Shobu R, Sudo T, Kuyama T
Nihon Geka Gakkai Zasshi. 1986 Jan;87(1):61-6.
Humoral factors in the portal blood have often been suggested to play an important role in hepatic regeneration after hepatectomy. However, the correlation among insulin, glucagon and somatostatin, and islet cells of Langerhans has not been studied. Forty percent hepatectomy was carried out in dogs and intravenous glucose administration (0.5 g/kg) was the function of the pancreas to release one week after and one month after surgery to estimate administered intravenously before surgery, the plasma insulin, glucagon and somatostatin. In addition, islet cells of Langerhans were investigated with PAP technique. The following results were obtained. Alterations of carbohydrate metabolism developed as a result of portal plasma insulin deficiency one week after surgery, but granules in B cells were demonstrated as much as preoperatively. It was suggested that hypersomatostatinemia suppressed insulin release from B cells. Alterations of carbohydrate metabolism was restored to normal and portal plasma insulin response was increased one month after surgery. These indicate that hepatic regeneration after hepatectomy may contribute to these changes. Islets cell of Langerhans were hypertrophic and particularly, D cells were increased after surgery.
门静脉血中的体液因子常被认为在肝切除术后的肝再生中起重要作用。然而,胰岛素、胰高血糖素和生长抑素与胰岛细胞之间的相关性尚未得到研究。对犬进行40%肝切除术,术前静脉注射葡萄糖(0.5g/kg),术后1周和1个月静脉注射葡萄糖,以评估胰腺释放血浆胰岛素、胰高血糖素和生长抑素的功能。此外,采用PAP技术研究胰岛细胞。获得了以下结果。术后1周因门静脉血浆胰岛素缺乏导致碳水化合物代谢改变,但B细胞中的颗粒与术前一样多。提示高生长抑素血症抑制了B细胞释放胰岛素。术后1个月碳水化合物代谢恢复正常,门静脉血浆胰岛素反应增强。这些表明肝切除术后的肝再生可能促成了这些变化。胰岛细胞肥大,尤其是术后D细胞增多。