Ar'Rajab A, Ahrén B, Bengmark S
Department of Surgery, Lund University, Sweden.
Diabetes Res. 1989 Sep;12(1):37-41.
Two days after diabetes induction by streptozotocin 70 mg/kg i.v. in rats, 1,000 freshly hand-picked islets were transplanted to the renal subcapsular space. The insulin and glucagon secretory capacities were evaluated during the first 10 days after transplantation by the use of arginine infusion and glucose injection. Already at day 3 after transplantation, the basal hyperglycemia and hyperglucagonemia were markedly reduced. However, no plasma insulin response to arginine or glucose was observed in the transplanted rats, whereas the glucagon response to arginine exaggerated that both in the diabetic and in the healthy controls. At day 10 after transplantation, the plasma insulin response to arginine was significantly improved to that at day 3, but it was still lower than in controls. In contrast, the glucose-induced increase in plasma insulin levels was now normalized. Also the glucagon response to arginine was similar in the transplanted animals as in the healthy controls. In conclusion, (a) streptozotocin-diabetic rats transplanted with 1,000 freshly hand-picked islets to the renal subcapsular space had near-normal plasma insulin and glucagon responses to arginine and glucose already at 10 days after transplantation, (b) the insulin response to glucose seemed normalized prior to that of arginine, and (c) the basal hyperglucagonemia was normalized already at day 3 after transplantation, i.e., it was restored earlier than was the insulin response to arginine or glucose.
通过静脉注射70mg/kg链脲佐菌素诱导大鼠糖尿病两天后,将1000个新鲜手工挑选的胰岛移植到肾被膜下间隙。在移植后的前10天,通过精氨酸输注和葡萄糖注射来评估胰岛素和胰高血糖素的分泌能力。移植后第3天,基础高血糖和高胰高血糖素血症就明显减轻。然而,在移植大鼠中未观察到血浆胰岛素对精氨酸或葡萄糖的反应,而胰高血糖素对精氨酸的反应在糖尿病大鼠和健康对照中均增强。移植后第10天,血浆胰岛素对精氨酸的反应较第3天有显著改善,但仍低于对照组。相比之下,葡萄糖诱导的血浆胰岛素水平升高现已恢复正常。移植动物中胰高血糖素对精氨酸的反应也与健康对照相似。总之,(a)将1000个新鲜手工挑选的胰岛移植到肾被膜下间隙的链脲佐菌素诱导糖尿病大鼠在移植后10天对精氨酸和葡萄糖的血浆胰岛素和胰高血糖素反应已接近正常,(b)胰岛素对葡萄糖的反应似乎在对精氨酸的反应之前恢复正常,(c)基础高胰高血糖素血症在移植后第3天就恢复正常,即其恢复早于胰岛素对精氨酸或葡萄糖的反应。