The effect of metabolic regulation on microvascular permeability to small and large molecules in short-term juvenile diabetics.

Abstract:

:The microvascular permeability to small and large molecules was studied during good and poor metabolic regulation in ten short duration juvenile diabetics. The following variables were measured; daily urinary albumin and beta2-microglobulin-excretion rates, whole body transcapillary escape rate of albumin (TER), glomerular filtration rate (GFR), capillary filtration coefficient (CFC), and capillary diffusion capacity (CDC). The urinary albumin and beta2-microglobulin concentration were measured by sensitive radioimmunoassays; TER was detemined from the initial disappearance of intravenously injected 125I-labelled human serum albumin; GFR was measured on the forearm by straingauge plethysmography and CDS for 51Cr-EDTA clearance; CFC was measured on the forearm by straingauge plethysmography and CDC, for 51Cr-EDTA was determined in the jyperaemic anterio tibial muscle by the local clearance technique. All the above mentioned variables, except CDC, were significantly increased during poor metabolic regulation, indicating a functional microangiopathy. The mechanisms of these alterations appear to be increased filtration pressure in the microcirculation and/or increased porosity of the microvasculature. The findings of increased microvascular albumin passage are compatible with the hypothesis that the organic - histologicallly demonstrated - diabetic microangiopathy is a long-term effect of periods of increased extravasation of plasma proteins, with subsequent protein deposition in the microvascular wall, i.e. the concept to plasmatic vasculosis.

journal_name

Diabetologia

journal_title

Diabetologia

authors

Parving HH,Noer I,Deckert T,Evrin PE,Nielsen SL,Lyngsoe J,Mogensen CE,Rorth M,Svendsen PA,Trap-Jensen J,Lassen NA

doi

10.1007/BF00428983

subject

Has Abstract

pub_date

1976-05-01 00:00:00

pages

161-6

issue

2

eissn

0012-186X

issn

1432-0428

journal_volume

12

pub_type

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