Excessive Purine Degradation druing Semi-ischemic Forearm Test in Patients with Diabetes Mellitus
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概要
- 論文の詳細を見る
Objective The aim of this study was to investigate whether or not the purine degradation in the skeletal muscle during forearm exercise is augmented in patients with diabetes mellitus (DM). Methods We used the semi-ischemic forearm test to examine the release of lactate (ΔLAC), ammonia (ΔAmm) and hypoxanthine (ΔHX) before exercise, 0, 4, 10, and 60 minutes after exercise in eleven diabetic patients and seven normal controls. Results The sum of the increased HX (DM vs Controls: 26.1±21.2 vs 7.8±5.9 μmol/l, p<0.05) was greater in diabetic patients. When patients were divided into the excessive response group (n=7) and normal response group (n=4), the maximum increments in ΔHX and Δ Amm in the excessive response group (16.8±3.2 μmol/l and 122±60 μmol/l were greater (p<0.05) than those in the control group (3.6± 3.0 μmol/l and 32±34 μmol/l) and the normal response group (2.9±2.9 μmol/l and 27.4±12.7 μmol/l). ΔLAC both in the excessive response group (5.4±1.5 mmol/l) and the normal response group (3.6±1.0 mmol/l) were higher (p<0.05) than that of the control group (1.7±0.5 mmol/l). The prevalence of diabetic retinopathy was higher in the excessive response group than in the normal response group (75% vs. 25%). Conclusion These data suggest that patients with DM, especially with microangiopathy have augmented purine degradation during the semi-ischemic forearm test. Factors responsible for the augmented purine degradation in these patients remain to be determined.(Internal Medicine 42: 788-792, 2003)
- 社団法人 日本内科学会の論文
著者
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Yamamoto Yasutaka
Division of Molecular Medicine and Therapeutics, Department of Multidisciplinary Internal Medicine,
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OGINO Kazuhide
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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Yamawaki Masahiro
Department Of Cardiology Tottori University School Of Medicine
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Tomikura Yoko
Department of Cardiovascular Medicine, Tottori University
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Matsubara Koichi
Department Of Multidisciplinary Internal Medicine Tottori University Faculty Of Medicine
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IGAWA Gou
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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YAMAMOTO Rei
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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IKEDA Tadasu
Tottori University School of Health Science
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TAKEDA Akira
Internal Medicine, Tottori Prefectural Central Hospital
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Ando Fumihiro
Department Of Biological Production Akita Prefectural University
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Igawa Osamu
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Tanaka Hiroaki
Department Of Biology Aichi University Of Education
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Matsuura Takashi
Department Of Cardiovascular Medicine Tottori University Faculty Of Medicine
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IGAWA Osamu
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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TANAKA Yasushi
The Internal Medicine, Hirose Hospital
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HlSATOME Ichiro
Division of Regenerative Medicine and Therapeutics, Department of Genetic Medicine and Regenerative Therapeutics, Institute of Regenerative Medicine and Biofunetion, Tottori University Graduate School of Medical Science
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KlNUGAWA Toru
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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SfflGEMASA Chiaki
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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YAMAWAKI Masahiro
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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TOMIKURA Yoko
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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MATSUBARA Koichi
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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YAMAMOTO Yasutaka
Division of Regenerative Medicine and Therapeutics, Department of Genetic Medicine and Regenerative Therapeutics, Institute of Regenerative Medicine and Biofunetion, Tottori University Graduate School of Medical Science
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ANDO Fumihiro
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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MATSUURA Takashi
Department of Cardiovascular Medicine, Tottori University Faculty of Medicine
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