Department of Internal Medicine IV, University Hospital, Tübingen, Germany.
Hum Brain Mapp. 2012 Feb;33(2):280-7. doi: 10.1002/hbm.21216. Epub 2011 Mar 9.
Insulin is an important modulator of brain functions such as memory and appetite regulation. Besides the effect on neuronal activity, it is also possible that insulin has a direct vasodilatory effect on cerebral blood flow (CBF). We investigated the impact of increased insulin levels in the central nervous system on basal and task-induced CBF as well as blood oxygenation level-dependent (BOLD) response in the visual cortex using pulsed arterial spin-labeling MRI. An intranasal insulin application was used to avoid peripheral hyperinsulinaemia, which would lead to a cascade of hormonal changes. In a control experiment, caffeine was applied due to its well-known impact on the vasculature of the brain leading to a reliable reduction of CBF. Eight lean subjects were included in the study. On 2 separate days, intranasal human insulin or caffeine tablets were given to the subjects after fasting over night. On each day, basal CBF and task-induced CBF were measured before and 30 min after application of insulin or caffeine in each subject. During the task condition, a flickering checkerboard was presented. Insulin had no effect on basal CBF and task-induced CBF in comparison with drug-free baseline measurement in the visual cortex and control regions. After caffeine application, however, there was a significant decrease of CBF during stimulation in the visual cortex. The BOLD response was not altered by insulin or caffeine between pre- and postdose measurements. In conclusion, we found no evidence for a direct vasodilatory effect of intranasal insulin on the cerebral vascular system in this study.
胰岛素是调节大脑功能(如记忆和食欲调节)的重要调节剂。除了对神经元活动的影响外,胰岛素对大脑血流(CBF)也可能具有直接的血管扩张作用。我们使用脉冲动脉自旋标记 MRI 研究了中枢神经系统中胰岛素水平升高对基础和任务诱导的 CBF 以及视觉皮层血氧水平依赖(BOLD)反应的影响。通过鼻内胰岛素给药来避免外周高胰岛素血症,因为这会导致一系列激素变化。在对照实验中,由于咖啡因对大脑血管的众所周知的影响,导致 CBF 可靠地降低,因此使用了咖啡因。该研究纳入了 8 名瘦受试者。在 2 个单独的日子里,受试者在禁食过夜后接受鼻内人胰岛素或咖啡因片。在每天中,在每个受试者中应用胰岛素或咖啡因之前和之后 30 分钟测量基础 CBF 和任务诱导的 CBF。在任务条件下,呈现闪烁的棋盘。与视觉皮层和对照区域的无药物基线测量相比,胰岛素对基础 CBF 和任务诱导的 CBF 没有影响。然而,在咖啡因给药后,在视觉皮层的刺激期间 CBF 显著降低。在胰岛素或咖啡因给药前后的测量之间,BOLD 反应没有变化。总之,在这项研究中,我们没有发现鼻内胰岛素对脑血管系统有直接的血管扩张作用的证据。