Oscillatory insulin secretion: a variable phenotypic marker.

Oscillatory secretion of endocrine hormones is a widely recognized phenomenon. In man, as well as other species (dog, monkey), during the basal state insulin secretion is oscillatory and, on average, regular with a 13-min periodicity. In NIDDM there is a loss of regular oscillatory activity, being s...

Full description

Bibliographic Details
Main Author: Matthews, DR
Format: Journal article
Language:English
Published: 1996
_version_ 1797103432336670720
author Matthews, DR
author_facet Matthews, DR
author_sort Matthews, DR
collection OXFORD
description Oscillatory secretion of endocrine hormones is a widely recognized phenomenon. In man, as well as other species (dog, monkey), during the basal state insulin secretion is oscillatory and, on average, regular with a 13-min periodicity. In NIDDM there is a loss of regular oscillatory activity, being shorter in duration and irregular in nature. First-degree relatives of NIDDM subjects with normoglycaemia and obese normal subjects also exhibit this change, reverting to the regular oscillatory characteristic following weight loss in the latter group. The regular insulin secretory oscillations seen in the fasting stage in normal subjects are completely lost by raising the basal glucose concentration only marginally to about 6 mmol l-1. Thus, regular oscillations reflect a 'contented' beta-cell. Also, in states of hyperglycaemia, pulsatile exogenous insulin is more effective than continuous administration. Additional studies indicate that it is the periodicity of the insulin secretory oscillations and the rate of rise of the first phase insulin secretion in response to a glucose challenge which are the main candidates for successful signalling. Irregular oscillations of insulin can be used as an early marker of beta-cell under stress, but not as a fixed phenotypic marker.
first_indexed 2024-03-07T06:20:01Z
format Journal article
id oxford-uuid:f268b457-cfc8-400d-ba5f-4e62f12bb3e0
institution University of Oxford
language English
last_indexed 2024-03-07T06:20:01Z
publishDate 1996
record_format dspace
spelling oxford-uuid:f268b457-cfc8-400d-ba5f-4e62f12bb3e02022-03-27T12:03:33ZOscillatory insulin secretion: a variable phenotypic marker.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f268b457-cfc8-400d-ba5f-4e62f12bb3e0EnglishSymplectic Elements at Oxford1996Matthews, DROscillatory secretion of endocrine hormones is a widely recognized phenomenon. In man, as well as other species (dog, monkey), during the basal state insulin secretion is oscillatory and, on average, regular with a 13-min periodicity. In NIDDM there is a loss of regular oscillatory activity, being shorter in duration and irregular in nature. First-degree relatives of NIDDM subjects with normoglycaemia and obese normal subjects also exhibit this change, reverting to the regular oscillatory characteristic following weight loss in the latter group. The regular insulin secretory oscillations seen in the fasting stage in normal subjects are completely lost by raising the basal glucose concentration only marginally to about 6 mmol l-1. Thus, regular oscillations reflect a 'contented' beta-cell. Also, in states of hyperglycaemia, pulsatile exogenous insulin is more effective than continuous administration. Additional studies indicate that it is the periodicity of the insulin secretory oscillations and the rate of rise of the first phase insulin secretion in response to a glucose challenge which are the main candidates for successful signalling. Irregular oscillations of insulin can be used as an early marker of beta-cell under stress, but not as a fixed phenotypic marker.
spellingShingle Matthews, DR
Oscillatory insulin secretion: a variable phenotypic marker.
title Oscillatory insulin secretion: a variable phenotypic marker.
title_full Oscillatory insulin secretion: a variable phenotypic marker.
title_fullStr Oscillatory insulin secretion: a variable phenotypic marker.
title_full_unstemmed Oscillatory insulin secretion: a variable phenotypic marker.
title_short Oscillatory insulin secretion: a variable phenotypic marker.
title_sort oscillatory insulin secretion a variable phenotypic marker
work_keys_str_mv AT matthewsdr oscillatoryinsulinsecretionavariablephenotypicmarker