Jensen J, Ruzzin J, Jebens E, Brennesvik E O, Knardahl S
Department of Physiology, National Institute of Occupational Health, Oslo, Norway.
Acta Physiol Scand. 2005 Jun;184(2):121-30. doi: 10.1111/j.1365-201X.2005.01437.x.
Effects of in vivo adrenaline infusion on subsequent insulin-stimulated glucose uptake and glycogen synthase activation was investigated in slow-twitch (soleus) and fast-twitch (epitrochlearis) muscles. Furthermore, role of glycogen content and Protein kinase B (PKB) phosphorylation for modulation insulin sensitivity was investigated.
Male Wistar rats received adrenaline from osmotic mini pumps ( approximately 150 microg kg(-1) h(-1)) for 1 or 12 days before muscles were removed for in vitro studies.
Glucose uptake at physiological insulin concentration was elevated in both muscles after 1 and 12 days of adrenaline infusion. Insulin-stimulated glycogen synthase activation was also improved in both muscles. This elevated insulin sensitivity occurred despite the muscles were exposed to hyperglycaemia in vivo. After 1 day of adrenaline infusion, glycogen content was reduced in both muscles; insulin-stimulated PKB ser(473) phosphorylation was increased in both muscles only at the highest insulin concentration. After 12 days of adrenaline infusion, glycogen remained low in epitrochlearis, but returned to normal level in soleus; insulin-stimulated PKB phosphorylation was normal in both muscles.
Insulin-stimulated glucose uptake and glycogen synthase activation were increased after adrenaline infusion. Increased insulin-stimulated glucose uptake and glycogen synthase activation after adrenaline infusion cannot be explained by a reduction in glycogen content or an increase in PKB phosphorylation. The mechanisms for the improved insulin sensitivity after adrenaline treatment deserve particular attention as they occur in conjunction with hyperglycaemia.
研究体内输注肾上腺素对慢肌(比目鱼肌)和快肌(肱三头肌)随后胰岛素刺激的葡萄糖摄取及糖原合酶激活的影响。此外,还研究了糖原含量和蛋白激酶B(PKB)磷酸化在调节胰岛素敏感性中的作用。
雄性Wistar大鼠通过渗透微型泵接受肾上腺素(约150μg·kg⁻¹·h⁻¹),持续1天或12天,之后取出肌肉进行体外研究。
输注肾上腺素1天和12天后,两种肌肉在生理胰岛素浓度下的葡萄糖摄取均升高。胰岛素刺激的糖原合酶激活在两种肌肉中也得到改善。尽管肌肉在体内处于高血糖状态,但胰岛素敏感性仍升高。输注肾上腺素1天后,两种肌肉的糖原含量均降低;仅在最高胰岛素浓度下,两种肌肉中胰岛素刺激的PKB丝氨酸(473)磷酸化增加。输注肾上腺素12天后,肱三头肌糖原仍保持低水平,但比目鱼肌糖原恢复到正常水平;两种肌肉中胰岛素刺激的PKB磷酸化均正常。
输注肾上腺素后,胰岛素刺激的葡萄糖摄取和糖原合酶激活增加。输注肾上腺素后胰岛素刺激的葡萄糖摄取和糖原合酶激活增加不能用糖原含量降低或PKB磷酸化增加来解释。肾上腺素治疗后胰岛素敏感性改善的机制值得特别关注,因为它们与高血糖同时出现。