Gubra Aps Agern Alle 1, 2970 Hørsholm ; Department of Human Nutrition, University of Copenhagen Frederiksberg,Denmark.
Am J Transl Res. 2013 Apr 19;5(3):347-58. Print 2013.
Gut secreted incretin hormones and gastric bypass surgery currently provides some of the most successful treatments for diabetes and obesity respectively. However, despite the evident importance of the gut endocrine system no information exists on the total number and distribution of different types of endocrine cells in the gut. Here we have used the established preclinical Zucker Diabetic Fatty (ZDF) rat model which displays elevated levels of GLP-1 to assess L-cell distribution and L-cell dynamics in the full rostro-caudal extension of the rat intestinal tract.
Using mathematically unbiased stereology we provide total and regional estimates of gut volume, gut surface area and the total number of L-cells throughout the intestinal tract in obese ZDF rats and lean controls.
The total number of L-cells in the lean and obese ZDF gut is estimated to 4.8 and 10.9 million, respectively, coupled with a corresponding near doubling in total gut volume and total surface area. L-cell numbers were found to be distributed rather evenly throughout the jejunum, ileum and colon.
The present study provides the first stereological report of total L-cell number and L-cell distribution throughout the rat intestinal tract. In contrast to the currently held view, the majority of L-cells are actually located proximal to the traditionally defined ileum and colon.
肠道分泌的肠促胰岛素激素和胃旁路手术分别是目前治疗糖尿病和肥胖症最有效的方法之一。然而,尽管肠道内分泌系统的重要性不言而喻,但目前尚无关于肠道中不同类型内分泌细胞的总数和分布的信息。在这里,我们使用了已建立的临床前 Zucker 糖尿病肥胖(ZDF)大鼠模型,该模型显示 GLP-1 水平升高,以评估大鼠肠道全长中 L 细胞的分布和 L 细胞动力学。
我们使用数学上无偏的体视学方法,提供了肥胖 ZDF 大鼠和瘦对照大鼠整个肠道的肠道体积、肠道表面积和 L 细胞总数的总体和区域估计。
瘦 ZDF 肠道和肥胖 ZDF 肠道中的 L 细胞总数估计分别为 480 万和 1090 万,总肠道体积和总表面积也相应地增加了近一倍。L 细胞数量在空肠、回肠和结肠中分布较为均匀。
本研究首次提供了大鼠肠道全长 L 细胞总数和 L 细胞分布的体视学报告。与目前的观点相反,大多数 L 细胞实际上位于传统定义的回肠和结肠的近端。