1986
DOI: 10.1055/s-2007-1012285
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Prolonged Plasma Half-Life of Insulin in Patients with a Genetic Defect of High Affinity Binding Sites

Abstract: Plasma clearance of endogenous and intravenously administered insulin was studied in three sibs with severe insulin resistance secondary to an affinity defect of their insulin receptors, and in five healthy controls. Intravenous infusion of somatostatin was used to inhibit the insulin secretion. 0.3 U of insulin/kg body weight was administered as an intravenous bolus. Plasma glucose, immunoreactive insulin and C-peptide were determined subsequently at constant intervals. We found a prolonged plasma half-life o… Show more

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Cited by 13 publications
(7 citation statements)
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“…Both p38MAPK and ERK1\2 phosphorylation increased dose-dependently and reached maximal levels at 100 pM C-peptide. These effective concentrations of C-peptide are comparable with the K ass value (2.0-3.3 nM) obtained by an in itro binding study [2] and with circulating concentrations (100 pM-1 nM) of C-peptide in healthy subjects [27][28][29]. Thus, it might be that C-peptide fully interacts with its putative receptor(s) and activates the p38MAPK and ERK pathways under normal physiological conditions.…”
Section: Discussionsupporting
confidence: 83%
“…Both p38MAPK and ERK1\2 phosphorylation increased dose-dependently and reached maximal levels at 100 pM C-peptide. These effective concentrations of C-peptide are comparable with the K ass value (2.0-3.3 nM) obtained by an in itro binding study [2] and with circulating concentrations (100 pM-1 nM) of C-peptide in healthy subjects [27][28][29]. Thus, it might be that C-peptide fully interacts with its putative receptor(s) and activates the p38MAPK and ERK pathways under normal physiological conditions.…”
Section: Discussionsupporting
confidence: 83%
“…Secretion randomness of those series was determined using two different measures of secretion irregularity (ApEn and IpID). The insulin half-life determined in this study was comparable to previously published data, where it was determined by a range of different methods (20)(21)(22). The frequency of insulin pulses found in the present study was higher and the interpulse interval was shorter (non-diabetic group 11.3 Ϯ 2.5 pulses/90 min; 8.4 Ϯ 2.4 min) than some older studies (interpulse interval 11-13 min) (1,3,4), and similar to more recent studies (number of insulin pulses 11.8 Ϯ 0.9 per 90 min; interpulse interval 4.1 to 6.5 min) (10,23).…”
Section: Insulin Sensitivitysupporting
confidence: 86%
“…Maximal phosphorylation occurred within 1 min and at 1 nM C-peptide. The effective concentrations of C-peptide were comparable with physiological levels (0.1-1.0 nM) of C-peptide in the circulation [26][27][28], and also with the association constant (K ass ) value (2.0-3.3 nM) obtained by a binding study in itro [13]. Because MAPK phosphorylation by C-peptide accompanied comparable increases in the catalytic activity of MAPK and the activation of MEK, our results therefore suggest that C-peptide can activate the MAPK cascade under physiological conditions.…”
Section: Discussionmentioning
confidence: 53%