Possible participation of insulin in the control of vascular permeability

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Abstract

Swelling induced in the rat's paw by chemical irritants has previously been shown to be markedly reduced in diabetic rats. Since diabetic animals rendered normoglycemic still presented inhibited responses whereas insulin administration reversed the inhibition, insulin might be expected to influence the development of the oedema. This might be done either directly or through an exacerbated action of adrenal corticosteroids secondary to insulin deficiency. Swelling reactions (dextran, carrageenin), as well as vascular permeability evoked by electrical stimulation of sensory nerves are now shown to be reduced in diabetic-adrenalectomized animals, as much as in diabetic rats, thus suggesting that the inhibition is not likely to depend on an anti-inflammatory action of corticosteroids. Electron microscopic investigation revealed that subdermal vessels of normal rats following i.d. injections of histamine were congested and endothelial openings easily found. In contrast, the endothelial junctions were usually closed in diabetic rats. These functional alterations might be related to insulin deficiency. It is concluded that the integrity of microcirculatory responses to noxious stimuli might, at least partially, depend on the availability of insulin.

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Partly supported by grants from the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP).

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