Ando Hitoshi, Ushijima Kentaro, Shimba Shigeki, Fujimura Akio
Division of Clinical Pharmacology (H.A., K.U., A.F.), Department of Pharmacology, School of Medicine, Jichi Medical University, Shimotsuke, Tochigi 329-0498, Japan; and Department of Health Science (S.S.), School of Pharmacy, Nihon University, Funabashi, Chiba 274-8555, Japan.
Endocrinology. 2016 Feb;157(2):463-9. doi: 10.1210/en.2015-1376. Epub 2015 Dec 10.
Fasting blood glucose (FBG) and hepatic glucose production are regulated according to a circadian rhythm. An early morning increase in FBG levels, which is pronounced among diabetic patients, is known as the dawn phenomenon. Although the intracellular circadian clock generates various molecular rhythms, whether the hepatic clock is involved in FBG rhythm remains unclear. To address this issue, we investigated the effects of phase shift and disruption of the hepatic clock on the FBG rhythm. In both C57BL/6J and diabetic ob/ob mice, FBG exhibited significant daily rhythms with a peak at the beginning of the dark phase. Light-phase restricted feeding altered the phase of FBG rhythm mildly in C57BL/6J mice and greatly in ob/ob mice, in concert with the phase shifts of mRNA expression rhythms of the clock and glucose production-related genes in the liver. Moreover, the rhythmicity of FBG and Glut2 expression was not detected in liver-specific Bmal1-deficient mice. Furthermore, treatment with octreotide suppressed the plasma growth hormone concentration but did not affect the hepatic mRNA expression of the clock genes or the rise in FBG during the latter half of the resting phase in C57BL/6J mice. These results suggest that the hepatic circadian clock plays a critical role in regulating the daily FBG rhythm, including the dawn phenomenon.
空腹血糖(FBG)和肝脏葡萄糖生成受昼夜节律调节。糖尿病患者中明显出现的清晨FBG水平升高被称为黎明现象。尽管细胞内生物钟会产生各种分子节律,但肝脏生物钟是否参与FBG节律尚不清楚。为解决这一问题,我们研究了肝脏生物钟的相位偏移和破坏对FBG节律的影响。在C57BL/6J小鼠和糖尿病ob/ob小鼠中,FBG均呈现出显著的每日节律,在黑暗期开始时达到峰值。光期限制喂养在C57BL/6J小鼠中轻微改变了FBG节律的相位,在ob/ob小鼠中则显著改变,这与肝脏中生物钟和葡萄糖生成相关基因的mRNA表达节律的相位偏移一致。此外,在肝脏特异性Bmal1缺陷小鼠中未检测到FBG和Glut2表达的节律性。此外,在C57BL/6J小鼠中,用奥曲肽治疗可抑制血浆生长激素浓度,但不影响生物钟基因的肝脏mRNA表达或静息期后半段FBG的升高。这些结果表明,肝脏生物钟在调节每日FBG节律(包括黎明现象)中起关键作用。