Gravholt C H, Møller N, Jensen M D, Christiansen J S, Schmitz O
Department of Endocrinology M and Medical Research Laboratories, Arhus University Hospital, Denmark.
J Clin Endocrinol Metab. 2001 May;86(5):2085-9. doi: 10.1210/jcem.86.5.7460.
To determine whether glucagon stimulates lipolysis in adipose tissue, seven healthy young male volunteers were studied, with indwelling microdialysis catheters placed sc in abdominal adipose tissue. Subjects were studied three times: 1) during euglucagonemia (EG; glucagon infusion rate, 0.5 ng/kg.min); 2) during hyperglucagonemia (HG; (glucagon infusion rate, 1.5 ng/kg.min); and 3) during EG and a concomitant glucose infusion mimicking the glucose profile from the day of HG (EG+G). Somatostatin (450 microg/h) was infused to suppress hormonal secretion, and replacement doses of insulin and GH were administered. Sampling was done every 30 min for 420 min. Baseline circulating values of insulin, C-peptide, glucagon, GH, glycerol, and free fatty acids were comparable in all three conditions. During EG and EG+G, plasma glucagon was maintained at fasting level (20-40 ng/L); whereas, during HG, it increased (110-130 ng/L). Interstitial concentrations of glycerol were similar in the three conditions [30,870 +/- 5,946 (EG) vs. 31,074 +/- 7,092 (HG) vs. 29,451 +/- 6,217 (EG+G) micromol/L.120 min, P = 0.98]. Plasma glycerol (ANOVA, P = 0.5) and free fatty acids (ANOVA, P = 0.3) were comparable during the different glucagon challenges. We conclude that HG per se does not increase interstitial glycerol (and thus lipolysis) in abdominal sc adipose tissue; nor does modest hyperglycemia, during basal insulinemia and glucagonemia, influence indices of abdominal sc lipolysis.
为了确定胰高血糖素是否刺激脂肪组织中的脂肪分解,对7名健康年轻男性志愿者进行了研究,将留置式微透析导管置于腹部皮下脂肪组织中。对受试者进行了三次研究:1)在正常胰高血糖素血症(EG;胰高血糖素输注速率,0.5 ng/kg·min)期间;2)在高胰高血糖素血症(HG;胰高血糖素输注速率,1.5 ng/kg·min)期间;3)在EG期间以及同时输注葡萄糖以模拟HG当天的血糖曲线(EG+G)。输注生长抑素(450μg/h)以抑制激素分泌,并给予胰岛素和生长激素的替代剂量。每30分钟采样一次,共采样420分钟。在所有三种情况下,胰岛素、C肽、胰高血糖素、生长激素、甘油和游离脂肪酸的基线循环值具有可比性。在EG和EG+G期间,血浆胰高血糖素维持在空腹水平(20 - 40 ng/L);而在HG期间,其升高(110 - 130 ng/L)。三种情况下甘油的间质浓度相似[30,870±5,946(EG)对31,074±7,092(HG)对29,451±6,217(EG+G)μmol/L.120分钟,P = 0.98]。在不同的胰高血糖素刺激期间,血浆甘油(方差分析,P = 0.5)和游离脂肪酸(方差分析,P = 0.3)具有可比性。我们得出结论,HG本身不会增加腹部皮下脂肪组织中的间质甘油(从而不会增加脂肪分解);在基础胰岛素血症和胰高血糖素血症期间,适度的高血糖也不会影响腹部皮下脂肪分解指标。