Kojima J, Yamana K, Yanagida S, Ohtani S, Onodera K
Department of Medical Development, Nikken Chemicals Co., Ltd., Tokyo, Japan.
Methods Find Exp Clin Pharmacol. 2002 May;24(4):213-6. doi: 10.1358/mf.2002.24.4.678453.
In the present study, we examined the rates of urinary excretion of glucose and maltose after an infusion of maintenance fluid with glucose or maltose in adult rabbits. Three maintenance fluids (sugar-free, 5% glucose [Veen 3G] and 5% maltose [Actit]), which contained different sugars but were identical in electrolyte and acetate compositions and concentrations (Na: 45, K: 17, Mg: 5, Cl: 37, H2PO4: 10 and CH3COO: 20 mEq/l), were used in this study. In addition, the optimum infusion speed for maintenance therapy (10 ml/kg/h) was used. Animals were not given food or water during the 10-day period of administration. The body weights of the animals were measured every day. The concentrations of total protein, albumin, free fatty acids and glucose in the serum were measured. Urine samples for determination of glucose and maltose concentrations were collected from the 1st to 10th administrations. After infusion with 5% maltose, urinary maltose excretion decreased time-dependently, while that of glucose increased. This suggests that maltase activity time-dependently increases after infusion with maltose. In addition, total sugar was only minimally excreted into urine in the 5% glucose group compared with the 5% maltose group. Thus, the glucose infusion was superior to the maltose infusion in the rate of energy utilization. However, neither the loss of body weight nor the increase in concentration of free fatty acids in serum differed significantly among the 3 groups. In conclusion, infusion of maintenance fluid with 5% maltose results in the excretion of maltose and glucose into urine, since enzymatic hydrolysis of maltose to glucose is limited to that by maltase.
在本研究中,我们检测了成年兔输注含葡萄糖或麦芽糖的维持液后葡萄糖和麦芽糖的尿排泄率。本研究使用了三种维持液(无糖、5%葡萄糖[Veen 3G]和5%麦芽糖[Actit]),它们含有不同的糖类,但电解质和醋酸盐的组成及浓度相同(钠:45、钾:17、镁:5、氯:37、磷酸二氢根:10和醋酸根:20 mEq/L)。此外,采用了维持治疗的最佳输注速度(10 ml/kg/h)。在给药的10天期间不给动物喂食或饮水。每天测量动物体重。检测血清中总蛋白、白蛋白、游离脂肪酸和葡萄糖的浓度。在第1次至第10次给药期间收集用于测定葡萄糖和麦芽糖浓度的尿液样本。输注5%麦芽糖后,尿麦芽糖排泄量随时间下降,而葡萄糖排泄量增加。这表明输注麦芽糖后麦芽糖酶活性随时间增加。此外,与5%麦芽糖组相比,5%葡萄糖组中总糖仅有极少部分排泄到尿液中。因此,在能量利用效率方面,葡萄糖输注优于麦芽糖输注。然而,三组动物的体重减轻情况或血清游离脂肪酸浓度升高情况均无显著差异。总之,输注5%麦芽糖维持液会导致麦芽糖和葡萄糖排泄到尿液中,因为麦芽糖酶将麦芽糖水解为葡萄糖的作用有限。