日本医科大学雑誌
Online ISSN : 1884-0108
Print ISSN : 0048-0444
ISSN-L : 0048-0444
Disopyramideによって惹起される低血糖の機序について
三田村 宏
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ジャーナル フリー

1985 年 52 巻 6 号 p. 642-648

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The various types are seen in the hypoglycemic responses after the administration of disopyramide in the rats (Donryu & Long-Evans strains). Two main types extracted from them are named the initial hypoglycemia and the sustained hypoglycemia, respectively. Initial hypoglycemia, which is found to be dose-dependent and insulin-independent, is observable in all animals treated with disopyramide. Sustained hypoglycemia, which is insulin-dependent, can be observed in a part of the tested rats at the rate of approximately 1/5. This appearance rate for the cases showing the sustained response is found to rise to approximately 4/5 after the pretreatment with propranolol, while the rates are not given any change by the pretreatment with C6 or phentolamine.
Disopyramide is concluded to have two action-sites in pancreas ; namely, the first one is the direct stimulation of B-cell in the islets and the second one is the elevation of the activity of the β-adrenergic neuron which is suspected to suppress the insulin liberation.

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