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急性注入糖精对正常大鼠体内的肾脏葡萄糖处理没有影响。

Acute saccharin infusion has no effect on renal glucose handling in normal rats in vivo.

作者信息

Jacquillet Grégory, Debnam Edward S, Unwin Robert J, Marks Joanne

机构信息

Department of Neuroscience, Physiology & Pharmacology, University College London, London, United Kingdom.

Centre for Nephrology, University College London, London, United Kingdom.

出版信息

Physiol Rep. 2018 Jul;6(14):e13804. doi: 10.14814/phy2.13804.

Abstract

Artificial sweeteners are extensively used by the food industry to replace sugar in food and beverages and are widely considered to be a healthy alternative. However, recent data suggest that artificial sweeteners may impact intestinal glucose absorption and that they might lead to glucose intolerance. Moreover, chronic consumption of artificial sweeteners has also been linked to detrimental changes in renal function. Using an in vivo approach, our study aimed to determine if short-term infusion of the artificial sweetener saccharin can alter renal function and renal glucose absorption. We show that saccharin infusion does not induce any major change in GFR or urine flow rate at either the whole kidney or single nephron level, suggesting that any reported change in renal function with artificial sweeteners must depend on chronic consumption. As expected for a nondiabetic animal, glucose excretion was low; however, saccharin infusion caused a small, but significant, decrease in fractional glucose excretion. In contrast to the whole kidney data, our micropuncture results did not show any significant difference in fractional glucose reabsorption in either the proximal or distal tubules, indicating that saccharin does not influence renal glucose handling in vivo under euglycemic conditions. In keeping with this finding, protein levels of the renal glucose transporters SGLT1 and SGLT2 were also unchanged. In addition, saccharin infusion in rats undergoing a glucose tolerance test failed to induce a robust change in renal glucose excretion or renal glucose transporter expression. In conclusion, our results demonstrate that saccharin does not induce acute physiologically relevant changes in renal function or renal glucose handling.

摘要

人工甜味剂被食品工业广泛用于替代食品和饮料中的糖,并且被广泛认为是一种健康的替代品。然而,最近的数据表明,人工甜味剂可能会影响肠道葡萄糖吸收,并且可能导致葡萄糖不耐受。此外,长期食用人工甜味剂还与肾功能的有害变化有关。我们的研究采用体内研究方法,旨在确定短期输注人工甜味剂糖精是否会改变肾功能和肾脏葡萄糖吸收。我们发现,无论是在全肾还是单肾单位水平,输注糖精都不会引起肾小球滤过率(GFR)或尿流率的任何重大变化,这表明任何关于人工甜味剂导致肾功能变化的报道肯定都取决于长期食用。正如非糖尿病动物所预期的那样,葡萄糖排泄量很低;然而,输注糖精导致葡萄糖排泄分数略有但显著下降。与全肾数据相反,我们的微穿刺结果显示,近端或远端小管中的葡萄糖重吸收分数没有任何显著差异,这表明在正常血糖条件下,糖精不会在体内影响肾脏对葡萄糖的处理。与此发现一致,肾脏葡萄糖转运蛋白SGLT1和SGLT2的蛋白质水平也没有变化。此外,在进行葡萄糖耐量试验的大鼠中输注糖精未能引起肾脏葡萄糖排泄或肾脏葡萄糖转运蛋白表达的强烈变化。总之,我们的结果表明,糖精不会引起肾功能或肾脏葡萄糖处理的急性生理相关变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e0/6046642/c1d30e9b01cb/PHY2-6-e13804-g001.jpg

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