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体内肝糖原分解和糖异生对胰高血糖素的剂量反应相似。

Similar dose responsiveness of hepatic glycogenolysis and gluconeogenesis to glucagon in vivo.

作者信息

Stevenson R W, Steiner K E, Davis M A, Hendrick G K, Williams P E, Lacy W W, Brown L, Donahue P, Lacy D B, Cherrington A D

出版信息

Diabetes. 1987 Mar;36(3):382-9. doi: 10.2337/diab.36.3.382.

Abstract

This study was undertaken to determine whether the dose-dependent effect of glucagon on gluconeogenesis parallels its effect on hepatic glycogenolysis in conscious overnight-fasted dogs. Endogenous insulin and glucagon secretion were inhibited by somatostatin (0.8 micrograms X kg-1 X min-1), and intraportal replacement infusions of insulin (213 +/- 28 microU X kg-1 X min-1) and glucagon (0.65 ng X kg-1 X min-1) were given to maintain basal hormone concentrations for 2 h (12 +/- 2 microU/ml and 108 +/- 23 pg/ml, respectively). The glucagon infusion was then increased 2-, 4-, 8-, or 12-fold for 3 h, whereas the rate of insulin infusion was left unchanged. Glucose production (GP) was determined with 3-[3H]glucose, and gluconeogenesis (GNG) was assessed with tracer (U-[14C]alanine conversion to [14C]glucose) and arteriovenous difference (hepatic fractional extraction of alanine, FEA) techniques. Increases in plasma glucagon of 53 +/- 8, 199 +/- 48, 402 +/- 28, and 697 +/- 149 pg/ml resulted in initial (15-30 min) increases in GP of 1.1 +/- 0.4 (N = 4), 4.9 +/- 0.5 (N = 4), 6.5 +/- 0.6 (N = 6), and 7.7 +/- 1.4 (N = 4) mg X kg-1 X min-1, respectively; increases in GNG (approximately 3 h) of 48 +/- 19, 151 +/- 50, 161 +/- 25, and 157 +/- 7%, respectively; and increases in FEA (3 h) of 0.14 +/- 0.07, 0.37 +/- 0.05, 0.42 +/- 0.04, and 0.40 +/- 0.17, respectively. In conclusion, GNG and glycogenolysis were similarly sensitive to stimulation by glucagon in vivo, and the dose-response curves were markedly parallel.

摘要

本研究旨在确定在清醒过夜禁食的犬中,胰高血糖素对糖异生的剂量依赖性效应是否与其对肝糖原分解的效应相似。用生长抑素(0.8微克·千克⁻¹·分钟⁻¹)抑制内源性胰岛素和胰高血糖素分泌,并经门静脉给予胰岛素(213±28微单位·千克⁻¹·分钟⁻¹)和胰高血糖素(0.65纳克·千克⁻¹·分钟⁻¹)替代输注,以维持基础激素浓度2小时(分别为12±2微单位/毫升和108±23皮克/毫升)。然后将胰高血糖素输注量增加2倍、4倍、8倍或12倍,持续3小时,而胰岛素输注速率保持不变。用3-[³H]葡萄糖测定葡萄糖生成(GP),并用示踪剂(U-[¹⁴C]丙氨酸转化为[¹⁴C]葡萄糖)和动静脉差值(肝脏丙氨酸分数提取率,FEA)技术评估糖异生(GNG)。血浆胰高血糖素分别增加至53±8、199±48、402±28和697±149皮克/毫升,导致最初(15 - 30分钟)GP分别增加1.1±0.4(N = 4)、4.9±0.5(N = 4)、6.5±0.6(N = 6)和7.7±1.4(N = 4)毫克·千克⁻¹·分钟⁻¹;GNG(约3小时)分别增加48±19%、151±50%、161±25%和157±7%;FEA(3小时)分别增加0.14±0.07、0.37±0.05、0.42±0.04和0.40±0.17。总之,在体内GNG和糖原分解对胰高血糖素刺激的敏感性相似,且剂量 - 反应曲线明显平行。

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