Suppressive effect of insulin infusion on chemokines and chemokine receptors.

Suppressive effect of insulin infusion on chemokines and chemokine receptors.
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DOI:
10.2337/dc09-2193
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发表时间:
2010-05
期刊:
影响因子:
16.2
通讯作者:
Dandona P
Dandona P
中科院分区:
医学1区
文献类型:
--
作者:
Ghanim H;Korzeniewski K;Sia CL;Abuaysheh S;Lohano T;Chaudhuri A;Dandona P

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In view of the previously described anti-inflammatory effects of insulin, we investigated the potential suppressive effect of insulin on plasma concentrations and expression of the chemokines, monocyte chemoattractant protein-1 (MCP-1) and regulated on activation normal T-cell expressed and secreted (RANTES) and their receptors, chemokine receptor (CCR)-2 and CCR-5, in mononuclear cells (MNCs). We also investigated the effect of insulin on other chemokines. Ten obese type 2 diabetic patients were infused with insulin (2 units/h with 100 ml of 5% dextrose/h) for 4 h. Another 8 and 6 type 2 diabetic patients were infused with 100 ml of 5% dextrose/h or saline for 4 h, respectively, and served as control subjects. Blood samples were obtained at 0, 2, 4, and 6 h. Insulin infusion significantly suppressed the plasma concentrations of MCP-1, eotaxin, and RANTES and the expression of RANTES, macrophage inflammatory protein (MIP)-1β, CCR-2, and CCR-5 in MNCs at 2 and 4 h. Dextrose and saline infusions did not alter these indexes. A low-dose infusion of insulin suppresses the plasma concentration of key chemokines, MCP-1, and RANTES, and the expression of their respective receptors, CCR-2 and CCR-5, in MNCs. Insulin also suppresses the expression of RANTES and MIP-1β in MNCs. These actions probably contribute to the comprehensive anti-inflammatory effect of insulin.
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