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肝脏葡萄糖代谢的综合调控

Integrated control of hepatic glucose metabolism.

作者信息

Bergman R N

出版信息

Fed Proc. 1977 Feb;36(2):265-70.

PMID:190047
Abstract

The rates of storage and release of carbohydrate by the liver are determined by the plasma concentrations of several blood-borne signals; most important are the concentrations of glucose, and of the hormones insulin and glucagon. To understand the complex control relationships of these three signals as they affect the liver, their individual dynamic influences have been determined experimentally, and the findings have been integrated by means of a computer simulation of the pathways of hepatic glycogen metabolism. The simulation studies have led to specific hypotheses about the biochemical effects of glucose and insulin on the liver. The simulation studies have also led to the conclusion that glucose exerts a rapid moment-to-moment influence on the rate of uptake of glucose by the liver. Insulin, however, by exerting a slower influence on the sensitivity of the liver to glucose, is very effective in "optimizing" the amount of glycogen which the liver stores during food intake. Thus, integrated experimental and simulation studies can lead to a view of a physiological regulating system which does not emerge from either approach used alone.-

摘要

肝脏中碳水化合物的储存和释放速率由几种血液传播信号的血浆浓度决定;其中最重要的是葡萄糖、胰岛素和胰高血糖素的浓度。为了理解这三种信号在影响肝脏时的复杂控制关系,已通过实验确定了它们各自的动态影响,并通过对肝糖原代谢途径的计算机模拟将这些发现整合起来。模拟研究得出了关于葡萄糖和胰岛素对肝脏生化作用的具体假设。模拟研究还得出结论,葡萄糖对肝脏摄取葡萄糖的速率具有快速的即时影响。然而,胰岛素通过对肝脏对葡萄糖的敏感性产生较慢的影响,在 “优化” 肝脏在食物摄入期间储存的糖原量方面非常有效。因此,综合实验和模拟研究可以得出一种生理调节系统的观点,而这是单独使用任何一种方法都无法得出的。

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引用本文的文献

1
Receptor and postreceptor defects contribute to the insulin resistance in noninsulin-dependent diabetes mellitus.受体及受体后缺陷促成了非胰岛素依赖型糖尿病中的胰岛素抵抗。
J Clin Invest. 1981 Oct;68(4):957-69. doi: 10.1172/jci110350.
2
Mechanisms of epinephrine-induced glucose intolerance in normal humans.正常人体内肾上腺素诱导葡萄糖不耐受的机制。
J Clin Invest. 1982 Feb;69(2):284-93. doi: 10.1172/jci110451.
3
Insulin resistance and decreased insulin response to glucose in lean type 2 diabetics.瘦型2型糖尿病患者的胰岛素抵抗及胰岛素对葡萄糖反应的降低。
Proc Natl Acad Sci U S A. 1982 Jul;79(14):4432-6. doi: 10.1073/pnas.79.14.4432.
4
The 75-g oral glucose tolerance test: effect on splanchnic metabolism of substrates and pancreatic hormone release in healthy man.75克口服葡萄糖耐量试验:对健康男性内脏底物代谢和胰腺激素释放的影响
Diabetologia. 1983 Dec;25(6):489-95. doi: 10.1007/BF00284457.
5
Differential effects of oral, peripheral intravenous, and intraportal glucose on hepatic glucose uptake and insulin and glucagon extraction in conscious dogs.口服、外周静脉注射和门静脉注射葡萄糖对清醒犬肝脏葡萄糖摄取以及胰岛素和胰高血糖素提取的不同影响。
J Clin Invest. 1983 Aug;72(2):590-601. doi: 10.1172/JCI111007.
6
Interactions between glucagon and other counterregulatory hormones during normoglycemic and hypoglycemic exercise in dogs.犬在血糖正常和低血糖运动期间胰高血糖素与其他对抗调节激素之间的相互作用。
J Clin Invest. 1984 Oct;74(4):1404-13. doi: 10.1172/JCI111551.
7
Increased activity of the glucose cycle in the liver: early characteristic of type 2 diabetes.肝脏中葡萄糖循环活性增加:2型糖尿病的早期特征。
Proc Natl Acad Sci U S A. 1985 May;82(9):2965-9. doi: 10.1073/pnas.82.9.2965.
8
Biochemical and functional characterization of the rat liver glucose-transport system. Comparisons with the adipocyte glucose-transport system.大鼠肝脏葡萄糖转运系统的生化与功能特性。与脂肪细胞葡萄糖转运系统的比较。
Biochem J. 1986 Nov 15;240(1):115-23. doi: 10.1042/bj2400115.
9
Effects of alpha and beta adrenergic blockade on hepatic glucose balance before and after oral glucose. Role of insulin and glucagon.α和β肾上腺素能阻断对口服葡萄糖前后肝脏葡萄糖平衡的影响。胰岛素和胰高血糖素的作用。
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10
Influence of hyperinsulinemia, hyperglycemia, and the route of glucose administration on splanchnic glucose exchange.高胰岛素血症、高血糖及葡萄糖给药途径对内脏葡萄糖交换的影响。
Proc Natl Acad Sci U S A. 1978 Oct;75(10):5173-7. doi: 10.1073/pnas.75.10.5173.