To clarify the mechanism of decrease in the bactericidal activity of leukocytes in diabetes, rats with streptozotocin (STZ) diabetes were prepared for examination of the production of supero xide anion (O
2-), a reactive oxygen produced by leukocytes, and the effect of insulin on this production. O
2- production was measured in microtiter plate wells by the cytochrome c reduction method. Opsonized zymosan, phorbol myristate acetate and Ca ionophore A 23187 were used as stimulants. The diabetic group showed a significantly higher blood glucose level, lower blood insulin level and lower O
2- production by macrophages with all three stimulants than those of the normal group. The amount of O
2- produced by macrophages in the STZ-insulin group was slightly higher than that in the diabetic group. The diabetic, STZ-insulin and normal groups showed no significant difference in superoxide dismutase activity. There were significant correlations between the respective O
2- production in re-sponse to the stimulants and the blood glucose level or the blood insulin level (p<0.01), respectively.These findings suggest that a decrease in O
2-production in leukocytes is one of the causes of the decrease in the bactericidal activity in diabetes.
View full abstract