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葡萄糖剥夺期间控制血糖和体温的中枢化学感受器的敏感性。

Sensitivity of central chemoreceptors controlling blood glucose and body temperature during glucose deprivation.

作者信息

Fiorentini A, Müller E E

出版信息

J Physiol. 1975 Jun;248(2):247-71. doi: 10.1113/jphysiol.1975.sp010972.

Abstract
  1. The rise in blood glucose and the fall in body temperature which follows the injection of a glucose analogue, 2-deoxy-D-glucose (2-DG) into the lateral cerebral ventricle (I.C.V) of unanaesthetized rats were studied and found to be dose-dependent. These 2-DG induced responses are elicited by the impairment of glucose metabolism within central "glucoreceptors'. 2. 2DG induced hyperglycaemia and hypothermia were completely prevented and even the converse effects occurred when fivefold equimolar amounts of D-fructose were simultaneously injected I.C.V.; fructose, at equimolar doses, did not modify the effects of 2-DG. 3. D-xylose and D-ribose, even at high doses, did not influence 2-DG hyperglycaemia, but increased slightly the 2-DG induced hypothermia. This suggests that the pentose phosphate pathway is unable to support the metabolism within the glucoreceptors. 4. Pyruvate suppressed the 2-DG induced hyperglycaemia with a marked delay, while acetate (as ethyl ester) and a mixture of malate plus oxaloacetate did not prevent 2-DG induced effects. These results may be accounted for by the low dosage used. 5. Acetoacetate and 3-hydroxybutyrate did not prevent 2-DG hypothermia and hyperglycaemia. 6. An effective prevention of the 2-DG induced hyperglycaemia and hypothermia was achieved with fumarate and glutamate, indicating that the stimulation of the Krebs cycle within "glucoreceptors' removes the glucoprivic effects. 7. The results indicate that prevention of 2-DG induced effects occurred only with alternate source of metabolic fuel which can support high respiratory rates in brain tissue. It is concluded that central chemoreceptors are not specifically responsive to glucose, or hexoses, but to the rate of oxidative metabolism.
摘要
  1. 研究了向未麻醉大鼠的侧脑室(I.C.V)注射葡萄糖类似物2-脱氧-D-葡萄糖(2-DG)后血糖升高和体温下降的情况,发现这两种反应呈剂量依赖性。这些由2-DG诱导的反应是由中枢“葡萄糖感受器”内葡萄糖代谢受损引起的。2. 当同时向I.C.V注射五倍等摩尔量的D-果糖时,2-DG诱导的高血糖和体温过低完全被阻止,甚至出现了相反的效果;等摩尔剂量的果糖并没有改变2-DG的作用。3. D-木糖和D-核糖即使在高剂量下也不会影响2-DG引起的高血糖,但会略微增加2-DG诱导的体温过低。这表明磷酸戊糖途径无法支持葡萄糖感受器内的代谢。4. 丙酮酸能显著延迟抑制2-DG诱导的高血糖,而乙酸盐(作为乙酯)以及苹果酸加草酰乙酸的混合物并不能阻止2-DG诱导的效应。这些结果可能是由于所用剂量较低所致。5. 乙酰乙酸和3-羟基丁酸不能阻止2-DG引起的体温过低和高血糖。6. 富马酸和谷氨酸能有效预防2-DG诱导的高血糖和体温过低,这表明“葡萄糖感受器”内三羧酸循环的刺激消除了糖缺乏效应。7. 结果表明,只有能支持脑组织高呼吸速率的代谢燃料替代来源才能预防2-DG诱导的效应。得出的结论是,中枢化学感受器并非对葡萄糖或己糖有特异性反应,而是对氧化代谢速率有反应。

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