Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen , Denmark.
Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen , Denmark.
Am J Physiol Endocrinol Metab. 2019 Apr 1;316(4):E660-E673. doi: 10.1152/ajpendo.00410.2018. Epub 2019 Feb 26.
Glucagon and insulin are important regulators of blood glucose. The importance of insulin receptor signaling for alpha-cell secretion and of glucagon receptor signaling for beta-cell secretion is widely discussed and of clinical interest. Amino acids are powerful secretagogues for both hormones, and glucagon controls amino acid metabolism through ureagenesis. The role of insulin in amino acid metabolism is less clear. Female C57BL/6JRj mice received an insulin receptor antagonist (IRA) (S961; 30 nmol/kg), a glucagon receptor antagonist (GRA) (25-2648; 100 mg/kg), or both GRA and IRA (GRA + IRA) 3 h before intravenous administration of similar volumes of saline, glucose (0.5 g/kg), or amino acids (1 µmol/g) while anesthetized with isoflurane. IRA caused basal hyperglycemia, hyperinsulinemia, and hyperglucagonemia Unexpectedly, IRA lowered basal plasma concentrations of amino acids, whereas GRA increased amino acids, lowered glycemia, and increased glucagon but did not influence insulin concentrations. After administration of GRA + IRA, insulin secretion was significantly reduced compared with IRA administration alone. Blood glucose responses to a glucose and amino acid challenge were similar after vehicle and GRA + IRA administration but greater after IRA and lower after GRA. Anesthesia may have influenced the results, which otherwise strongly suggest that both hormones are essential for the maintenance of glucose homeostasis and that the secretion of both is regulated by powerful negative feedback mechanisms. In addition, insulin limits glucagon secretion, while endogenous glucagon stimulates insulin secretion, revealed during lack of insulin autocrine feedback. Finally, glucagon receptor signaling seems to be of greater importance for amino acid metabolism than insulin receptor signaling.
胰高血糖素和胰岛素是血糖的重要调节剂。胰岛素受体信号对α细胞分泌的重要性和胰高血糖素受体信号对β细胞分泌的重要性已被广泛讨论,并具有临床意义。氨基酸是这两种激素强有力的分泌激动剂,而胰高血糖素通过尿素生成控制氨基酸代谢。胰岛素在氨基酸代谢中的作用则不太明确。雌性 C57BL/6JRj 小鼠在异氟烷麻醉下,于静脉注射等体积生理盐水、葡萄糖(0.5 g/kg)或氨基酸(1 µmol/g)前 3 h 接受胰岛素受体拮抗剂(IRA)(S961;30 nmol/kg)、胰高血糖素受体拮抗剂(GRA)(25-2648;100 mg/kg)或 GRA 和 IRA(GRA + IRA)。IRA 导致基础高血糖、高胰岛素血症和高胰高血糖素血症,但出乎意料的是,IRA 降低了基础血浆氨基酸浓度,而 GRA 增加了氨基酸,降低了血糖,增加了胰高血糖素,但并未影响胰岛素浓度。与 IRA 单独给药相比,GRA + IRA 给药后胰岛素分泌明显减少。给予载体和 GRA + IRA 后,血糖和氨基酸刺激的血糖反应相似,但 IRA 后血糖升高,GRA 后血糖降低。麻醉可能影响了结果,这强烈表明两种激素对于维持血糖稳态都是必不可少的,并且两种激素的分泌都受到强大的负反馈机制的调节。此外,胰岛素限制胰高血糖素的分泌,而内源性胰高血糖素刺激胰岛素的分泌,这在缺乏胰岛素自分泌反馈时显现出来。最后,胰高血糖素受体信号对氨基酸代谢的重要性似乎大于胰岛素受体信号。