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通过微透析评估发现,生理水平的胰高血糖素不会影响腹部脂肪组织中的脂肪分解。

Physiological levels of glucagon do not influence lipolysis in abdominal adipose tissue as assessed by microdialysis.

作者信息

Gravholt C H, Møller N, Jensen M D, Christiansen J S, Schmitz O

机构信息

Department of Endocrinology M and Medical Research Laboratories, Arhus University Hospital, Denmark.

出版信息

J Clin Endocrinol Metab. 2001 May;86(5):2085-9. doi: 10.1210/jcem.86.5.7460.

Abstract

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.

摘要

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。

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