethyliodosilane and introduction of the BOC-protective group with di-tert-butyl dicarbonate.


Subject(s)
Fluvoxamine/analogs & derivatives , Selective Serotonin Reuptake Inhibitors/chemical synthesis , Binding Sites , Brain/metabolism , Carbon Radioisotopes , Fluvoxamine/chemical synthesis , Fluvoxamine/metabolism , Fluvoxamine/pharmacology , Humans , Methods , Methylation , Radioligand Assay , Serotonin/metabolism , Selective Serotonin Reuptake Inhibitors/metabolism , Selective Serotonin Reuptake Inhibitors/pharmacology , Tomography, Emission-Computed
15.
Metabolism ; 46(12): 1482-8, 1997 Dec.
Article in English | MEDLINE | ID: mdl-9439548

ABSTRACT

The study was performed to elucidate, by means of a euglycemic-hyperinsulinemic clamp, whether insulin sensitivity, lipid levels, posthepatic insulin delivery, and insulin clearance are impaired in girls with Turner's syndrome in the absence of previous treatment (T0) and after 6 (T6) and 12 (T12) months of growth hormone (GH) therapy (GHT). The study was performed in six girls with Turner's syndrome and eight healthy girls. We found that previously untreated girls with Turner's syndrome had a normal insulin activity on glucose metabolism. GHT progressively and significantly decreased hepatic insulin sensitivity. In fact, residual hepatic glucose release (HGR), which was 19.6 +/- 4.7 mg/m2. min at T0, doubled at T6 (39.3 +/- 5.1 mg/m2.min) and showed a threefold increase at T12 (68.7 +/- 10.8 mg/m2.min, P < .05 v T0). On the contrary, GHT did not show an appreciable influence on peripheral insulin sensitivity. Insulin clearance was higher in girls with Turner's syndrome than in control girls at T0 (30.0 +/- 2.8 v 20.2 +/- 1.1 mL.kg-1.min-1). It decreased to normal values at T6 (18.2 +/- 2.0 mL.kg-1.min-1, P < .05 v T0) and remained at normal levels at T12 (23.8 +/- 2.9 mL.kg-1. min-1). The posthepatic insulin delivery rate significantly increased at T6 and T12, suggesting increased insulin secretion. In conclusion, we found that insulin-stimulated glucose turnover was normal in girls with Turner's syndrome before therapy. One year of GHT was successful in stimulating the growth rate, but significantly decreased the insulin suppressibility on HGR with only slight changes in peripheral insulin sensitivity. In addition, an increase in the insulin posthepatic delivery rate and a normalization of insulin clearance were present, probably to counteract hepatic insulin resistance.


Subject(s)
Glucose/metabolism , Growth Hormone/therapeutic use , Insulin/metabolism , Turner Syndrome/drug therapy , Turner Syndrome/metabolism , Adolescent , C-Peptide/blood , Child , Fasting/physiology , Female , Growth/drug effects , Growth/physiology , Growth Hormone/blood , Growth Hormone/pharmacology , Humans , Insulin/blood , Insulin/pharmacology , Insulin Resistance/physiology , Insulin-Like Growth Factor I/analysis , Insulin-Like Growth Factor I/metabolism , Lipids/blood , Liver/metabolism , Recombinant Proteins/blood , Recombinant Proteins/pharmacology , Recombinant Proteins/therapeutic use , Turner Syndrome/physiopathology
16.
J Lipid Res ; 37(11): 2280-7, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8978479

ABSTRACT

The Smith-Lemli-Opitz syndrome (SLOS) is an autosomal recessive disorder characterized by accumulation of cholesta-5,7-dien-3 beta-0l caused by a deficiency of the enzyme desaturating this sterol to cholesterol. In addition to other unusual sterols recently found in plasma of patients with SLOS, namely cholesta-5,8-dien-3 beta-ol and 19-nor-cholesta-5,7,9 (10)-trien-3 beta-ol we have detected a trienol and we describe here its identification as cholesta-5,7,9 (11)-trien-3 beta-ol by GC-MS and by comparison with a synthetic standard. We tested the possibility that the trienol may be formed by radical oxidation of cholesta-5,7-dien-3 beta-ol accumulated in plasma of patients with SLOS because it is known to be formed by decomposition of 7-hydroperoxy-cholesta-5,8-dien-3 beta-ol, which is a product of cholesta-5,7-dien-3 beta-ol photooxidation. Incubation of cholesta-5,7-dien-3 beta-ol with rat liver microsomes in the presence of ADP/Fe2+ and NADPH gave rise to a number of oxygenated sterols. Among these, analysis by particle-beam LC-MS under CI conditions indicated the presence of 7-hydroperoxy-cholesta-5,8-dien-3 beta-ol and of cholesta-5,7,9(11)-trien-3 beta-ol which is known to derive from the oxidation of the 7-hydroperoxide. From these results we conclude that cholesta-5,7-dien-3 beta-ol accumulated in tissues of patients with SLOS may be oxidized by oxygen radicals giving rise to oxygenated sterols. Some of these compounds may be toxic and may contribute to worsen the pathological picture in patients with SLOS.


Subject(s)
Cholestenes/blood , Smith-Lemli-Opitz Syndrome/blood , Animals , Dehydrocholesterols/metabolism , Gas Chromatography-Mass Spectrometry , Humans , Magnetic Resonance Spectroscopy , Male , Microsomes, Liver/metabolism , NADP/metabolism , Rats , Rats, Sprague-Dawley
17.
Lipids ; 30(11): 1057-61, 1995 Nov.
Article in English | MEDLINE | ID: mdl-8569435

ABSTRACT

In this communication we attempt to provide one possible explanation for the observed differences regarding kinetics and distribution between simvastatin and pravastatin. Rats treated with simvastatin or pravastatin exhibited a reduction in the incorporation of [2-(14)C] acetate into liver cholesterol and displayed lower plasma mevalonate levels as compared to control animals. Moreover, both the total and dephosphorylated 3-hydroxy-3-methylglutaryl--CoA (HMG-CoA) reductase (EC 1.1.1.34) activities, particularly 1 h after treatment, were greatly reduced in liver microsomes obtained from simvastatin-treated as compared to control rats. During the same time frame, these parameters were actually elevated with pravastatin treatment. It is known that HMG-CoA reductase synthesis and activity increase following their competitive inhibition. Our results suggest that pravastatin, at 1 h following treatment, was no longer bound to the enzyme; however, it had entered the liver because its inhibitory effect on cholesterol synthesis was manifest at early times after administration. These data provide a plausible rationale for the earlier observation that activity of simvastatin persists longer in plasma than does that of pravastatin.


Subject(s)
Anticholesteremic Agents/pharmacology , Cholesterol/biosynthesis , Enzyme Inhibitors/pharmacology , Hydroxymethylglutaryl-CoA Reductase Inhibitors , Lovastatin/analogs & derivatives , Pravastatin/pharmacology , Animals , Lovastatin/pharmacology , Male , Mevalonic Acid/blood , Microsomes, Liver/enzymology , Rats , Rats, Sprague-Dawley , Simvastatin
18.
Diabetologia ; 38(6): 739-47, 1995 Jun.
Article in English | MEDLINE | ID: mdl-7672499

ABSTRACT

To evaluate the early metabolic alterations induced by obesity, we studied glucose turnover and lipid levels in obese children with fasting normoinsulinaemia. Two experimental protocols were carried out. Protocol I consisted of a euglycaemic glucose clamp at two rates of insulin infusion. Protocol II was similar to protocol I except for a variable lipid infusion used to maintain basal non-esterified fatty acid (NEFA) levels. During protocol I, the glucose disappearance rates were lower in obese children, while no differences were found in hepatic glucose release. NEFA response to insulin was not substantially altered in obese children either at low or high insulin infusion. During protocol II, the NEFA clamp induced a 25% reduction in peripheral insulin sensitivity in control children whereas no changes were observed in obese children. Interestingly, lipid infusion in control children was not sufficient to reproduce the same degree of insulin resistance observed in obese children, suggesting that NEFA are only one of the determinants of insulin resistance at this stage of obesity. In conclusion, the present study provides a portrait of glucose metabolism and lipid levels in normoinsulinaemic obese children. Our results document that peripheral insulin resistance is the first alteration at this stage of obesity, whereas an increase in insulin secretion and a defect in the inhibition of hepatic glucose release by insulin may develop at a later stage. In addition, primarily receptor and post-receptor defects and some alterations of NEFA metabolism are likely to coexist in the induction of insulin resistance at this stage of obesity.


Subject(s)
Blood Glucose/metabolism , Fatty Acids, Nonesterified/metabolism , Glucose/metabolism , Insulin/blood , Insulin/pharmacology , Liver/metabolism , Obesity/metabolism , 3-Hydroxybutyric Acid , Analysis of Variance , Body Mass Index , C-Peptide/blood , Child , Fatty Acids, Nonesterified/blood , Female , Glucagon/blood , Glucose Clamp Technique , Glycerol/blood , Humans , Hydroxybutyrates/blood , Infusions, Intravenous , Insulin/administration & dosage , Kinetics , Male , Obesity/blood , Reference Values , Triglycerides/blood
19.
J Clin Endocrinol Metab ; 80(1): 34-40, 1995 Jan.
Article in English | MEDLINE | ID: mdl-7829636

ABSTRACT

In this study we investigated a simple nonlabor-intensive method to evaluate insulin sensitivity and beta-cell function which is suitable for application in population studies. The method is a refinement of the modified Harano test and consists of a continuous low dose insulin (25 mU/kg.h) and glucose (4 mg/kg.min) infusion test (LDIGIT) lasting 150 min. Insulin sensitivity was evaluated as the MCR of glucose divided by the steady state serum insulin level achieved at the end of the test. Insulin secretion was expressed as the incremental area for C-peptide concentration during the first 15 min of the test. We compared the indices of insulin sensitivity and insulin secretion yielded by LDIGIT with those derived from the euglycemic clamp and the hyperglycemic clamp, respectively. Fifty-four subjects underwent a LDIGIT (33 with normal glucose tolerance and 21 with impaired glucose tolerance); of the 54, 19 were submitted to a euglycemic clamp, 18 to a hyperglycemic clamp, and 10 to a modified Harano test (insulin infusion, 50 mU/kg.h; glucose infusion, 6 mg/kg.min). LDIGIT overcame the drawbacks associated with the modified Harano test because it resulted in more stable final glucose levels and prevented the occurrence of hypoglycemic episodes. No significant differences were found between the insulin sensitivity index (ISI) of the LDIGIT and that of the euglycemic clamp for each group of subjects. Moreover, there was a strong correlation between the ISI determined by LDIGIT and the ISI determined by clamp (r = 0.90; P < 0.0001), and the best regression line was not different from the identity line, suggesting that the two indices are equivalent. The index of insulin secretion provided by LDIGIT correlated well with that of the hyperglycemic clamp (r = 0.82; P < 0.001) and was significantly higher in overweight subjects than in normal weight subjects. In conclusion, LDIGIT is a simple and accurate method to assess insulin sensitivity and secretion. It can be useful in population studies and in situations when more complex techniques are not feasible.


Subject(s)
Glucose/administration & dosage , Insulin Resistance , Insulin/metabolism , Adult , Feasibility Studies , Female , Glucose Clamp Technique , Humans , Infusions, Intravenous , Insulin/administration & dosage , Insulin Secretion , Islets of Langerhans/metabolism , Male , Middle Aged
20.
Peptides ; 16(8): 1335-41, 1995.
Article in English | MEDLINE | ID: mdl-8745041

ABSTRACT

We have previously reported that treatment of CsA with aqueous HCI gives rise to the formation of a number of water-soluble compounds. Two of these were identified from their FAB-MS/MS spectra as open-chain nona- and decapeptides. We describe here the identification of two other main compounds deriving from the same treatment. Identification was rendered possible from the comparison of their FAB-MS/MS spectra with those of methyl and acetyl derivatives. The two compounds are water-soluble, open-chain undecapeptides corresponding to 1.11 seco-CsA and of 4.5 seco-isoCsA, respectively.


Subject(s)
Cyclosporine/chemistry , Acetylation , Amino Acid Sequence , Cyclosporine/isolation & purification , Cyclosporine/metabolism , Cyclosporins/chemistry , Cyclosporins/isolation & purification , Cyclosporins/metabolism , Humans , Hydrochloric Acid , Hydrolysis , In Vitro Techniques , Methylation , Molecular Sequence Data , Molecular Structure , Solubility , Spectrometry, Mass, Fast Atom Bombardment , Water
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