リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

大学・研究所にある論文を検索できる 「Insulin resistance: Relationship between indices during late gestation in dairy cows and effects on newborn metabolism」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

コピーが完了しました

URLをコピーしました

論文の公開元へ論文の公開元へ
書き出し

Insulin resistance: Relationship between indices during late gestation in dairy cows and effects on newborn metabolism

HASEGAWA Rui IWASE Izumi TAKAGI Tomohiro KONDO Moeri Matsui Motozumi Kawashima Chiho 帯広畜産大学

2020.12.01

概要

To investigate the relationship between insulin resistance indices [“Revised quantitative insulin sensitivity check index” (RQUICKI; RQ), “Revised quantitative insulin sensitivity check index - β-hydroxybutyrate” (RQUICKIBHB; RQBHB), and “Homeostasis model assessment-insulin resistance” (HOMA-IR; HR)], and metabolic parameters in dams during late gestation, and their newborn calves. Blood was sampled twice weekly during the experimental period in 30 dry Holstein cows. In calves, blood sampling and body weight measurements were performed immediately after birth, and in 1-week-old male calves, liver and muscle biopsy samples were obtained for determining metabolic factor mRNA levels. RQ and RQBHB were negatively correlated with insulin, nonesterified fatty acid, BHB, and albumin and were positively correlated with leptin levels in blood during late gestation (p <.05). RQ, rather than RQBHB, reflected metabolism of dams, while stronger positive correlations were present between HR and blood insulin concentrations than other parameters, and calves of dams with high HR had low body weight, and high liver and muscle expression of growth hormone and insulin receptor mRNA (p <.05). RQ and HR of dams during late gestation could serve as indicators of dam metabolism and predictors of metabolism in newborn calves respectively.

この論文で使われている画像

参考文献

Ahima, R. S., & Flier, J. S. (2000). Leptin. Annual Review of Physiology, 62, 413–437.

Armstrong, D. G., Gong, J. G. & Webb, R. (2003). Interactions between nutrition and

ovarian activity in cattle: physiological, cellular and molecular mechanisms.

10

Reproduction Supplement, 61 403–414.

11

Balogh, O., Szepes, O., Kovacs, K., Kulcsar, M., Reiczigel, J., Alcazar, J. A., …

12

Huszenicza, Gy. (2008). Interrelationships of growth hormone AluI

13

polymorphism,

14

performance in Holstein-Friesian cows. Veterinarni Medicina, 53, 604–616.

15

16

17

insulin

resistance,

Reproduction, 83, 325–331.

23

reproductive

Belkacemi, L., Nelson, D. M., Desai, M., & Ross, M. G. (2010). Maternal

19

22

and

311, 171–174.

undernutrition

21

production

Barker, D. J. (1995). Fetal origins of coronary heart disease. British Medical Journal,

18

20

milk

influences

placental-fetal

development.

Biology

of

Bell, A. W. (1995). Regulation of organic nutrient metabolism during transition from

late pregnancy to early lactation. Journal of Animal Science, 73, 2804–2819.

Bergman, R. N. (2007). Orchestration of glucose homeostasis: from a small acorn to the

California oak. Diabetes, 56, 1489–1501.

22

Block, S. S, Butler, W. R, Ehrhardt, R.A., Bell, A. W., Van Amburgh, M. E., & Boisclair

Y. R. (2001). Decreased concentration of plasma leptin in periparturient dairy

cows is caused by negative energy balance. Journal of Endocrinology, 171,

339–348.

10

Brockman, R. P. (1978). Roles of glucagon and insulin in the regulation of metabolism

in ruminants - A review. Canadian Veterinary Journal, 19, 55–62.

Catalano, P. M. (2010). Obesity, insulin resistance, and pregnancy outcome.

Reproduction, 140, 365–371.

Cerf, M. E. (2013). Beta cell dysfunction and insulin resistance. Frontiers in

Endocrinology, 4, 1–12.

11

Cincović, M. R., Kirovski, D., Vujanac, I., Belić, B., & Djoković, R. (2017).

12

Relationship between the indexes of insulin resistance and metabolic status in

13

dairy cows during early lactation. Acta Veterinaria-Beograd, 67, 57-70.

14

Çolak, M., Shimizu, T., Matsunaga, N., Murayama, C., Nagashima, S., Kataoka, M., …

15

Miyamoto, A. (2011). Oestradiol enhances plasma growth hormone and

16

insulin-like growth factor-I concentrations and increased the expression of their

17

receptors mRNAs in the liver of ovariectomized cows. Reproduction in

18

Domestic Animals, 46, 854–861.

19

De Koster, J., Hostens, M., Hermans, K., Van den Broeck, W., & Opsomer, G. (2016).

20

Validation of different measures of insulin sensitivity of glucose metabolism in

21

dairy cows using the hyperinsulinemic euglycemic clamp test as the gold

22

standard. Domestic Animal Endocrinology, 57, 117–126.

23

Diamanti-Kandarakis, E., & Dunaif, A. (2012). Insulin resistance and the polycystic

ovary syndrome revisited: an update on mechanisms and implications.

Endocrine Reviews, 33, 981–1030.

Ferguson, J. D., Galligan, D. T., & Thomsen, N. (1994). Principal descriptors of body

condition score in Holstein cows. Journal of Dairy Science, 77, 2695–2703.

Fleenor, W. A., & Stott, G. H. (1980). Hydrometer test for estimation of

immunoglobulin concentration in bovine colostrum. Journal of Dairy Science,

63, 973–977.

10

11

12

13

14

15

16

17

18

Freemark, M. (2010). Placental hormones and the control of fetal growth. The Journal

of Clinical Endocrinology and Metabolism, 95, 2054–2057.

Friedman, J. M., & Halaas, J. L. (1998). Leptin and the regulation of body weight in

mammals. Nature, 395, 763–770.

Gluckman, P. D., & Hanson, M. A. (2004). The developmental origins of the metabolic

syndrome. Trends in Endocrinology and Metabolism, 15, 183–187.

Grummer, R. R. (1993). Etiology of lipid-related metabolic disorders in periparturient

dairy cows. Journal of Dairy Science, 76, 3882–3896.

Grummer, R. R. (1995). Impact of changes in organic nutrient metabolism on feeding

the transition dairy cow. Journal of Animal Science, 73, 2820–2833.

19

Guyot, H., Detilleux, J., Lebreton, P., Garnier, C., Bonvoisin, M., Rollin, F., Sandersen,

20

C. (2017). Comparison of Various Indices of Energy Metabolism in Recumbent

21

and Healthy Dairy Cows. PLOS ONE, 12, e0169716.

22

Hayirli, A. (2006). The role of exogenous insulin in the complex of hepatic lipidosis and

23

ketosis associated with insulin resistance phenomenon in postpartum dairy

24

cattle. Veterinary Research Communications, 30, 749–774.

24

Helle, E. I. T, Biegley, P., Knowles, J. W., Leader, J. B., Pendergrass, S., Yang, W., …

Priest, J. R. (2018). First trimester plasma glucose values in women without

diabetes are associated with risk for congenital heart disease in offspring.

Journal of Pediatrics, 195, 275–278.

Holt, R. I. (2002). Fetal programming of the growth hormone-insulin-like growth factor

axis. Trends in Endocrinology and Metabolism, 13, 392–397.

Holtenius, K., Agenas, S., Delavaud, C., & Chilliard, Y. (2003). Effects of feeding

intensity during the dry period. 2. Metabolic and hormonal responses. Journal

of Dairy Science, 86, 883-891.

10

Holtenius, P., & Holtenius, K. (2007). A model to estimate insulin sensitivity in dairy

cows. Acta Veterinaria Scandinavica, 49, 1–3.

11

12

Kahn,

C.

R.

(1978).

Insulin

resistance,

insulin

insensitivity,

and

insulin

13

unresponsiveness: a necessary distinction. Metabolism, 27, 1893–1902.

14

Kahraman, S., Dirice, E., De Jesus, D. F., Hu, J., & Kulkarni, R. N. (2014). Maternal

15

insulin resistance and transient hyperglycemia impact the metabolic and

16

endocrine

17

Physiology-Endocrinology and Metabolism, 307, E906–E918.

phenotypes

of

offspring.

American

Journal

of

18

Kawashima, C., Fukihara, S., Maeda, M., Kaneko, E., Amaya Montoya, C., Matsui, M.,

19

… Miyamoto, A. (2007). Relationship between metabolic hormones and

20

ovulation of dominant follicle during the first follicular wave postpartum in

21

high-producing dairy cows. Reproduction 133, 155–163.

22

Kawashima, C., Munakata, M., Shimizu, T., Miyamoto, A., Kida, K., & Matsui, M.

23

(2016). Relationship between the degree of insulin resistance during late

24

gestation and postpartum performance in dairy cows and factors that affect

25

growth and metabolic status of their calves. The Journal of Veterinary Medical

Science, 78, 739–745.

Kamana, K.C., Shakya, S., & Zhang, H. (2015). Gestational diabetes mellitus and

macrosomia: a literature review. Annals of Nutrition and Metabolism, 66 Suppl

2, 14–20.

Kerestes, M., Faigl, V., Kulcsar, M., Balogh, O., Foldi, J., Febel, H., … Huszenicza, G.

(2009). Periparturient insulin secretion and whole-body insulin responsiveness

in dairy cows showing various forms of ketone pattern with or without

puerperal metritis. Domestic Animal Endocrinology, 37, 250–261.

10

Kida, K. (2002a). The metabolic profile test: its practicability in assessing feeding

11

management and periparturient diseases in high yielding commercial dairy

12

herds. The Journal of Veterinary Medical Science, 64, 557–563.

13

Kida, K. (2002b). Use of every ten-day criteria for metabolic profile test after calving

14

and dry off in dairy herds. The Journal of Veterinary Medical Science, 64,

15

1003–1010.

16

17

Krog, C. H., Agerholm, J. S., & Nielsen, S. S. (2018). Fetal age assessment for Holstein

cattle. PLOS ONE, 13, e0207682.

18

Liu, J., Boyd, C. K., Kobayashi, Y., Chase, C. C., Jr., Hammond, A. C., Olson, T. A. …

19

Lucy, M. C. (1999). A novel phenotype for Lardon dwarfism in miniature Bos

20

indicus cattle suggests that the expression of growth hormone receptor 1A in

21

liver is required for normal growth. Domestic Animal Endocrinology, 17, 421–

22

437.

23

Matthews, D. R., Hosker, J. P., Rudenski, A. S., Naylor, B. A., Treacher, D. F., & Turner,

24

R. C. (1985). Homeostasis model assessment: insulin resistance and beta-cell

26

function from fasting plasma glucose and insulin concentrations in man.

Diabetologia, 28, 412–419.

Micke, G. C., Sullivan, T. M., Soares Magalhaes, R. J., Rolls, P. J., Norman, S. T., &

Perry, V. E. (2010). Heifer nutrition during early- and mid-pregnancy alters

fetal growth trajectory and birth weight. Animal Reproduction Science, 117, 1–

10.

Micke, G. C., Sullivan, T. M., McMillen, I. C., Gentili, S., & Perry, V. E. (2011). Heifer

nutrient intake during early- and mid-gestation programs adult offspring

adiposity and mRNA expression of growth-related genes in adipose depots.

10

11

12

Reproduction, 141, 697–706.

National Research Council (NRC). (2001). Nutrient requirements of dairy cattle.

Washington, DC: National Academic Press.

13

Paradis, F., Wood, K. M., Swanson, K. C., Miller, S. P., McBride, B. W., & Fitzsimmons,

14

C. (2017). Maternal nutrient restriction in mid-to-late gestation influences fetal

15

mRNA expression in muscle tissues in beef cattle. BMC Genomics. 18, 632.

16

17

Puppel, K., & Kuczynska, B. (2016). Metabolic profiles of cow's blood; a review.

Journal of the Science of Food and Agriculture, 96, 4321–4328.

18

Rabasa-Lhoret, R., Bastard, J. P., Jan, V., Ducluzeau, P. H., Andreelli, F., Guebre, F., …

19

Laville, M. (2003). Modified quantitative insulin sensitivity check index is

20

better correlated to hyperinsulinemic glucose clamp than other fasting-based

21

index of insulin sensitivity in different insulin-resistant states. The Journal of

22

Clinical Endocrinology & Metabolism, 88, 4917–4923.

23

Rasby, R. J., Wettemann, R. P., Geisert, R. D, Rice L. E., & Wallace, C. R. (1990).

24

Nutrition, body condition and reproduction in beef cows: fetal and placental

27

development, and estrogens and progesterone in plasma. Journal of Animal

Science, 68, 4267–4276.

Redmer, D. A., Wallace, J. M., & Reynolds, L. P. (2004). Effect of nutrient intake during

pregnancy on fetal and placental growth and vascular development. Domestic

Animal Endocrinology, 27, 199–217.

Renaville, R., Hammadi, M. & Portetelle, D. (2002). Role of the somatotropic axis in

the mammalian metabolism. Domestic Animal Endocrinology, 23, 351–360.

Shinmori, E., Aoki, T., & Ishii, M. (2013) Diagnosis of failure of passive transfer in

seven-day-old calves based on the serum IgG and total protein concentrations.

10

Japanese Journal of Large Animal Clinics, 4, 1-7. (In Japanese)

11

The HAPO Study Cooperative Research Group. (2009). Hyperglycemia and adverse

12

pregnancy outcome (HAPO) study: associations with neonatal anthropometrics.

13

Diabetes, 58, 453–459.

14

15

Wilcox, G. (2005). Insulin and insulin resistance. Clinical Biochemist Reviews, 26, 19–

39.

16

Yang, Y., Zhang, X., Bao, M., Liu, L., Xian, Y., Wu, J., & Li, P. (2016). Effect of serum

17

25-hydroxyvitamin D3 on insulin resistance and beta-cell function in newly

18

diagnosed type 2 diabetes patients. Journal of Diabetes Investigation, 7, 226–

19

232.

20

Zhang, Q., Su, H., Wang, F., Cao, Z., & Li, S. (2015). Effects of energy density in

21

close-up diets and postpartum supplementation of extruded full-fat soybean on

22

lactation performance and metabolic and hormonal status of dairy cows.

23

Journal of Dairy Science, 98, 7115–7130.

24

28

Figure Legends

Figure 1.

Insulin resistance indices, serum metabolite concentrations and activities of enzymes,

plasma metabolic hormones, and body condition score (BCS) of prepartum cows during

late gestation (n = 30). The data for plasma insulin and leptin concentrations are weekly

values, whereas those for other parameters are averages of weekly values. Values are

presented as the mean ± SEM. Means with different superscripts (a, b, c) are

significantly different (P < 0.05). ns, not significant. RQ: Revised quantitative insulin

sensitivity check index; RQBHB: Revised quantitative insulin sensitivity check index -

10

β-hydroxybutyrate; HR: Homeostasis model assessment-insulin resistance; Alb:

11

albumin;

12

nonesterified fatty acid; T-Cho: total cholesterol.

AST:

aspartate

aminotransferase;

BHB:

β-hydroxybutyrate;

NEFA:

13

14

Figure 2.

15

Linear regression between IR indices and serum glucose, NEFA and BHB and plasma

16

insulin concentrations of dams (n = 30) during the last 4 weeks of gestation. r;

17

coefficient of correlation. RQ: Revised quantitative insulin sensitivity check index;

18

RQBHB: Revised quantitative insulin sensitivity check index - β-hydroxybutyrate; HR:

19

Homeostasis model assessment-insulin resistance; BHB: β-hydroxybutyrate; NEFA:

20

nonesterified fatty acid.

Table 1. Ingredients and nutrient composition of diets during the

close-up dry period

Item

Close-up dry period

Ingredient composition, kg DM/d

Corn silage

3.0

Grass silage

4.4

Concentrate for dry cows(a)

2.6

Orchard hay

Vitamins, minerals

ad libitum

0.2

Nutrient composition

ME, Mcal/d (% Red)

MP, g/d (% Red)

28.5 (116)

1080.6 (104)

NFC, % DM

32.0

peNDF, % DM

36.2

CP, % DM

13.3

a) Farm aid 18 (nutrient composition on a DM basis: 18.0% CP, 2.0%

crude fat, 10.0% crude fiber, 10.0% crude ash, 0.5% Ca, and 0.4% P;

74.0% TDN, including corn, rapeseed cake, soybean oil cake, corn

gluten feed and corn distiller by-products, bran; Snow Brand Seed Co.

Ltd., Hokkaido, Japan).

DM, Dry matter; ME, Metabolizable energy; MP, Metabolizable

protein; NFC, Non-fibrous carbohydrates; peNDF, Physically effective

Neutral detergent fiber; CP, crude protein.

Table 2. Sequence of primers used for real time PCR (Çolak et al. 2011).

Gene

Primer sequence

GHR

For: 5'–CAC ACC AGC TTT CCT TGT CA-3'

Rev: 5'–GCA GAG ACG ACC ACT TTT GT-3'

For: 5'–GCT GCT GCC TGG GAA TTA-3'

Rev: 5'–CCA TCT GGC TGC CTC TTT-3'

For: 5'–CCA AGG CCA ACC GTG AGA AGA T-3'

Rev: 5'–CCA CGT TCC GTG AGG ATC TTC A-3'

INSR

β-Actin

For, Forward; Rev, Reverse.

GHR, growth hormone receptor; INSR, insulin receptor.

Size (bp)

177

213

256

Table 3. Plasma insulin and serum glucose, NEFA and BHB concentration, and

values of RQ, RQBHB and HR indices of dams in the last 4 weeks of gestation.

Values

Insulin, μIU/mL

Glucose, mg/dL

(mmol/L)

NEFA, mmol/L

BHB, mmol/L

RQ

RQBHB

HR

13.4

69.2

(3.85

0.14

0.42

0.53

0.68

2.26

0.7

0.4

0.02)

0.01

0.01

0.01

0.01

0.12

SD

8.1

4.0

0.22

0.13

0.11

0.07

0.15

1.35

Minimum

2.9

56.0

(3.11)

0.04

0.20

0.36

0.41

0.48

Maximum

43.3

83.6

(4.64)

0.82

0.69

0.69

1.33

7.37

Values; mean ± SEM.

RQ, Revised quantitative insulin sensitivity check index; RQBHB, Revised

quantitative insulin sensitivity check index - β-hydroxybutyrate; HR, Homeostasis

model assessment-insulin resistance; BHB, β-hydroxybutyrate; NEFA, nonesterified

fatty acid.

Table 4. Coefficient of correlation (r) between values of IR indices and the metabolic parameters of dams in the last 4 weeks of gestation.

RQ (n = 30)

RQBHB (n = 30)

HR (n = 30)

-4 wk

-3 wk

-2 wk

-1 wk

-4 wk

-3 wk

-2 wk

-1 wk

-4 wk

-3 wk

-2 wk

-1 wk

0.095

-0.093

-0.175

-0.393*

0.072

-0.085

-0.085

-0.398*

0.261

0.438*

0.075

0.446*

Glucose -0.208

-0.248

-0.275

-0.471**

-0.227

-0.223

-0.275

-0.450*

0.279

0.102

0.118

0.494**

BCS

Insulin

-0.693** -0.496** -0.565** -0.603**

-0.704** -0.582** -0.631** -0.635**

NEFA

-0.318†

-0.391*

-0.387*

-0.525**

-0.243

BHB

-0.449*

0.111

-0.342†

-0.365*

-0.656** -0.343†

Leptin

-0.176

0.149

0.394*

0.572**

-0.107

0.011

0.328†

T-Cho

0.185

0.207

0.361†

0.307†

0.277

0.186

0.353†

AST

-0.420*

-0.013

-0.084

-0.169

-0.425*

-0.019

Alb

-0.318†

-0.459*

-0.351

-0.499**

-0.322†

-0.566** -0.295

-0.243

-0.224

0.995** 0.988** 0.980** 0.995**

-0.483**

-0.388*

-0.463*

-0.688** -0.635**

0.461*

0.337†

0.472*

0.129

0.162

-0.076

-0.295

0.209

-0.066

0.098

-0.125

-0.176

-0.168

0.189

-0.074

0.117

0.014

-0.433*

0.100

-0.162

-0.371*

-0.257

0.597** 0.435*

0.628** 0.212

0.585**

† P < 0.1; * P < 0.05; ** P < 0.01.

RQ, Revised quantitative insulin sensitivity check index; RQBHB, Revised quantitative insulin sensitivity check index - β-hydroxybutyrate;

HR, Homeostasis model assessment-insulin resistance; Alb, albumin; AST, aspartate aminotransferase; BCS, body condition score; BHB,

β-hydroxybutyrate; NEFA, nonesterified fatty acid; T-Cho, total cholesterol.

Table 5. Mean values of metabolic parameters of newborn calves and coefficient of correlation (r) between IR indices of dams in the last 4 weeks of gestation.

Values

RQ (n = 30)

RQBHB (n = 30)

HR (n = 30)

(min-max)

-4 wk

-3 wk

-2 wk

-1 wk

-4 wk

-3 wk

-2 wk

-1 wk

-4 wk

-3 wk

-2 wk

-1 wk

47.3

1.0

BW, kg

0.185

0.012 -0.208

-0.057

0.193

-0.025

-0.196 -0.027

-0.419* -0.329† -0.170

-0.319†

(38.0 - 60.0)

95.8 ± 7.3

0.150

-0.109 -0.074

-0.038

0.199

0.019

-0.111 -0.004

0.121

0.041

0.103

-0.048

Glucose, mg/dL

(38.0 – 239.9)

14.1 ± 2.7

Insulin, μIU/mL

-0.139

0.131 -0.147

-0.197

-0.135

0.214

-0.087 -0.206

0.138

0.044

0.005

0.262

(2.3 – 69.7)

0.79 ± 0.08

0.116

0.000

0.251

-0.039

0.001

0.099

0.108 -0.019

0.062

0.236

0.179

0.033

NEFA, mmol/L

(0.13 – 1.63)

0.04 ± 0.00

BHB, mmol/L

0.152

-0.248 -0.121

-0.112

0.092

-0.245

-0.190 -0.159

-0.029

0.171

0.011

-0.176

(0.03 – 0.07)

20.3 ± 1.1

T-Cho, mg/dL

-0.061

-0.418* -0.202

-0.166

0.036

-0.324† -0.120 -0.142

-0.297

-0.053 -0.226

-0.069

(11.0 – 35.6)

32.4 ± 2.6

AST, IU/L

-0.075

-0.223 -0.355† -0.464*

-0.159

-0.220

-0.407* -0.537**

-0.056

0.106

0.193

0.213

(17.0 - 70.0)

3.0 ± 0.0

Alb, g/dL

-0.150

-0.038 -0.102

0.003

-0.066

0.003

-0.088 -0.051

-0.088

-0.055 -0.301

-0.142

(2.7 – 3.3)

15.3 ± 1.6

GH(a), ng/mL

0.251

0.047

0.290

0.358†

0.290

-0.051

0.425* 0.399*

-0.168

-0.070 -0.218

-0.115

(5.1 - 46.4)

70.6 ± 5.5

IGF-1(a), ng/mL

0.122

0.259

0.220

0.163

0.187

0.080

0.303

0.135

-0.013

-0.050 -0.192

0.125

(35.0 - 162.6)

1×1011 ± 6×1010

-0.164

-0.509 -0.309

-0.773**

-0.355

-0.609* -0.491 -0.736**

0.464

0.900** 0.418

0.727**

Muscle-GHR(b)

(9×10-2 - 6×1011)

3×10-8 ± 1×10-8

Muscle-INSR(b)

-0.245

-0.327 -0.091

-0.545†

-0.373

-0.455

-0.327 -0.591†

0.609* 0.855** 0.436

0.664*

(2×10-9 - 1×10-7)

8×1024 ± 7×1024

Liver-GHR(c)

-0.310

-0.429 -0.619† -0.714*

-0.286

-0.429

-0.667† -0.786*

0.857** 0.833** 0.619† 0.619†

(8×10-1 - 5×1025)

5×10-7 ± 1×10-7

Liver-INSR(c)

-0.152

0.233 -0.170

-0.462

-0.143

-0.224

-0.382 -0.694†

0.690* 0.548

0.190

0.476

(2×10-8 - 9×10-7)

Mean ± SEM., † P < 0.1; * P < 0.05; ** P < 0.01., (a) n = 29. (b) n = 11. (c) n = 8.

RQ, Revised quantitative insulin sensitivity check index; RQBHB, Revised quantitative insulin sensitivity check index - β-hydroxybutyrate; HR, Homeostasis model

assessment-insulin resistance; Alb, albumin; AST, aspartate aminotransferase; BHB, β-hydroxybutyrate; BW, body weight; GH, growth hormone; GHR, growth

hormone receptor; IGF-1, insulin-like growth factor 1; INSR, insulin receptor; NEFA, nonesterified fatty acid; T-Cho, total cholesterol.

...

参考文献をもっと見る

全国の大学の
卒論・修論・学位論文

一発検索!

この論文の関連論文を見る