Riassunto
Dopo un breve schema dei fattori che regolano i livelli di lattato nel plasma dei soggetti normali e diabetici, gli AA. riassumono la storia, il possibile meccanismo di azione e le applicazioni terapeutiche dei derivati della guanidina. Viene discussa la possibilità che questi farmaci possano incrementare il pericolo dell'acidosi lattica.
Resume
Après un bref schème des facteurs qui réglent les niveaux du lactate dans le plasma des sujets normaux et diabétiques, les AA. résument l'histoire, le possible mécanisme d'action et les applications thérapeutiques des dérivés de la guanidine. On discute sur la possibilité que ces médicaments puissent accroître la période de l'acidose lactique.
Resumen
Al cabo de breve esquema de los factores que regulan los niveles de lactato en el plasma de sujetos normales y diabéticos, los AA. resumen la historia, el modo de acción posible y las aplicaciones terapéuticas de los derivados de la guanidina. Se discute la posibilidad que estos fármacos puedan aumentar el período de la acidosis láctica.
Zusammenfassung
Nach einer kurzen Schematisierung der Faktoren, welche die Laktatspiegel im Plasma normaler Personen und Diabetiker regeln, fassen die AA. die Geschichte, den moeglichen Wirkungsmechanismus und die therapeutischen Anwendungen der Guanidin-Derivate zusammen. Es wird die Moeglichkeit der Steigerung der Azidose-Periode (Milchsaeure) durch diese Arzneimittel diskutiert.
Summary
After a brief outline of the factors regulating plasma lactate levels in normal and diabetic subjects, the AA. summarize the history, the possible mechanism of action and the therapeutic applications of the guanidine derivatives. The possibility that these drugs may increase the danger of lactic acidosis is discussed.
Bibliografia
Alpert N. R.: Lactate Production and Removal and the Regulation of Metabolism - Ann. N.Y. Acad. Sci.119 995, 1965.
Alterman S. L., Lopez-Gomez A. A.: Phenformin Effect on Body Weight, Lipids and Glucose Regulation - Ann. N.Y. Acad. Sci.148 884, 1968.
Altschuld R. A., Kruger F. A.: Inhibition of Hepatic Gluconeogenesis in Guinea Pig by Phenformin - Ann. N.Y. Acad. Sci.148 613, 1968.
Azérad E.: Le traitement du diabète de l'adulte par le N-N-diméthylbiguanide - Un. méd. Can.92 1251, 1963.
Barta L.: Milchsäure-Acidose bei diabetischem Koma - Wschr. Kinderheilk.116 608, 1968.
Beaser S. B.: Oral Treatment of Diabetes Mellitus - J. Amer. med. Ass.187 887, 1964.
Beckmann R.: Zum Wirkungsmechanismus der Biguanide - Dtsch. med. Wschr.90 1589, 1965.
Beckmann R.: The Fate of Biguanides in Man - Ann. N.Y. Acad. Sci.148 820, 1968.
Bergen S. S. Jr.,Norton W. S.: Clinical and Metabolic Effects of Phenethylbiguanide -Diabetes9 183, 1960.
Berger S., Downey J. L., Traisman H. S.: Effect of Phenformin on the Cortisone Glucose Tolerance Test - Ann. N.Y. Acad. Sci.148 859, 1968.
Bernier G. M., Miller M., Springate C. S.: Lactic Acidosis and Phenformin Hydrochloride- J. Amer. med. Ass.184 43, 1963.
Bessman S. P.: A Molecular Basis for the Mechanism of Insulin Action - Amer. J. Med.40 740, 1966.
Bodo R., Marks H. P.: Relation of Synthalin to Carbohydrate Metabolism- J. Physiol. (Lond.)65 83, 1928.
Boshell B. R., Roddam R. F., McAdams G. L.: Effects of Phenformin on Insulin Reserve and Release - Ann. N.Y. Acad. Sci.148 756, 1968.
Brugi A., Gironi G., Ferrari M. L.: Trattamento del diabete mellito con dimetilbiguanide. Esperienza di 280 casi - Clin. ter.42 247, 1967.
Burns D., Sharpe J. S.: The Parathyroids: Tetania Parathyreopriva: Its Nature, Cause and Relations to Idiopathic Tetany. Part V. Guanidin and Methyl-Guanidin in the Blood and Urine in Tetania Parathyreopriva and in the Urine in Idiopathic Tetany - Quart. J. exp. Physiol.10 345, 1916.
Butterfield W. J. H.: The Effects of Phenformin on Peripheral Glucose Utilization and Insulin Action in Obesity and Diabetes Mellitus - Ann. N.Y. Acad. Sci.148 724, 1968.
Cain S. M., Dunn J. E. II: Transient Arterial Lactic Acid Changes in Unanesthetized Dogs at 21,000 Feet - Amer. J. Physiol.206 1437, 1964.
Cannon W. B.: Acidosis in Shock, Hemorrhage and Gas Infection - J. Amer. med. Ass.70 531, 1918.
Clarke B. F., Duncan L. J. P.: Comparison of Chlorpropamide and Metformin Treatment on Weight and Blood-Glucose Response of Uncontrolled Obese Diabetics - Lancet1 123, 1968.
Clarke D. W., Forbath N.: The Effects of Phenformin on the Isolated Rat Diaphragm -Diabetes9 167, 1960.
Cohen Y., Costerousse O.: Étude autoradiographique chez la souris d'un antidiabétique oral, le N-N-diméthylbiguanide marqué au carbone 14 - Thérapie16 109, 1961.
Craig J. W., Miller M., Woodward H. Jr.,Merik E.: Influence of Phenethylbiguanide on Lactic, Pyruvic and Citric Acids in Diabetic Patients - Diabetes9 186, 1960.
Creutzfeldt W., Söling H.-D., Zardáy Z.: The Combined Use of Insulin, Tolbutamide and Biguanides in the Treatment of Diabetes Mellitus. Clinical Significance and Experimental Findings - Metabolism12 264, 1963.
Cucurachi L., Strata A., Zuliani U., Cucurachi P., Dell'Anna A.: Le biguanidi nel trattamento dell'obesità. Nota 1. Ricerca clinica controllata con placebo, anoressanti, fenformina e metformina - Acta diabet. lat.5 580, 1968.
Czyżyk A., Ławecki J., Sadowski J., Ponikowska I., Szczepanik Z.: Effect of Biguanides on Intestinal Absorption of Glucose - Diabetes17 492, 1968.
Dale H. H., Graham G., Lawrence R. D., Cammidge P. J.: Discussion on Action of Synthalin - Proc. roy. Soc. Med.21 21, 1928.
Dalidowicz J. E., McDonald H. J.: Site of the in Vitro Inhibition of Cholesterol Biosynthesis by Tolbutamide and Phenethylbiguanide - Biochemistry4 1138, 1965.
Danowski T. S.: Lactic Acidosis in Diabetes Mellitus - J. Amer. med. Ass.184 47, 1963.
Danowski T. S.: The Lactic-Acidosis Syndromes - Diabetes12 277, 1963.
Danowski T. S., Nabarro J. D. N.: Hyperosmolar and Other Types of Nonketotic Coma in Diabetes - Diabetes14 162, 1965.
Davidoff F. F.: Oral Hypoglycemic Agents and the Mechanism of Diabetes Mellitus - New Engl. J. Med.278 148, 1968.
Davidson M. B., Bozarth W. R., Challoner D. R., Goodner C. J.: Phenformin, Hypoglycemia and Lactic Acidosis - New Engl. J. Med.275 886, 1966.
Debry G., Anziani M., Cherrier P., Laurent J.: Étude de la lactacidémie á jeun chez les diabétiques traités par le N-N-diméthylbiguanide - Diabète (Le Raincy)12 239, 1964.
Debry G., Cherrier F.-P.: Étude du mode d'excrétion du N-N-diméthylbiguanide chez le diabétique adulte - Thérapie20 351, 1965.
Debry G., Cherrier P., Laurent J.: Étude des perturbations du métabolisme de l'acide lactique au cours du diabète sucré - Path. et Biol.14 13, 1966.
Debry G., Laurent J., Cherrier P., Viniaker H.: L'influence des biguanides sur le métabolisme de l'acide lactique chez le diabétique. In: Rein et Foie - Maladies de la Nutrition9 161, 1966.
Dempsey M. E.: Inhibition of Lipid Biosynthesis - Ann. N.Y. Acad. Sci.148 631, 1968.
Doar J. W. H., Wynn V., Cramp D. G.: Blood Pyruvate and Plasma Glucose Levels during Oral and Intravenous Glucose Tolerance Tests in Obese and Non-Obese Women - Metabolism17 690, 1968.
Dossetor J. B., Zborowski D., Dixon H. B., Pare J. A. P.: Hyperlactatemia Due to Hyperventilation: Use of CO2 Inhalation - Ann. N.Y. Acad. Sci.119 1153, 1965.
Dragstedt L. E.: Physiology of Parathyroid Glands - Physiol. Rev.7 499, 1927.
Duncan G. G., Duncan T. G., Schatanoff J.: Refractory Obesity and Diabetes - Ann. N.Y. Acad. Sci.148 906, 1968.
Duncan L. J. P., Baird J. D.: Compounds Administered Orally in Treatment of Diabetes Mellitus - Pharmacol. Rev.12 91, 1960.
Ewy G. A., Pabico R. C., Mahler J. F., Mintz D. H.: Lactate Acidosis Associated with Phenformin Therapy and Localized Tissue Hypoxia. Report of a Case Treated by Hemodialysis- Ann. intern. Med.59 878, 1963.
Fajans S. S., Moorhouse J. A., Doorenbos H., Louis L. H., Conn J. W.: Metabolic Effects of Phenethylbiguanide in Normal Subjects and in Diabetic Patients - Diabetes9 194, 1960.
Falcone A. B., Mao R. L., Shrago E.: A Study of the Action of Hypoglycemia-Producing Biguanide and Sulfonylurea Compounds on Oxidative Phosphorylation - J. biol. Chem.237 904, 1962.
Faludi G., Bendersky G., Gerber P.: Functional Hypoglycemia in Early Latent Diabetes -Ann. N.Y. Acad. Sci.148 868, 1968.
Frank E., Nothmann M., Wagner A.: Über synthetisch dargestellte Körper mit insulinartiger Wirkung auf den normalen und diabetischen Organismus - Klin. Wschr.5 2100, 1926.
Frank E., Nothmann M., Wagner A.: Die Synthalinbehandlung des Diabetes mellitus. I-III -Dtsch. med. Wschr.52 2067, 1926.
Frank E., Nothmann M., Wagner A.: Die Synthalinbehandlung des Diabetes mellitus. IV. Indikationen und Kontraindikationen - Dtsch. med. Wschr.52 2107, 1926.
Frank E., Stern R., Nothmann M.: Die Guanidin- und Dimethylguanidin-Toxikose des Säugetiers und ihre physio-pathologische Bedeutung - Z. ges. exp. Med.24 341, 1921.
Frank E., Wagner A.: Der gegenwärtige Stand der Synthalinbehandlung des Diabetes mellitus- Ergebn. ges. Med.13 451, 1929.
Gergens E., Baumann E.: Ueber das Verhalten des Guanidin, Dicyandiamidin und Cyanamid im Organismus - Pflüger's Arch. ges. Physiol.12 205, 1876.
Gershberg H., Javier Z., Hulse M., Hecht A.: Influence of Hypoglycemic Agents on Blood Lipids and Body Weight in Ketoacidosis-Resistant Diabetics - Ann. N.Y. Acad. Sci.148 914, 1968.
Gley E.: Traité de Physiologie - Baillère, Paris, 1928.
Gottlieb A., Duberstein J., Geller A.: Phenformin Acidosis - New Engl. J. Med.267 806, 1962.
Grodsky G. M., Karam J. M., Pavlatos F. Ch.,Forsham P. H.: Reduction by Phenformin of Excessive Insulin Levels after Glucose Loading in Obese and Diabetic Subjects - Metabolism12 278, 1963.
Guillory R. J., Slater E. C.: The Action of Substituted Guanidines on Mitochondrial Respiration and on the ADP-ATP Exchange Reaction - Biochim. biophys. Acta (Amst.)105 221, 1965.
Halmos P. B., Nelson J. K., Lowry R. C.: Hyperosmolar Non-Ketotic Coma in Diabetes -Lancet1 675, 1966.
Hill A. V., Lupton H.: Muscular Exercise, Lactic Acid and the Supply and Utilization of Oxygen - Quart. J. Med.16 135, 1923.
Hollobaugh S. L., Rao M. B., Kruger F. A.: Evidence for Significant «Non-Peripheral» Effects of Phenformin (DBI) on Glucose Metabolism in Man - Clin. Res.15 428, 1968.
Hollunger G.: Guanidines and Oxidative Phosphorylations - Acta pharmacol. (Kbh.)11 (suppl. 1), 1, 1955.
Huckabee W. E.: Abnormal Resting Blood Lactate. I. The Significance of Hyperlactatemia in Hospitalized Patients - Amer. J. Med.30 833, 1961.
Huckabee W. E.: Abnormal Resting Blood Lactate. II. Lactic Acidosis - Amer. J. Med.30 840, 1961.
Jangaard N. O., Pereira J. N., Pinson R.: Metabolic Effects of the Biguanides and Possible Mechanism of Action - Diabetes17 96, 1968.
Johnson H. K., Waterhouse C.: Relationship of Alcohol and Hyperlactatemia in Diabetic Subjects Treated with Phenformin - Amer. J. Med.45 98, 1968.
Jurgesen J. C.: Dialysis for Lactic Acidosis - New Engl. J. Med.278 1350, 1968.
Kauffmann-Cosla O., Vasilco O.: Experimentelle Untersuchungen in vivo über die Wirkung des Synthalins auf die Oxidation der Zelle - Arch. exp. Path. Pharmak.159 154, 1931.
Koch W. F.: On the Occurrence of Methylguanidine in the Urine of Parathyroidectomized Animals - J. biol. Chem.12 313, 1912.
Kreisberg R. A.: Glucose Metabolism in Normal and Obese Subjects: Effect of Phenformin -Diabetes17 481, 1968.
Kreisberg R. A.: Kinetics of Glucose Utilization in Obesity: the Effect of Phenformin -Ann. N.Y. Acad. Sci.148 743, 1968.
Kruger F. A., Skillman T. G., Hamwi G. J., Grubbs R. C., Danforth N.: The Mechanism of Action of Hypoglycemic Guanidine Derivatives - Diabetes9 170, 1960.
Lacher J., Lasagna L.: Phenformin and Lactic Acidosis - Clin. Pharmacol. Ther.7 477, 1966.
Lavieuville M.: Différences entre les divers biguanides antidiabétiques - Journées Ann. Diabétol. Hôtel-Dieu, Paris, 1964.
Leaf A., McCully K. S.: Acidosis and Shock in a Patient with Diabetes, Cirrhosis and Renal Failure - New Engl. J. Med.278 1004, 1968.
Madison L. L., Unger R. H.: Effect of Phenformin on Peripheral Glucose Utilization in Human Diabetic and Nondiabetic Subjects - Diabetes9 202, 1960.
Maggi G., Fratino P., Rodari T.: Sul meccanismo d'azione della fenetilbiguanide (PEBG). XI. Effetti sulla glicolisi e sulla glicogenosintesi nell'animale normale - Boll. Soc. ital. Biol. sper.44 155, 1968.
Markees S.: Cocarboxylase in Diabetic Acidosis; Experimental and Clinical Findings -B Vitamine, Klin. Physiol. Chem. Probl., Symp., Berlin 1966, pag. 171.
Mårtinsson J.: Effects of Guanidine and Synthalin on the Citric Acid Metabolism - Acta med. scand.125 82, 1946.
McDonald H. J., De Chatelet L. R.: The Effects of Three Oral Hypoglycemic Agents on the Incorporation of Leucine-C14 into Protein by Liver Microsomes of Normal and Alloxan-Diabetic Rats - Life Sci.6 183, 1967.
Meinert C. L., Schwartz T. B.: The Relationship of Treatment to Weight in a Randomized Study of Maturity-Onset Diabetes - Ann. N.Y. Acad. Sci.148 875, 1968.
Meyer M. F.: Étude sur le mode d'action des biguanides hypoglycémiants - C. R. Acad. Sci. (Paris)251 1928, 1960.
Meyerhof O.: Die Energieumwandlungen im Muskel. I. Ueber die Beziehungen der Milchsäure zur Wärmebildung und Arbeitsleistung des Muskels in der Anaerobiose - Pflüger's Arch. ges. Physiol.182 232, 1920.
Minot A. S.: The Mechanism of the Hypoglycemia Produced by Guanidine and Carbon Tetrachloride Poisoning and Its Relief by Calcium Medication - J. Pharmacol. exp. Ther.43 295, 1931.
Mirsky S.: Influences of Hypoglycemic Therapy on Blood Lipids and Body Weight in Diabetes Mellitus - Ann. N.Y. Acad. Sci.148 937, 1968.
Muntoni S., Boero A., Corona M., Floris M.: La dimetilbiguanide nella terapia del diabete -Clin. ter.35 227, 1965.
Paton D. N., Findlay L.: The Parathyroids: Tetania Parathyreopriva: Its Nature, Cause and Relation to Idiopathic Tetany. Part IV. The Etiology of the Condition and Its Relationship to Guanidin and Methylguanidin Intoxication - Quart. J. exp. Physiol.10 315, 1916.
Pedersen J., Olesen E. S.: Observations on the Mechanism of Increased Weight Loss during Metformin Administration in Obesity - Acta endocr. (Kbh.)57 683, 1968.
Pereira J. N., Jangaard N. O., Pinson E. R.: Some Metabolic Effects of Phenformin in Rat Adipose Tissue - Diabetes16 869, 1967.
Pereira V. G., Wajchenberg B. L., Shnaider J.: Mechanism of Action of Phenethylbiguanide in Normal Subjects - Diabetes16 302, 1967.
Peretz D. I., Scott H. M., Duff J., Dossetor J. B., MacLean L. D., McGregor M.: The Significance of Lactic Acidemia in the Shock Syndrome - Ann. N.Y. Acad. Sci.119 1133, 1965.
Petrides P.: Über den derzeitigen Stand der Diabetes-Behandlung - Klin. Mbl. Augenheilk.146 777, 1965.
Petrides P., Schräpler P.: Experimentelle Untersuchungen zum Wirkungsmechanismus von Buformin - Klin. Wschr.44 1209, 1966.
Pomeranze J., Fujiy H., Mouratof G. T.: Clinical Report of a New Hypoglycemic Agent -Proc. Soc. exp. Biol. (N.Y.)95 193, 1957.
Proctor D. W., Stowers J. M.: Fatal Lactic Acidosis after an Overdose of Phenformin -Brit. med. J.4 216, 1967.
Ramachander G., Finkelman F., Li H., Glassman J. M.: Lactic Acid Tolerance in Phenformin-Treated Animals - Ann. N.Y. Acad. Sci.148 653, 1968.
Roginsky M. S., Sandler J.: Phenformin in Human Obesity - Ann. N.Y. Acad. Sci.148 892, 1968.
Sament S., Schwartz M.: Severe Diabetic Stupor without Ketosis -S. Afr. med. J.31 893, 1957.
Schaefer L. E.: Hyperlipidemia - Ann. N.Y. Acad. Sci.148 925, 1968.
Schäfer F.: Site-Specific Uncoupling and Inhibition of Energy Transfer by Biguanides -Biochim. biophys. Acta (Amst.)93 279, 1964.
Selvini A.: Gli ipoglicemizzanti orali - Ann. medici9 991, 1965.
Selvini A., Brugi A., Emanueli A.: Sull'impiego dell'ER 102 nel trattamento del diabete mellito - Minerva med.58 189, 1967.
Sgambato S., Frascolla N., Rufino G., Torella R.: La dimetilbiguanide nella terapia del diabete mellito: osservazioni clinico-metaboliche - Biochim. appl. (Parma)14 151, 1967.
Shaw R. A., Kryston L. J., Mills L. C.: Plasma Fucose and Fucose Tolerance in Diabetes Mellitus - Ann. N.Y. Acad. Sci.148 787, 1968.
Siesjö B. K., Kjällquist A., Zwetnow N.: The CSF Lactate-Pyruvate Ratio in Cerebral Hypoxia - Life Sci.7 45, 1968.
Söling H.-D., Moshagen D., Skutella E., Kneer P., Creutzfeldt W.: Die Wirkung von N1,n-butylbiguanid auf den Stoffwechsel der isolierten perfundierten Leber normaler und alloxandiabetischer ketotischer Ratten - Diabetologia3 318, 1967.
Spadolini I.: Sur les lésions expérimentales des nerfs mésentériques et de l'appareil parathyroïdien par rapport aux intoxications d'origine intestinale - Arch. ital. Biol.77 17, 1926.
Spadolini I.: L'apparato paratiroideo in rapporto ai meccanismi di difesa naturale dei tessuti epiteliali. Contributo allo studio della patogenesi della sindrome paratireopriva - Arch. Fisiol.25 566, 1927.
Spadolini I.: L'ipocalcemia da tossine batteriche nella insufficienza paratiroidea relativa -Boll. Soc. ital. Biol. sper.3 768, 1928.
Spadolini I., Castelli G.: Le alterazioni della mucosa intestinale come cause di precoci batteriemie negli animali operati di estirpazione delle ghiandole paratiroidi - Arch. Fisiol.25 159, 1927.
Sproule B. J., Phillipson E. A., Couves C. M., Brownlee R. T.: Acute Pulmonary Hypertension in Idiopathic Lactic Acidosis - Canad. med. Ass. J.94 141, 1966.
Staub H., Jezler A.: Zum Synthalinmechanismus - Z. klin. Med.112 1, 1929.
Staub H., Kung O.: Zum Synthalinmechanismus - Klin. Wschr.7 1365, 1928.
Steiner D. F., Williams R. H.: Respiratory Inhibition and Hypoglycemia by Biguanides and Decamethylene Diguanidine - Biochim. biophys. Acta (Amst.)30 325, 1958.
Sterne J.: Du nouveau dans les antidiabétiques, le N-N-diméthyldiguanide - Maroc méd.106 1295, 1957.
Sterne J.: The Present State of Knowledge on the Mode of Action of the Antidiabetic Diguanides - Metabolism13 791, 1964.
Sterne J.: Mécanisme d'action des biguanides antidiabétiques - Presse méd.72 17, 1964.
Strohmeyer G., Dölle W., Sauer H.: Milchsäure-Acidose mit Exzesslactat bei Diabetes Mellitus - Dtsch. med. Wschr.90 2238, 1965.
Tranquada R. E., Bernstein S., Martin H. E.: Irreversible Lactic Acidosis Associated with Phenformin Therapy - J. Amer. med. Ass.184 37, 1963.
Tranquada R. E., Grant W. J., Peterson C. R.: Lactic Acidosis - Arch. intern. Med.117 192, 1966.
Tyberghein J. M., Williams R. H.: Metabolic Effects of Phenethylbiguanide, a New Hypoglycemic Compound - Proc. Soc. exp. Biol. (N.Y.)96 29, 1957.
Tzagournis J. F., Seidensticker J. F., Hamwi G. J.: Metabolic Abnormalities in Premature Coronary Disease: Effects of Therapy - Ann. N.Y. Acad. Sci.148 945, 1968.
Underhill F. P., Blatherwick N. R.: Studies in Carbohydrate Metabolism. VI. The Influence of Thyreoparathyroidectomy upon the Sugar Content of the Blood and the Glycogen Content of the Liver - J. biol. Chem.18 87, 1914.
Ungar G., Freedman L., Shapiro S. L.: Pharmacological Studies of a New Oral Hypoglycemic Agent - Proc. Soc. exp. Biol. (N.Y.)95 190, 1957.
Ungar G., Psychoyos S., Hall H. A.: Action of Phenethylbiguanide, a Hypoglycemic Agent, on Tricarboxylic Acid Cycle - Metabolism9 36, 1960.
Unger R. H., Madison L. L., Carter N. W.: Tolbutamide-Phenformin in Ketoacidosis-Resistant Patients - J. Amer. med. Ass.174 2132, 1960.
Volk B. W., Lazarus S. S.: Histologic and Histochemical Observations in the Rabbit after Phenethylbiguanide - Diabetes9 174, 1960.
Walker R. S., Linton A. L., Thomson W. S. T.: Mode of Action and Side Effects of Phenformin Hydrochloride - Brit. med. J.2 1567, 1960.
Watanabe C. K.: Studies in the Metabolic Changes Induced by Administration of Guanidine Bases. 1. Influence of Injected Guanidine Hydrochloride upon Blood Sugar Content - J. biol. Chem.33 253, 1918.
Waxler S. H., Leef M. R.: Phenformin-Induced Weight Loss in Obese Mice - Ann. N.Y. Acad. Sci.148 647, 1968.
Wegmann R., Lageron A., Guha S., Petkov P.: Histoenzymology of the Guinea Pig Endocrine Pancreas and the Effect of Biguanidine - Ann. Histochim.12 137, 1967.
Weinberg E. D.: Antimicrobial Activities of Biguanides - Ann. N.Y. Acad. Sci.148 587, 1968.
Westervelt F. B. Jr.,Owen J. A. Jr.,Hornbaker J. H. Jr.,Gorsuch T. L.: Lactic Acidosis. A Case Treated with THAM and Hemodialysis - Virginia med. Mth.93 251, 1966.
Wick A. N., Larson E. R., Serif G. S.: A Site of Action of Phenethylbiguanide - A Hypoglycemic Compound - J. biol. Chem.233 296, 1958.
Wick A. N., Stewart C. J., Serif G. S.: Tissue Distribution of C14-Labeled β-Phenethylbiguanide- Diabetes9 163, 1960.
Wilansky D. L., Shochat G.: The Course of Latent Diabetes - Ann. N.Y. Acad. Sci.148 848, 1968.
Williams R. H.: Textbook of Endocrinology - Saunders, Philadelphia, 1968, pag. 751.
Williams R. H., Tyberghein J. M., Hyde P. M., Nielsen R. L.: Studies Related to the Hypoglycemic Action of Phenethyldiguanide - Metabolism6 311, 1957.
Williamson J. R., Walker R. S., Renold A. E.: Metabolic Effects of Phenethylbiguanide (DBI) on the Isolated Perfused Rat Heart - Metabolism12 1141, 1963.
Wishart G. M.: The Parathyroids: Tetania Parathyreopriva: Its Nature, Cause, and Relations to Idiopathic Tetany. Part VI: The Action of the Blood Serum of Animals in Tetania Parathyreopriva on the Skeletal Muscles of the Frog - Quart. J. exp. Physiol.10 354, 1916.
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Bigelow-Sherman, J.D., Foà, P.P. Lactic acidosis, diabetes mellitus and the biguanide compounds. Acta diabet. lat 6, 507–522 (1969). https://doi.org/10.1007/BF01548068
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DOI: https://doi.org/10.1007/BF01548068