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Ther Umsch. 2002 Aug;59(8):381-5.
[The pathogenesis of type 2 diabetes--new aspects and clinical consequences]

[Article in German]

Donath MY, Maedler K, Sergeev P, Dyntar D, Thomas D, Spinas GA.

Abteilung Endokrinologie und Diabetologie, Universitatsspital Zurich. marc.donatim.usz.ch

Type 2 diabetes mellitus manifests itself in individuals who lose the ability to produce sufficient quantities of insulin to maintain normoglycemia in the face of insulin resistance. The ability to secrete adequate amounts of insulin depends on beta-cell function and mass. The endocrine pancreas has a remarkable capacity to adapt to conditions of increased insulin demand and only a minority of individuals fail to adapt and become diabetic with time. Secondary events that further reduce the function of beta-cells in type 2 diabetes mellitus are the so-called beta-cell gluco- and lipotoxicity: chronic stimulation of islets by high glucose and free fatty acid levels results in the reduction of insulin secretion. Part of these effects are reversible once these metabolites are normalized and the beta-cell re-exposed to a physiologic environment. The essential role of the beta-cell failure in type 2 diabetes is reminiscent to the pathophysiology of type 1 diabetes. The possible link between both diseases and the therapeutic implications are discussed.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12235729&dopt=Abstract

Kurume Med J. 2002;49(1-2):7-13.
Effect of AGEs on human disc herniation: intervertebral disc hernia is also effected by AGEs.

Tsuru M, Nagata K, Jimi A, Irie K, Yamada A, Nagai R, Horiuchi S, Sata M.

Department of Orthopaedic Surgery, Kurume University School of Medicine, Kurume 830-0011, Japan. michiyed.kurume-u.ac.jp

Currently, extracellular matrix MMP has been discussed in relation to the extrusion and spontaneous regression of the herniated mass observed in lumbar disc herniation. However, the question remains as to whether degenerated protein is really the cause of this condition's pathogenesis. We confirmed immunologically by means of electron microscopy that extrusion is caused by the AGEs (advanced glycation end products)-induced cross-linking of collagen, and that spontaneous regression is due to AGE receptors on macrophages. Further, AGEs were found to be already exposed during histogenesis, suggesting a relation to apoptosis. In lumbar disc herniation and aging, glucose-derived AGEs cross-link proteins and cause vascular tissue damage.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12235877&dopt=Abstract

J Int Med Res. 2002 Jul-Aug;30(4):386-90.
Serum interleukin 2 levels in patients with rheumatoid arthritis and correlation with insulin sensitivity.

Oncul O, Top C, Ozkan S, Cavuslu S, Danaci M.

Department of Infectious Diseases, Haydarpasa Training Hospital, Istanbul, Turkey. gataheotmail.com

Interleukin 2 (IL-2), a Th1 lymphocyte-derived cytokine, is thought to play an important role in the pathogenesis of type 2 diabetes and rheumatoid arthritis (RA). The aim of our study was to evaluate changes in serum IL-2 levels and their correlation with glucose metabolism abnormalities, such as insulin resistance, in patients with RA. Thirty-six subjects with varying degrees of disease activity and 20 healthy age-, sex- and body mass index-matched control individuals were evaluated. Patients with any causes of peripheral insulin resistance were excluded. After a 12-h overnight fast, fasting insulin levels, homeostatic model assessment-insulin resistance (HOMA-IR) estimated insulin sensitivity, and serum IL-2 levels were significantly higher in all patients with RA than in the control individuals. Fasting insulin, HOMA-IR scores and IL-2 levels were correlated in the RA group. This study showed that patients with RA have altered IL-2 regulation, and that there was a significant correlation between serum IL-2 levels and insulin sensitivity.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12235920&dopt=Abstract

Tsitologiia. 2002;44(6):599-604.
[The structure of the surface apparatus in sarcocysts of Sarcosporidia in the persistence process]

[Article in Russian]

Radchenko AI, Beier TV.

Institute of Cytology RAS, St. Petersburg. RAit.ras.spb.ru

The structure of the sarcocyst surface apparatus (SSA) was investigated for two sarcosporidian species: Sarcocystis muris (non-pathogenic) and S. fusiformis (pathogenic). The surface membrane, being the main SSA subsystem, makes numerous vesicle-like protrusions with different ultrastructural patterns. This made it possible to distinguish between four and three types of these protrusions in S. fusiformis and S. muris, respectively. Vesicles of similar structure, pinched off from the fully formed protrusions, were classified, correspondingly, in the same four and three different types. A presumable functional role of both protrusions and membrane-coated vesicles in pathogenicity of different sarcosporidian species is proposed. The vesicles pinched off from corresponding protrusions may be involved in transporting certain substance complexes from the sarcocyst to the harbouring host cell. In addition, another way of substance transporting was observed, when the cystic substances, not surrounded with any membrane coating, are thrown from open protrusions directly into the immediate cytoplasm of the host cell.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12236105&dopt=Abstract

Southeast Asian J Trop Med Public Health. 2002 Jun;33(2):297-305.
The seroprevalence of human herpesvirus 8 infection in the Thai population.

Ayuthaya PI, Katano H, Inagi R, Auwanit W, Sata T, Kurata T, Yamanishi K.

Department of Microbiology, Osaka University Medical School, Japan.

The seroprevalence of human herpesvirus 8 (HHV-8) infection in the Thai population was investigated. Sera from 1,018 human immunodeficiency virus 1 (HIV-1)-negative and 436 HIV-1-positive individuals were tested for antibodies to latent and lytic HHV-8 antigens by indirect immunofluorescence assay (IFA) and an enzyme-linked immunosorbent assay (ELISA) using mixed recombinant orf HHV-8 proteins. The positive sera were further tested with recombinant HHV-8 protein expressed 293T cells by IFA. The seroprevalence of HHV-8 infection was determined by the concordant reactivity of sera among antibody testing assays. The results showed a low rate of HHV-8 seropositivity in both HIV-1-negative healthy individuals (0.6%) and HIV-1-infected patients (0.7%). These results are consistent with the fact that a small number of patients with AIDS-associated KS have been reported in Thailand and that HHV-8 is an uncommon pathogen in this country. Interestingly, we found that sera from the general population living in the north, but not other regions of Thailand, had antibodies to HHV-8.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12236428&dopt=Abstract

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