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缺乏氯离子转运蛋白ClC-3的小鼠体外和体内对磺脲类药物和葡萄糖诱导胰岛素分泌的抑制
Suppression of Sulfonylurea- and Glucose-Induced Insulin Secretion In Vitro and In Vivo in Mice Lacking the Chloride Transport Protein ClC-3
Li D-Q, Jing X, Salehi A, Collins SC, Hoppa MB, Rosengren AH, Zhang E, Lundquist I, Olofsson CS, Mörgelin M, Eliasson L, Rorsman P, Renström E  2009/10/28 14:38:00 
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Cell Metabolism, 2009, Volume 10, Issue 4 
 

Priming of insulin secretory granules for release requires intragranular acidification and depends on vesicular Cl--fluxes, but the identity of the chloride transporter/ion channel involved is unknown. We tested the hypothesis that the chloride transport protein ClC-3 fulfills these actions in pancreatic β cells. In ClC-3-/- mice, insulin secretion evoked by membrane depolarization (high extracellular K+, sulfonylureas), or glucose was >60% reduced compared to WT animals. This effect was mirrored by a ∼80% reduction in depolarization-evoked β cell exocytosis (monitored as increases in cell capacitance) in single ClC-3-/- β cells, as well as a 44% reduction in proton transport across the granule membrane. ClC-3 expression in the insulin granule was demonstrated by immunoblotting, immunostaining, and negative immuno-EM in a high-purification fraction of large dense-core vesicles (LDCVs) obtained by phogrin-EGFP labeling. The data establish the importance of granular Cl- fluxes in granule priming and provide direct evidence for the involvement of ClC-3 in the process. © 2009 Elsevier Inc. All rights reserved.

Correspondence Address: Renström, E.; Lund University Diabetes Center, Department of Clinical Sciences Malmö, Lund University, Malmö, SE-205 02 Malmö, Sweden; email:erik.renstrom@med.lu.se 
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 王燕燕 王曙

上海交通大学附属瑞金医院内分泌科

患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
 

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