Thurston J H, Hauhart R E
Washington University School of Medicine, Edward Mallinckrodt Department of Pediatrics, St. Louis Children's Hospital, Missouri 63110.
Metab Brain Dis. 1989 Sep;4(3):177-86. doi: 10.1007/BF01000294.
The hypothesis that the anxiety induced by repeated injections affects brain energy metabolism was tested. Normal 19- to 21-day-old mice were stressed by two sham intraperitoneal injections within 4 min, at which time they were decapitated. Noninjected, control littermates were quickly decapitated. Momentary stress increased plasma glucose (12%), glycerol (85%), beta-hydroxybutyrate (108%), and lactate (153%)--a reflection of elevated plasma cortisol (25%) and glucagon (45%). In brain, stress increased levels of glucose-6-P (15%) and fructose-6-P (17%). The brain pyruvate concentration increased 74%; lactate 76%. Citrate, alpha-ketoglutarate, and malate increased 15, 95, and 37%, respectively. Levels of glycogen, glucose, phosphocreatine, ATP, ADP, and AMP were unchanged. The brain lactate/pyruvate ratio was normal but the brain/plasma lactate ratio fell 32%. Metabolite changes in the stressed animals were compatible with a decrease in the glycolytic flux at the phosphofructokinase step and a paradoxical increased flux in the Krebs citric acid cycle. The decreased brain/plasma lactate ratio supported increased uptake of lactate from plasma and increased brain lactate oxidation. Metabolite changes similar to those described above occurred in unstressed mice injected with lactate. Findings confirm a positive effect of stress on brain metabolism, support a role for lactate as an oxidative fuel for brain, and caution that the rate of cerebral glucose utilization may not always reflect brain energy (oxidative) metabolism accurately.
对重复注射所诱发的焦虑会影响脑能量代谢这一假说进行了检验。选用19至21日龄的正常小鼠,在4分钟内对其进行两次假腹腔注射使其产生应激,随后将其断头。未注射的同窝对照小鼠则迅速断头。瞬间应激使血浆葡萄糖(升高12%)、甘油(升高85%)、β-羟丁酸(升高108%)和乳酸(升高153%)增加,这反映出血浆皮质醇(升高25%)和胰高血糖素(升高45%)水平升高。在脑内,应激使葡萄糖-6-磷酸(升高15%)和果糖-6-磷酸(升高17%)水平升高。脑丙酮酸浓度升高74%;乳酸升高76%。柠檬酸、α-酮戊二酸和苹果酸分别升高15%、95%和37%。糖原、葡萄糖、磷酸肌酸、ATP、ADP和AMP的水平未发生变化。脑乳酸/丙酮酸比值正常,但脑/血浆乳酸比值下降32%。应激动物体内代谢物的变化与磷酸果糖激酶步骤处糖酵解通量降低以及三羧酸循环中通量反常增加相一致。脑/血浆乳酸比值降低支持了从血浆中摄取乳酸增加以及脑乳酸氧化增加。在未应激但注射了乳酸的小鼠中也出现了与上述类似的代谢物变化。这些发现证实了应激对脑代谢具有积极作用,支持了乳酸作为脑氧化燃料的作用,并提醒脑葡萄糖利用速率可能并不总是能准确反映脑能量(氧化)代谢。