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迷走神经在介导近端营养素诱导的胰高血糖素样肽-1分泌中的作用。

Role of the vagus nerve in mediating proximal nutrient-induced glucagon-like peptide-1 secretion.

作者信息

Rocca A S, Brubaker P L

机构信息

Department of Physiology, University of Toronto, Ontario, Canada.

出版信息

Endocrinology. 1999 Apr;140(4):1687-94. doi: 10.1210/endo.140.4.6643.

Abstract

Plasma levels of glucagon-like peptide-1 (GLP-1) rise rapidly after nutrient ingestion, suggesting the existence of a proximal gut signal regulating GLP-1 release from the L cells of the distal small intestine. Glucose-dependent insulinotropic peptide (GIP) has been shown to be one such proximal signal; however, the dependence of GIP on gastrin-releasing peptide, a neuromodulator, suggested a role for the nervous system in this proximal-distal loop. Investigations into the nature of this proximal signal were therefore conducted in an in situ model of the rat gastrointestinal system. Infusions of corn oil into a 10-cm segment of duodenum that was isolated by loose ligation (to ensure that the luminal contents did not progress to the ileal L cell) increased the secretion of GLP-1 in parallel with that of gut glucagon-like immunoreactivity (gGLI; r = 0.85; P < 0.05). Infusion of fat into a transected segment of duodenum also significantly raised gGLI secretion compared with saline infusion, reaching a peak value of 132 +/- 37 pg/ml above basal (P < 0.05). However, peak secretion was significantly delayed when the gut was transected compared with that after ligation alone (19 +/- 4 vs. 6 +/- 1 min, respectively; P < 0.05). Furthermore, bilateral subdiaphragmatic vagotomy in conjunction with gut transection completely abolished the fat-induced rise in gGLI secretion (P < 0.001). Consistent with a role for the vagus in the regulation of the L cell, stimulation of the distal end of the celiac branch of the subdiaphragmatic vagus nerve significantly stimulated the secretion of gGLI to a level of 71 +/- 14 pg/ml above basal (P < 0.05). As found previously, supraphysiological infusion of GIP significantly increased gGLI secretion in control animals by 123 +/- 32 pg/ml (P < 0.05); this was not prevented by hepatic branch vagotomy (96 +/- 25 pg/ml; P < 0.05). In contrast, although infusion of GIP at physiological levels into sham-vagotomized animals also increased gGLI secretion, by 40 +/- 6 pg/ml (P < 0.05), selective hepatic branch vagotomy abolished GIP-induced gGLI secretion (P < 0.05). The results of these experiments therefore demonstrate that the secretion of GLP-1 and gGLI from the ileal L cell in response to fat is regulated by a complex neuroendocrine loop, involving the enteric nervous system, the afferent and efferent vagus nerves, as well as the duodenal hormone GIP.

摘要

营养物质摄入后,血浆中胰高血糖素样肽-1(GLP-1)水平迅速升高,这表明存在一种近端肠道信号,可调节远端小肠L细胞释放GLP-1。葡萄糖依赖性促胰岛素多肽(GIP)已被证明是这样一种近端信号;然而,GIP对神经调节因子胃泌素释放肽的依赖性表明神经系统在这个近端-远端环路中发挥作用。因此,在大鼠胃肠系统的原位模型中对这种近端信号的性质进行了研究。将玉米油注入通过宽松结扎分离的十二指肠10厘米段(以确保肠腔内容物不会进入回肠L细胞),与肠道胰高血糖素样免疫反应性(gGLI)的分泌增加平行,GLP-1的分泌也增加(r = 0.85;P < 0.05)。与注入生理盐水相比,将脂肪注入横断的十二指肠段也显著提高了gGLI的分泌,比基础值高出132±37 pg/ml的峰值(P < 0.05)。然而,与仅结扎后相比,横断肠道时峰值分泌明显延迟(分别为19±4分钟和6±1分钟;P < 0.05)。此外,双侧膈下迷走神经切断术联合肠道横断完全消除了脂肪诱导的gGLI分泌增加(P < 0.001)。与迷走神经在L细胞调节中的作用一致,刺激膈下迷走神经腹腔支的远端显著刺激gGLI分泌,比基础值高出71±14 pg/ml(P < 0.05)。如先前发现的那样,超生理剂量注入GIP可使对照动物的gGLI分泌显著增加123±32 pg/ml(P < 0.05);肝支迷走神经切断术并不能阻止这种增加(96±25 pg/ml;P < 0.05)。相比之下,虽然向假迷走神经切断的动物生理水平注入GIP也增加了gGLI分泌,增加了40±6 pg/ml(P < 0.05),但选择性肝支迷走神经切断术消除了GIP诱导的gGLI分泌(P < 0.05)。因此,这些实验结果表明,回肠L细胞对脂肪反应分泌GLP-1和gGLI受一个复杂的神经内分泌环路调节,该环路涉及肠神经系统、传入和传出迷走神经以及十二指肠激素GIP。

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