2012
DOI: 10.1007/s00011-012-0551-6
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Anti-inflammatory effects of insulin regular and flunixin meglumine on endotoxemia experimentally induced by Escherichia coli serotype O55:B5 in an ovine model

Abstract: Insulin regular induces its anti-inflammatory effects in a dose-dependent manner. Intravenous use of insulin regular can be a potential new therapeutic regimen for endotoxemia in large animal medicine.

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Cited by 12 publications
(5 citation statements)
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“…This indicates hyperglycemia is not causal to LPS-induced hyperinsulinemia and substantiates data from others demonstrating LPS directly acts on the pancreas (Vives-Pi et al, 2003;Bhat et al, 2014). Rationale for why marked hyperinsulinemia occurs is not clear, but insulin is important for immune cell glucose uptake and development during activation (Shimizu et al, 1983;Helderman, 1984;Calder et al, 2007;Maratou et al, 2007), and recent reports indicate that it has potent antiinflammatory actions (Chalmeh et al, 2013). Moreover, circulating NEFA were substantially blunted in LPS-Eu pigs, and this is likely due to insulin's potent antilipolytic role (Vernon, 1992).…”
Section: Discussionsupporting
confidence: 72%
“…This indicates hyperglycemia is not causal to LPS-induced hyperinsulinemia and substantiates data from others demonstrating LPS directly acts on the pancreas (Vives-Pi et al, 2003;Bhat et al, 2014). Rationale for why marked hyperinsulinemia occurs is not clear, but insulin is important for immune cell glucose uptake and development during activation (Shimizu et al, 1983;Helderman, 1984;Calder et al, 2007;Maratou et al, 2007), and recent reports indicate that it has potent antiinflammatory actions (Chalmeh et al, 2013). Moreover, circulating NEFA were substantially blunted in LPS-Eu pigs, and this is likely due to insulin's potent antilipolytic role (Vernon, 1992).…”
Section: Discussionsupporting
confidence: 72%
“…However, this is not unprecedented, as the magnitude of APP production can be impaired during severe malnourishment (Doherty et al, 1993;Reid et al, 2002). Circulating insulin is also acutely increased during inflammation Kvidera et al, 2017a,b) and recent reports suggest insulin actually has potent anti-inflammatory effects (Chalmeh et al, 2013); however, differences in feed intake (and thus circulating nutrients, a major driver of insulin secretion) make this interpretation difficult. Utilizing an insulin-to-DMI ratio allows us to quantify the amount of circulating insulin per unit of DMI.…”
Section: Discussionmentioning
confidence: 99%
“…The NSAID flunixin inhibits the enzyme cyclooxygenase and therefore blocks the synthesis of the eicosanoid inflammatory mediators, such as PGs [ 15 , 16 ]. Furthermore, flunixin has antioxidative properties [ 17 ], and inhibits the activation of NF‑κB [ 18 ] and the increase in cytokine levels [ 19 , 20 ]. In LPS-treated mice, for instance, flunixin inhibited the increase in TNFA, interleukin 1β, and interleukin 10 [ 19 ].…”
mentioning
confidence: 99%
“…However, flunixin is unable to directly bind the LPS molecule [ 21 ]. The use of flunixin for the treatment of endotoxemia relies on its modulatory function on acute hemodynamic changes [ 20 ], i.e. changes in systemic blood pressure, cardiac output, and organ perfusion.…”
mentioning
confidence: 99%