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標題: 在永久缺血性腦中風的大鼠模式中以IL-13抑制代謝性炎症及胰島素阻抗控制缺血性腦中風後高血糖
Control of post-ischemic hyperglycemia with Interleukin-13 by inhibiting metabolic pro-inflammatory state and insulin resistance in permanent cerebral ischemia rat model
作者: 廖更穎
Keng-Ying Liao
關鍵字: 高血糖;IL-13;胰島素阻抗;Th2免疫;中風;Hyperglycemia;IL-13;Insulin resistance;Th2 immunity;Stroke
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Cerebral ischemia (stoke) is one of the leading causes of death and disability worldwide, whereas hyperglycemia is known as a risk factor for stroke prognosis. Post-ischemic hyperglycemia happens to about 8-63% acute ischemic stroke patients even without preexisting diabetes, which might cause poor prognosis, higher mortality, and impaired neurological recovery. However, with the unknown mechanism, there has not been a protocol for treating post-ischemic hyperglycemia. On the other hand, research found that acute stroke secretes counter-regulatory hormones, pro-inflammatory cytokines, and other regulatory factors, which enhances insulin resistance. Interleukin-13 (IL-13), as a member of the Th2 anti-inflammatory cytokine family, was reported to be involved in glucose hemostasis. Studies showed that IL-13 is capable of enhancing insulin sensitivity and suppressing hepatic gluconeogenesis, and that overexpressing IL-13 reverses abnormal glucose metabolism and insulin resistance in obese mice. Thus, we aim to discuss the mechanism of post-ischemic hyperglycemia and the role IL-13 may play in this phenomena through permanent middle artery occlusion rat model. Our results showed that post-ischemic hyperglycemia was accompanied by elevated insulin resistance index, elevated serum insulin concentration, elevated hepatic gluconeogenesis, and decreased insulin signaling. Meanwhile, systemic pro-inflammatory cytokine was also found significantly elevated and anti-inflammatory cytokine decreased. With IL-13 treatment, the above pathological state was reversed due to the JAK1/STAT6 signaling activation, which shifted the inflammatory state towards Th2 immunity. Our findings suggest that IL-13 treatment may be a new perspective for the prevention and control of post-ischemic hyperglycemia.
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