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胰腺生长抑素是高血糖抑制胰高血糖素的一种介质。

Pancreatic somatostatin is a mediator of glucagon inhibition by hyperglycemia.

作者信息

Klaff L J, Taborsky G J

出版信息

Diabetes. 1987 May;36(5):592-6. doi: 10.2337/diab.36.5.592.

Abstract

We have previously shown that a nonimmunoreactive analogue of somatostatin, (D-Ala5, D-Trp8)-somatostatin, differentially inhibits pancreatic somatostatin secretion without inhibiting insulin or glucagon secretion. During normoglycemia, suppression of pancreatic somatostatin with this analogue increases glucagon and insulin secretion, suggesting that pancreatic somatostatin tonically inhibits glucagon and insulin secretion by a paracrine mechanism. In our study, we used this analogue to determine whether endogenous pancreatic somatostatin has a role in the inhibition of glucagon secretion by hyperglycemia. The experiments were performed in pentobarbital-anesthetized, laparotomized dogs. To measure the pancreatic output of somatostatin directly, pancreatic venous blood was sampled from the right lobe of the dog pancreas, and the pancreatic blood flow was measured. In the first set of experiments, glucagon secretion was suppressed by a glucose infusion (200 mg/kg bolus and 20 mg X kg-1 X min-1 i.v.) for 3 h. Plasma glucose rose from 102 +/- 6 to 365 +/- 34 mg/dl. Pancreatic insulin output increased 10-fold, pancreatic somatostatin output increased from 1.2 +/- 0.3 to 3.0 +/- 0.8 ng/min, and pancreatic glucagon output was suppressed from 1.4 +/- 0.7 to 0.5 +/- 0.1 ng/min. After 2 h of glucose infusion, an infusion of the analogue (5.5 micrograms/min i.v.) reversed both the stimulation of somatostatin and the suppression of glucagon without significantly changing either the plasma glucose level or the pancreatic insulin output. In a second set of experiments, basal somatostatin output was suppressed by the analogue (5.5 micrograms/min i.v.) for 15 min before the administration of glucose.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们之前已经表明,生长抑素的一种非免疫反应性类似物,(D-丙氨酸5,D-色氨酸8)-生长抑素,能差异性地抑制胰腺生长抑素分泌,而不抑制胰岛素或胰高血糖素分泌。在正常血糖期间,用这种类似物抑制胰腺生长抑素会增加胰高血糖素和胰岛素分泌,这表明胰腺生长抑素通过旁分泌机制持续抑制胰高血糖素和胰岛素分泌。在我们的研究中,我们使用这种类似物来确定内源性胰腺生长抑素在高血糖抑制胰高血糖素分泌中是否起作用。实验在戊巴比妥麻醉、剖腹的狗身上进行。为了直接测量胰腺生长抑素的输出,从狗胰腺右叶采集胰腺静脉血,并测量胰腺血流量。在第一组实验中,通过静脉输注葡萄糖(200毫克/千克推注,随后以20毫克·千克-1·分钟-1静脉输注)3小时来抑制胰高血糖素分泌。血浆葡萄糖从102±6毫克/分升升至365±34毫克/分升。胰腺胰岛素输出增加了10倍,胰腺生长抑素输出从1.2±0.3纳克/分钟增加到3.0±0.8纳克/分钟,胰腺胰高血糖素输出从1.4±0.7纳克/分钟被抑制到0.5±0.1纳克/分钟。葡萄糖输注2小时后,输注类似物(5.5微克/分钟静脉输注)逆转了生长抑素的刺激和胰高血糖素的抑制,而血浆葡萄糖水平和胰腺胰岛素输出均无明显变化。在第二组实验中,在给予葡萄糖前15分钟,用类似物(5.5微克/分钟静脉输注)抑制基础生长抑素输出。(摘要截短于250字)

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