HbA1c和FPG水平与2型糖尿病患者视网膜病变的相关性分析

目的：探讨糖化血红蛋（HbA1c）、空腹血糖（FPG）与2型糖尿病患者视网膜病变（DR）的相关性。方法：对我院2010年1月-2012年12月住院或门诊的336例2型糖尿病（T2DM）患者进行眼底检查或眼底血管荧光素造影检测,按有无视网膜病变分为视网膜病变（DR）组和无视网膜病变（NDR）组,并对HbA1c、FBG水平进行检测。结果：DR组较NDR组HbA1c水平高,差异有统计学意义（P〈0．05）,HbA1c水平和DR分期呈正相关（I=0．526,P〈0．001）,而DR组和NDR组FPG水平差异无无统计学意义（P〉0．05）。结论：可将HbA1c作为2型糖尿病患者视网膜病变发生和发展的监测指标之一。     

Time-imposed daily restricted feeding induces rhythmic expression of Fgf21 in white adipose tissue of mice

Fibroblast growth factor 21 (FGF21) is a key metabolic regulator that is induced by fasting and starvation, and its expression is thought to be regulated by the circadian clock in the liver. To evaluate the functional role of FGF21 in the circadian regulation of physiology and behavior, we examined the temporal expression profiles of Fgf21 and circadian clock genes in addition to behavioral activity rhythms under adlibitum feeding (ALF) and time-imposed restricted feeding (RF) in mice. Four hours of daily restricted feeding during the daytime induced over an 80-fold increase in feeding-dependent rhythmic Fgf21 mRNA expression in epididymal white adipose tissue (eWAT), although the expression levels were continuously increased 10-fold in the liver of wild-type (WT) mice. Refeeding subsequent to transient fasting revealed that refeeding but not fasting remarkably induces Fgf21 expression in eWAT, although fasting-induced hepatic Fgf21 expression is completely reversed by refeeding. The free-running period of locomotor activity rhythm under ALF and the food anticipatory activity (FAA) under RF remained intact in Fgf21 knockout (KO) mice, suggesting that FGF21 is dispensable for both the central clock in the suprachiasmatic nucleus (SCN) and the food-entrainable oscillator that governs the FAA. Temporal expression profiles of circadian genes such as mPer2 and BMAL1 were essentially identical in both tissues between WT and Fgf21 KO mice under RF. The physiological role of the refeeding-induced adipose Fgf21 expression remains to be elucidated.     

禁食对东方蝾螈胃肠道嗜银细胞形态 和分布密度的影响

以改良的龙桂开浸银法,比较了喂食和禁食15 d后的东方蝾螈(Cynops orientalis)胃肠道的长度与重量、嗜银细胞的形态及分布密度的变化。结果表明,禁食后动物的肠鲜重下降,胃长度缩短。禁食处理对嗜银细胞的形态无明显影响,呈圆形、椭圆形、楔形、锥体形、毛笔头状和蝌蚪形等。喂食组的分布密度高峰为幽门,低谷为十二指肠;禁食组的分布密度高峰为贲门,低谷为十二指肠、回肠和直肠。除幽门和十二指肠外,禁食组其余胃肠道各部位的密度都高于喂食组。禁食使东方蝾螈胃肠道前、后端嗜银细胞的密度增加,这可能与东方蝾螈的摄食习性和能较长时间耐受饥饿的生理特性有关。     

Growth and nutritional condition of the larvae of Odontesthes microlepidotus (Atherinidae): an experimental approach

Synopsis The relation between the feeding and mortality of fish larvae is mediated not only by starvation but also by their growth. In this work, daily otolith ring deposition was analysed in laboratory-reared larvae of Odontesthes microlepidotus (Jenyns), and their growth was studied in relation to ring number and otolith diameter. The nutritional condition of these larvae was assessed by means of morphometric comparisons between fed and starved larvae in order to develop a tool to evaluate the nutritional status of larvae in breeding areas. Changes in body shape have been found as a consequence of starvation. No dependence was found between mean hepatocyte nuclear area and fasting.     

Glutamine Synthetase in Muscle Is Required for Glutamine Production during Fasting and Extrahepatic Ammonia Detoxification

The main endogenous source of glutamine is de novo synthesis in striated muscle via the enzyme glutamine synthetase (GS). The mice in which GS is selectively but completely eliminated from striated muscle with the Cre-loxP strategy (GS-KO/M mice) are, nevertheless, healthy and fertile. Compared with controls, the circulating concentration and net production of glutamine across the hindquarter were not different in fed GS-KO/M mice. Only a ∼3-fold higher escape of ammonia revealed the absence of GS in muscle. However, after 20 h of fasting, GS-KO/M mice were not able to mount the ∼4-fold increase in glutamine production across the hindquarter that was observed in control mice. Instead, muscle ammonia production was ∼5-fold higher than in control mice. The fasting-induced metabolic changes were transient and had returned to fed levels at 36 h of fasting. Glucose consumption and lactate and ketone-body production were similar in GS-KO/M and control mice. Challenging GS-KO/M and control mice with intravenous ammonia in stepwise increments revealed that normal muscle can detoxify ∼2.5 μmol ammonia/g muscle·h in a muscle GS-dependent manner, with simultaneous accumulation of urea, whereas GS-KO/M mice responded with accumulation of glutamine and other amino acids but not urea. These findings demonstrate that GS in muscle is dispensable in fed mice but plays a key role in mounting the adaptive response to fasting by transiently facilitating the production of glutamine. Furthermore, muscle GS contributes to ammonia detoxification and urea synthesis. These functions are apparently not vital as long as other organs function normally.     

Leptins and leptin receptor expression in the goldfish (Carassius auratus). Regulation by food intake and fasting/overfeeding conditions

Leptin is a hormone involved in feeding and body weight regulation in vertebrates, but the relationship between energy status and leptin has not been clearly established in fish. The aim of this study was to investigate in a teleost, the goldfish (Carassius auratus), the tissue expression pattern of two leptins (gLep-aI and gLep-aII) and leptin receptor (gLepR); and the effect of feeding on expression of these genes. Leptin system expression in goldfish was firstly analyzed in fish under overfeeding (2 weeks) or fasting (1 week), and secondly, at different postfeeding times (0, 3, 6, 9 and 12 h). Goldfish has two Lep-a paralog genes, gLep-aI was widely expressed in central and peripheral tissues, whereas gLep-aII was preferentially expressed in brain. This different distribution pattern of leptins suggests that they can play different physiological roles in goldfish. The gLepR mRNA was ubiquitous expressed, with the highest expression in the telencephalon and hypothalamus. No significant differences in the leptin system expression were found among control, overfed and fasting groups, suggesting an apparent lack of correlation between nutritional status and leptin system in goldfish. Hepatic expression of gLep-aI significantly increased 9 h after feeding time, while hypothalamic leptin system expression did not change after feeding. In summary, leptin in goldfish could signal short-term changes in food intake, as postprandial satiety, but seems to be independent of fasting/overfeeding conditions in this teleost. The widespread distribution of leptins and leptin receptor in goldfish strongly supports that this hormone may have pleitropic actions in fish.     

禁食和重喂食对大绒鼠消化道长度与重量的影响

为探讨禁食和重喂食对栖息于横断山地区大绒鼠(Eothenomys miletus)消化道形态的影响,对禁食和重喂食条件下大绒鼠消化道各项指标进行了测定.实验分别测定了大绒鼠禁食12h、24 h、36 h和重喂食12 h、48 h、7d后的总消化道、胃、小肠、大肠、盲肠的长度及其含内容物重、去内容物重、干重.结果表明:禁食后,总消化道含内容物重、胃含内容物重和胃去内容物重增加,重喂食7d后均恢复到对照组水平.小肠含内容物重在禁食12h时最大,在重喂食12h时最小,重喂食48 h后恢复到对照组水平.禁食和重喂食条件下,大绒鼠的大肠和盲肠各指标均没有显著变化.以上结果表明,大绒鼠在食物受到限制、饥饿等胁迫因子作用下,可能通过调节消化道形态来满足部分能量需求,维持正常的生理机能.大绒鼠的消化道在禁食和重喂食中表现出的变化模式,可能与其食物资源时常波动的野外生存环境有关,从一方面反映了该物种在食物胁迫下的生存机制和适应对策.     

黑线毛足鼠能量策略的个体差异与权衡北大核心CSCD

为了应对由冬季低温与食物匮乏所带来的挑战,动物进化出了不同的能量策略,如迁徙、换毛、贮食、储脂和蛰眠等,但个体间可能存在差异,且不同策略之间可能存在一定的权衡。有研究者认为,黑线毛足鼠(Phodopus sungorus)的贮食和日蛰眠等能量策略之间可能存在权衡。本研究测定了低温短光[(10±2)℃,光照与黑暗之比L︰D为8︰16]及自由取食或限食条件下黑线毛足鼠的体重、摄食量、贮食量、食物摄取总量、基础代谢率、体核温度与活动性等7项指标的个体差异,并探讨摄食(包括贮食)、基础代谢率与蛰眠之间是否存在权衡,以推测黑线毛足鼠对低温与食物匮乏能量响应策略的个体差异产生的原因。结果显示,在低温短光、自由取食条件下,摄食量无性别差异,雄性个体的体重大于雌性个体,体核温度及活动性低于雌性个体。在限食阶段且低温短光情况下,出现了蛰眠个体,蛰眠个体在自由取食阶段的活动性高于非蛰眠个体,即活动性高的个体更可能产生蛰眠。蛰眠个体与非蛰眠个体的基础代谢率无差异。但是,在蛰眠个体中,基础代谢率与蛰眠频率负相关,活动性与蛰眠持续时间负相关。在非蛰眠个体中,限食程度升高后活动量显著增加。此外,虽然与贮食和蛰眠可能存在负相关关系的预测相符,贮食个体均不蛰眠,但是动物是否贮食、贮食量以及食物摄取总量(包括贮食量)均与蛰眠无显著相关。本研究表明,能量对策之间的权衡并非发生于贮食和蛰眠之间,而是存在于基础代谢率、活动性与蛰眠之间,不蛰眠的个体倾向于降低活动性以节约能量,而基础代谢率和自由取食阶段活动性高的蛰眠个体则拥有更低的蛰眠表达。