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通过门静脉输注儿茶酚胺或胰高血糖素,从胎儿和出生后绵羊的肝脏释放葡萄糖。

Release of glucose from the liver of fetal and postnatal sheep by portal vein infusion of catecholamines or glucagon.

作者信息

Apatu R S, Barnes R J

机构信息

Physiological Laboratory, Cambridge.

出版信息

J Physiol. 1991 May;436:449-68. doi: 10.1113/jphysiol.1991.sp018560.

Abstract
  1. The blood flow to the liver in fetuses near term, newborn and adult sheep was measured by the Fick principle, using radionuclide-labelled plastic microspheres, before and during infusion of adrenaline, noradrenaline or glucagon. 2. Glucose output and lactate consumption by the liver in sheep of each age group were calculated by application of the Fick principle using the concentration gradients of these metabolites measured in blood samples obtained, simultaneously with blood flow measurements, from catheters chronically implanted in the inflow and outflow vessels of the liver. 3. Catecholamines were infused into the portal vein of fetuses near term at a rate comparable with that at which they are known to be secreted in the sheep fetus during moderate to severe hypoxia. The cardiovascular and metabolic responses to these infusions were found to be comparable with those that occur in the fetus during hypoxia. 4. Catecholamines increased glucose output from the liver in all except the immediate post-partum animals. Catecholamines were less effective than glucagon in promoting glucose release. The mean increments in glucose output during adrenaline infusion were 0.055 +/- 0.015 mmol min-1 (100 g liver)-1 in the fetus, 0.122 +/- 0.024 mmol min-1 (100 g)-1 in the 2-week-old lambs, 0.078 +/- 0.019 mmol min-1 (100 g)-1 in young lambs and 0.049 +/- 0.012 mmol min-1 (100 g)-1 in the adult sheep. During glucagon infusion the mean glucose output increments were 0.146 +/- 0.023 mmol min-1 (100 g)-1 in the fetus, 0.274 +/- 0.085 mmol min-1 (100 g)-1 in the 2-week-old and young lambs and 0.180 +/- 0.054 mmol min-1 (100 g)-1 in the adult. Adrenaline was more potent than noradrenaline, suggesting that the major glycogenolytic response might be beta-receptor mediated. 5. In the immediate newborn period the output of glucose from the liver was high (0.20 +/- 0.05 mmol min-1 (100 g liver)-1 and was not statistically significantly increased by infusion either of glucagon or of catecholamines which resulted in similar increments of glucose output of about 0.128 +/- 0.133 mmol min-1 (100 g)-1. It is probable that the high output of glucose reflected the high endogenous circulating levels of catecholamines and glucagon in these animals at birth and that further infusions failed to add significantly to the already near-maximal glucose release.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 在足月胎儿、新生羊和成年羊中,利用放射性核素标记的塑料微球,采用菲克原理,在输注肾上腺素、去甲肾上腺素或胰高血糖素之前及期间测量肝脏血流。2. 通过应用菲克原理,利用在与血流测量同时从长期植入肝脏流入和流出血管的导管采集的血样中测得的这些代谢物的浓度梯度,计算每个年龄组羊肝脏的葡萄糖输出量和乳酸消耗量。3. 以与已知在中度至重度缺氧期间羊胎儿分泌的速率相当的速度,将儿茶酚胺注入足月胎儿的门静脉。发现这些输注引起的心血管和代谢反应与胎儿在缺氧期间发生的反应相当。4. 除产后即刻的动物外,儿茶酚胺增加了所有动物肝脏的葡萄糖输出。儿茶酚胺在促进葡萄糖释放方面不如胰高血糖素有效。肾上腺素输注期间葡萄糖输出的平均增量在胎儿中为0.055±0.015 mmol·min⁻¹(100 g肝脏)⁻¹,在2周龄羔羊中为0.122±0.024 mmol·min⁻¹(100 g)⁻¹,在幼龄羔羊中为0.078±0.019 mmol·min⁻¹(100 g)⁻¹,在成年羊中为0.049±0.012 mmol·min⁻¹(100 g)⁻¹。胰高血糖素输注期间葡萄糖输出的平均增量在胎儿中为0.146±0.023 mmol·min⁻¹(100 g)⁻¹,在2周龄和幼龄羔羊中为0.274±0.085 mmol·min⁻¹(100 g)⁻¹,在成年羊中为0.180±0.054 mmol·min⁻¹(100 g)⁻¹。肾上腺素比去甲肾上腺素更有效,表明主要的糖原分解反应可能由β受体介导。5. 在新生儿早期,肝脏的葡萄糖输出量很高(0.20±0.05 mmol·min⁻¹(100 g肝脏)⁻¹),胰高血糖素或儿茶酚胺输注均未使其在统计学上显著增加,儿茶酚胺输注导致葡萄糖输出量增加约0.128±0.133 mmol·min⁻¹(100 g)⁻¹。很可能葡萄糖的高输出量反映了这些动物出生时儿茶酚胺和胰高血糖素的内源性循环水平较高,进一步输注未能显著增加已经接近最大的葡萄糖释放量。(摘要截短至400字)

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