Diabetes Branch, National Institute of Arthritis, Metabolism and Digestive Diseases, and Laboratory of Clinical Science, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA.
Hôpital Saint-Luc Section of Endocrinology Department of Medicine, University of Montreal, 1058, Saint-Denis, H2X 3J4, Montreal, Quebec, Canada.
Diabetologia. 1981 Mar;20(Suppl 1):268-273. doi: 10.1007/BF00254492.
While insulin effects on the central nervous system (CNS) mediated through hypoglycaemia are well known, direct insulin effects on the CNS remain controversial. Recently, we found insulin receptors in all areas of the rat brain, with highest concentrations in the olfactory bulb, cerebral cortex and hypothalamus; all areas involved in feeding. Insulin receptors in brain were, by multiple criteria, similar to insulin receptors on classical target tissues for insulin, such as liver and fat. Insulin itself has been identified in the rat brain at concentrations on average ten times higher than in plasma. Highest concentrations were found in the olfactory bulb and hypothalamus. Brain insulin was indistinguishable from purified insulin by its behaviour in the radioimmunoassay, radioreceptor assay, bioassay and gel chromatography. In two experimental models representing extremes of plasma insulin concentrations (obese hyperinsulinaemic mice and diabetic insulinopenic rats) there were no significant changes in the concentration of insulin receptors in brain while liver receptors were modified in the expected way. This may reflect the protective influence of the blood-brain barrier or some special quality of brain insulin receptors. Insulin concentrations in brain were also unchanged in both models, which is probably indicative of the local synthesis of insulin. The role of insulin in the CNS is unknown. Besides well known metabolic actions of insulin, new roles can be postulated such as neurotransmission, neuromodulation and paracrine signalling.
虽然胰岛素对中枢神经系统(CNS)的作用是通过低血糖介导的,但直接的胰岛素对 CNS 的作用仍存在争议。最近,我们发现大鼠大脑的所有区域都存在胰岛素受体,其中嗅球、大脑皮层和下丘脑的浓度最高;所有这些区域都与进食有关。脑内胰岛素受体在多个标准上与胰岛素在肝脏和脂肪等经典胰岛素靶组织中的受体相似。胰岛素本身在大鼠脑中的浓度比血浆中的浓度平均高 10 倍。嗅球和下丘脑的浓度最高。脑胰岛素在放射免疫测定、放射受体测定、生物测定和凝胶层析中的行为与纯化的胰岛素无法区分。在代表血浆胰岛素浓度极值的两个实验模型中(肥胖高胰岛素血症小鼠和糖尿病胰岛素缺乏型大鼠),脑内胰岛素受体的浓度没有明显变化,而肝脏受体则以预期的方式发生改变。这可能反映了血脑屏障的保护作用或脑胰岛素受体的某些特殊性质。在这两种模型中,脑内胰岛素的浓度也没有变化,这可能表明胰岛素是在局部合成的。胰岛素在中枢神经系统中的作用尚不清楚。除了胰岛素众所周知的代谢作用外,还可以推测出其具有神经传递、神经调节和旁分泌信号传递等新作用。