Hansen Lene, Lampert Sarah, Mineo Hitoshi, Holst Jens J
Dept. of Medical Physiology, University of Copenhagen, the Panum Institute, Blegdamsvej 3, DK-2200 Copenhagen, Denmark.
Am J Physiol Endocrinol Metab. 2004 Nov;287(5):E939-47. doi: 10.1152/ajpendo.00197.2004.
Glucagon-like peptide (GLP)-1 is secreted rapidly from the intestine postprandially. We therefore investigated its possible neural regulation. With the use of isolated perfused porcine ileum, GLP-1 secretion was measured in response to electrical stimulation of the mixed, perivascular nerve supply and infusions of neuroactive agents alone and in combination with different blocking agents. Electrical nerve stimulation inhibited GLP-1 secretion, an effect abolished by phentolamine. Norepinephrine inhibited secretion, and phentolamine abolished this effect. GLP-1 secretion was stimulated by isoproterenol (abolished by propranolol). Acetylcholine stimulated GLP-1 secretion, and atropine blocked this effect. Dimethylphenylpiperazine stimulated GLP-1 secretion. In chloralose-anesthetized pigs, however, electrical stimulation of the vagal trunks at the level of the diaphragm had no effect on GLP-1 or GLP-2 and weak effects on glucose-dependent insulinotropic peptide and somatostatin secretion, although this elicited a marked atropine-resistant release of the neuropeptide vasoactive intestinal polypeptide to the portal circulation. Thus GLP-1 secretion is inhibited by the sympathetic nerves to the gut and may be stimulated by intrinsic cholinergic nerves, whereas the extrinsic vagal supply has no effect.
胰高血糖素样肽(GLP)-1在餐后迅速从肠道分泌。因此,我们研究了其可能的神经调节机制。利用离体灌注的猪回肠,测量了GLP-1的分泌,以响应混合的血管周围神经供应的电刺激以及单独或与不同阻断剂联合输注神经活性药物。神经电刺激抑制了GLP-1的分泌,酚妥拉明可消除该效应。去甲肾上腺素抑制分泌,酚妥拉明可消除此效应。异丙肾上腺素刺激GLP-1分泌(普萘洛尔可消除该效应)。乙酰胆碱刺激GLP-1分泌,阿托品可阻断此效应。二甲基苯基哌嗪刺激GLP-1分泌。然而,在氯醛糖麻醉的猪中,在膈肌水平对迷走神经干进行电刺激对GLP-1或GLP-2没有影响,对葡萄糖依赖性促胰岛素多肽和生长抑素的分泌影响较弱,尽管这会引起神经肽血管活性肠肽向门静脉循环的显著的阿托品抵抗性释放。因此,肠道的交感神经抑制GLP-1的分泌,而内在胆碱能神经可能刺激其分泌,而外在迷走神经供应则无影响。