Biomedical subjects

J C Shipp

Publications and source records attributed to J C Shipp.

58 records · Page 4Linked to original sources

PubMedDate not supplied

Effects of epinephrine and perfusion pressure on the peak aortic pressure development and glucose transport in the isolated perfused heart of normal and diabetic rats.

The effects of increased perfusion pressure and epinephrine stimulation on the contractile parameters and glucose transport in the isolated perfused hearts of control and ketotic diabetic rats were studied. An increase in perfusion pressure from 60 mm Hg to 100 mm Hg resulted in increases in coronary flow and peak aortic pressure development in control and diabetic hearts. The responses of the diabetic heart were similar to the control. Epinephrine produced lower increments in peak aortic pressure development in control and diabetic hearts under the higher perfusion pressure. Glucose uptake, although stimulated about 4-fold in both control and diabetic hearts on increasing the perfusion pressure, was still lower in the diabetic heart. Epinephrine stimulated glucose uptake in both control and diabetic hearts at 60 mm Hg, but the control heart showed a greater response. At 100 mm Hg perfusion pressure, the stimulatory effect of epinephrine on glucose uptake was abolished in both control and diabetic hearts. The results of this study show that the contractile and glucose stimulatory effects of epinephrine were influenced by the perfusion pressure. Epinephrine did not correct the impairment in glucose transport in the diabetic heart.

Animals↗

PubMedDate not supplied

Effects of chronic non-ketotic diabetes and aging on myocardial function and fatty acid oxidation.

The effects of aging and chronic non-ketotic diabetes on contractile properties, oxygen consumption, palmitate oxidation and morphology were studied in isolated, perfused working hearts of 2, 9, 12 and 22 month old rats. The heart rate, coronary flow, and oxygen consumption were no different among the 9, 12 and 22 month control and diabetic hearts. Cardiac work was not depressed in control hearts until 22 months of age. Depression of cardiac output due to aging in the control hearts progressed in stages. The superimposition of chronic diabetes in the 9, 12 and 22 month rats did not further depress the cardiac work or cardiac output. [1-14C] palmitate oxidation in the 2 and 9 month control hearts was higher than that of the 12 and 22 month controls. Chronic diabetes did not affect fatty acid oxidation in the 9 and 12 month rats compared to their controls, but was diminished in the 22 month diabetic rat heart. These results suggest that impairments in the contractile properties of the isolated hearts of the chronically diabetic, senescent rats were primarily due to aging.

Aging↗

PubMedDate not supplied

Stimulation by acetoacetate of hepatic triacylglycerol synthesis.

The factors responsible for the huge accumulation of hepatic triacylglycerols in the ketotic diabetic state are not established. Our earlier work suggested a role for ketone bodies in the increased hepatic triacylglycerol synthesis observed in the ketotic diabetic state. Isolated hepatocytes obtained from normal fed rats were incubated with sodium acetoacetate or sodium chloride (control) and [1-14C]palmitate in Krebs-albumin buffer. Acetoacetate stimulated triacylglycerol synthesis in a concentration-dependent manner without increasing palmitate uptake or inhibiting palmitate oxidation. Beta hydroxybutyrate showed no effect on palmitate esterification to triacylglycerols. Isolated hepatocytes of normal fed rats were incubated with either sodium acetoacetate or sodium chloride and the nuclear-free homogenate was incubated with [U-14C]glycero-3-phosphate and cofactors. The synthesis of triacylglycerol and the activity of the cytosolic phosphatidate phosphohydrolase were increased in the cells pre-incubated with acetoacetate. The results of this study demonstrate that the increases in triacylglycerol synthesis and the cytosolic activity of phosphatidate phosphohydrolase previously observed by us in the ketotic diabetic liver, could be reproduced in normal fed rat liver cells by incubating them with acetoacetate. The results identify acetoacetate as a potential factor, in the regulation of hepatic triacylglycerol synthesis and for hepatic accumulation of triacylglycerols observed in the ketotic diabetic state.

Acetoacetates↗

PubMedDate not supplied

Insulin requirements in 242 patients with type II diabetes mellitus.

The purpose of this study was to determine the subcutaneous insulin requirements for rapid, effective regulation of blood glucose in patients with poorly controlled type II diabetes mellitus by using an intravenous insulin infusion protocol. The insulin infusion achieved a mean (+/-SD) overnight blood glucose concentration of 101 +/- 15 mg/dL and 24-hour glucose concentration of 118 +/- 18 mg/dL. The intravenous insulin requirement of 81 +/- 32 U/day correlated well (P<0.001) with the subsequent subcutaneous insulin requirement of 84 +/- 43 U/day necessary to maintain preprandial glucose values of 112 +/- 15 mg/dL. Insulin requirements ranged from 0.2 to 2.0 U/kg per day (95% confidence interval, 0.4 to 1.6). Weaker correlations were noted between total insulin requirements and weight (r = 0.60) or body mass index (r = 0.57); no correlations were observed with age, duration of diabetes, or antecedent glycemic control as reflected by glycosylated hemoglobin values. These findings may be useful for initiating insulin treatment on an ambulatory basis.

Journal Article↗