胰高血糖素样肽-1对人体胃容量、排空、最大摄入量及餐后症状的影响。

Effect of GLP-1 on gastric volume, emptying, maximum volume ingested, and postprandial symptoms in humans.

作者信息

Delgado-Aros Silvia, Kim Doe-Young, Burton Duane D, Thomforde George M, Stephens Debra, Brinkmann Benjamin H, Vella Adrian, Camilleri Michael

机构信息

Enteric Neuroscience Program, Gastroenterology Research Unit, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.

出版信息

Am J Physiol Gastrointest Liver Physiol. 2002 Mar;282(3):G424-31. doi: 10.1152/ajpgi.2002.282.3.G424.

Abstract

Glucagon-like peptide-1 (GLP-1) relaxes the stomach during fasting but decreases hunger and food consumption and retards gastric emptying. The interrelationships between volume, emptying, and postprandial symptoms in response to GLP-1 are unclear. We performed, in healthy human volunteers, a placebo-controlled study of the effects of intravenous GLP-1 on gastric volume using (99m)Tc-single photon emission computed tomography imaging, gastric emptying of a nutrient liquid meal (Ensure) using scintigraphy, maximum tolerated volume (MTV) of Ensure, and postprandial symptoms 30 min after MTV. The role of vagal cholinergic function in the effects of GLP-1 was assessed by human pancreatic polypeptide (HPP) response to the Ensure meal. GLP-1 increased fasting and postprandial gastric volumes and retarded gastric emptying; MTV and postprandial symptoms were not different compared with controls. Effects on postprandial gastric function were associated with reduced postprandial HPP levels. GLP-1 does not induce postprandial symptoms despite significant inhibition of gastric emptying and vagal function; this may be partly explained by the increase in postprandial gastric volume.

摘要

胰高血糖素样肽-1(GLP-1)在禁食期间可使胃舒张,但能降低饥饿感和食物摄入量,并延缓胃排空。GLP-1作用下胃容量、排空及餐后症状之间的相互关系尚不清楚。我们在健康人类志愿者中开展了一项安慰剂对照研究,采用(99m)Tc单光子发射计算机断层扫描成像技术评估静脉注射GLP-1对胃容量的影响,利用闪烁扫描术评估营养液餐(安素)的胃排空情况,测定安素的最大耐受量(MTV),并观察MTV后30分钟的餐后症状。通过人胰多肽(HPP)对安素餐的反应评估迷走胆碱能功能在GLP-1作用中的作用。GLP-1增加了空腹和餐后胃容量并延缓胃排空;与对照组相比,MTV和餐后症状无差异。对餐后胃功能的影响与餐后HPP水平降低有关。尽管GLP-1显著抑制胃排空和迷走神经功能,但并未诱发餐后症状;这可能部分归因于餐后胃容量的增加。

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