Koopmans H S
Dept of Medical Physiology, University of Calgary, Alberta, Canada.
Int J Obes. 1990;14 Suppl 3:93-102; discussion 102-4.
Parabiotic pairs of inbred Lewis rats had two different types of crossed intestinal surgery performed. In the one-way surgery, food was lost from the duodenum of one rat in a pair into a 30 cm segment of upper small intestine of its partner. The unabsorbed intestinal chyme returned to the lower duodenum of the first rat. In the second surgery, food was lost from the lower jejunum of one rat into the upper ileum of its partner. The lower gut of the first rat received no further food stimulus while the ileum, cecum and colon of its partner were doubly stimulated. As a result of these two surgeries, the rat in each pair that lost food into its partner's intestine showed a 40-60 percent increase in daily food intake while its partner reduced its intake by an equivalent 40-60 percent regardless of whether the food was lost into the upper or lower small intestine. The large and sustained changes in daily food intake did not correlate significantly with body weight or with the wet weight of the fat, liver or heart at sacrifice. Therefore, daily significant changes in body or organ weight were not necessary to produce large changes in daily food intake. Instead, some combination of endogenous signals from the gut, of plasma levels of absorbed nutrients or of endogenous signals generated by the subsequent metabolism of absorbed nutrients in peripheral tissues must control daily food intake.
对近交系Lewis大鼠联体对进行了两种不同类型的交叉肠道手术。在单向手术中,联体对中的一只大鼠十二指肠中的食物进入其伙伴的30厘米上段小肠,未被吸收的肠内容物返回第一只大鼠的十二指肠下段。在第二种手术中,一只大鼠空肠下段的食物进入其伙伴的回肠上段。第一只大鼠的下消化道不再接受食物刺激,而其伙伴的回肠、盲肠和结肠则受到双重刺激。这两种手术的结果是,每对联体大鼠中,将食物排入伙伴肠道的大鼠每日食物摄入量增加40%至60%,而其伙伴的摄入量则相应减少40%至60%,无论食物是排入上段还是下段小肠。每日食物摄入量的大幅持续变化与体重或处死时脂肪、肝脏或心脏的湿重均无显著相关性。因此,每日体重或器官重量的显著变化并非产生每日食物摄入量大幅变化所必需。相反,来自肠道的内源性信号、吸收营养素的血浆水平或外周组织中吸收营养素后续代谢产生的内源性信号的某种组合必须控制每日食物摄入量。