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生长抑素的输注可降低人体对胰岛素诱导的低血糖的精氨酸加压素反应。

The infusion of somatostatin reduces the arginine-vasopressin response to insulin-induced hypoglycemia in man.

作者信息

Chiodera P, Gnudi A, Bianconi L, Camellini L, Rossi G, Muzzetto P, Fagnoni F, Schianchi L, Volpi R, Coiro V

机构信息

Cattedra di Endocrinologia e Patologia Costituzionale, Università di Parma, Italy.

出版信息

J Endocrinol Invest. 1989 May;12(5):349-53. doi: 10.1007/BF03350005.

Abstract

The effect of an iv infusion of somatostatin (SRIH) (4.1 micrograms/min x 90 min) on the basal secretion of arginine-vasopressin (AVP) and on the AVP response to insulin (0.15 IU/Kg) - induced hypoglycemia was studied in 6 normal men. Basal AVP secretion was not modified by SRIH administration. The blood glucose decrements induced by insulin were similar in the control insulin-tolerance test (ITT) and in the ITT + SRIH test, whereas the AVP response to hypoglycemia was significantly lower in the presence of SRIH. The mean peak AVP increase was three times higher than the basal value in the control ITT, but only two times during SRIH administration. Infusion of higher doses of SRIH (7 micrograms/min x 90 min) produced similar results. These data suggest the involvement of a somatostatinergic mechanism in regulation of AVP response to hypoglycemia.

摘要

在6名正常男性中研究了静脉输注生长抑素(SRIH)(4.1微克/分钟×90分钟)对精氨酸加压素(AVP)基础分泌以及对胰岛素(0.15 IU/Kg)诱导的低血糖时AVP反应的影响。给予SRIH后基础AVP分泌未改变。在对照胰岛素耐量试验(ITT)和ITT + SRIH试验中,胰岛素诱导的血糖下降相似,而在有SRIH存在时,对低血糖的AVP反应显著降低。在对照ITT中,AVP升高的平均峰值比基础值高3倍,但在给予SRIH期间仅高2倍。输注更高剂量的SRIH(7微克/分钟×90分钟)产生了相似的结果。这些数据提示生长抑素能机制参与了对低血糖时AVP反应的调节。

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