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Therapeutical concentrations of tolbutamide, glibenclamide, gliclazide and gliquidone at different glucose levels: in vitro effects on pancreatic A- and B-cell function.
Gregorio, F; Ambrosi, F; Cristallini, S; Pedetti, M; Filipponi, P; Santeusanio, F.
Afiliación
  • Gregorio F; Istituti di Clinica Medica I, Università di Perugia, Italy.
Diabetes Res Clin Pract ; 18(3): 197-206, 1992 Dec.
Article en En | MEDLINE | ID: mdl-1289021
In the classical model of isolated perfused rat pancreas four commonly used sulfonylureas--tolbutamide, glibenclamide, gliquidone and gliclazide--were investigated at therapeutical concentrations at three different glucose levels (with 0, 2.22 and 5 mmol/l glucose surrounding) and in the presence of a metabolic stimulus with glucose at 8.33 mmol/l. All the sulfonylureas stimulated the B-cell function. Tolbutamide, gliquidone and gliclazide produced a prompt biphasic hormone release while glibenclamide induced a delayed monophasic insulin secretion. In all cases the amount of insulin released depended on the metabolic condition. As the environmental glucose levels fell, the sulfonylureas' stimulatory effect on the B-cell function decreased. At the therapeutical concentrations we tested, no sulfonylurea influenced A-cell activity whether directly or indirectly via an insulin-mediated paracrine inhibition of glucagon release.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compuestos de Sulfonilurea / Tolbutamida / Glucagón / Islotes Pancreáticos / Gliburida / Gliclazida / Glucosa / Hipoglucemiantes / Insulina Tipo de estudio: Prognostic_studies Límite: Animals Idioma: En Revista: Diabetes Res Clin Pract Asunto de la revista: ENDOCRINOLOGIA Año: 1992 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Irlanda
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Compuestos de Sulfonilurea / Tolbutamida / Glucagón / Islotes Pancreáticos / Gliburida / Gliclazida / Glucosa / Hipoglucemiantes / Insulina Tipo de estudio: Prognostic_studies Límite: Animals Idioma: En Revista: Diabetes Res Clin Pract Asunto de la revista: ENDOCRINOLOGIA Año: 1992 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Irlanda