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餐后胆汁酸浓度、GLP-1、PYY 和 ghrelin 之间的关系。

The relationship between postprandial bile acid concentration, GLP-1, PYY and ghrelin.

机构信息

King's College London School of Medicine, UK.

出版信息

Clin Endocrinol (Oxf). 2011 Jan;74(1):67-72. doi: 10.1111/j.1365-2265.2010.03886.x.

DOI:10.1111/j.1365-2265.2010.03886.x
PMID:21039722
Abstract

BACKGROUND

Gut hormones peptide YY (PYY) and glucagon-like peptide-1 (GLP-1) play an integral role in appetite control and energy homeostasis. Entero-endocrine L-cells can be stimulated by nutrients and or bile acids to co-secrete PYY and GLP-1. The aim of this study was to determine the response of bile acids, PYY, GLP-1 and ghrelin after a test meal.

DESIGN

Twelve subjects with a BMI of 22·8 (0·52) kg/m² [mean (SEM)] received a 400 kcal test meal after which blood samples were taken every 30 min from 0 to 180 min. PYY, GLP-1 and ghrelin were measured by radioimmunoassays. Fractionated bile acids were measured by HPLC-MSMS.

RESULTS

PYY positively correlated with glycochenodeoxycholic acid (GCDCA) (rs = 0·23, P = 0·03) and taurochenodeoxycholic acid (TCDCA) (rs = 0·26, P = 0·02). GLP-1 positively correlated with GCDCA (rs = 0·22, P = 0·047) and glycodeoxycholic acid (GDCA) (rs = 0·3, P = 0·005). Ghrelin negatively correlated with GDCA (rs = -0·45, P≤ 0·0001), TCDCA (rs = -0·23, P = 0·034) and taurodeoxycholic acid (TDCA) (rs = -0·44, P≤ 0·0001).

CONCLUSION

PYY and GLP-1 responses correlated with chenodeoxycholic acid (CDCA) counterparts, whereas ghrelin negatively correlated with deoxycholic acid (DCA) counterparts. Specific bile acids may thus differentially affect entero-endocrine cells.

摘要

背景

肠促胰素肽 YY(PYY)和胰高血糖素样肽-1(GLP-1)在控制食欲和能量平衡方面发挥着重要作用。肠内分泌 L 细胞可以被营养素和/或胆汁酸刺激而共同分泌 PYY 和 GLP-1。本研究旨在确定餐后胆汁酸、PYY、GLP-1 和 ghrelin 的反应。

设计

12 名 BMI 为 22.8(0.52)kg/m²[平均值(SEM)]的受试者接受 400 卡路里的测试餐,之后在 0 至 180 分钟每隔 30 分钟采集一次血样。用放射免疫分析法测量 PYY、GLP-1 和 ghrelin。用 HPLC-MSMS 测量胆汁酸的分级。

结果

PYY 与甘氨胆酸(GCDCA)呈正相关(rs=0.23,P=0.03)和牛磺胆酸(TCDCA)(rs=0.26,P=0.02)。GLP-1 与 GCDCA 呈正相关(rs=0.22,P=0.047)和甘氨脱氧胆酸(GDCA)(rs=0.3,P=0.005)。ghrelin 与 GDCA 呈负相关(rs=-0.45,P≤0.0001)、TCDCA(rs=-0.23,P=0.034)和牛磺脱氧胆酸(TDCA)(rs=-0.44,P≤0.0001)。

结论

PYY 和 GLP-1 的反应与鹅脱氧胆酸(CDCA)相对应,而 ghrelin 与脱氧胆酸(DCA)相对应呈负相关。特定的胆汁酸可能因此而对肠内分泌细胞产生不同的影响。

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