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肝脏对进食的调控:葡萄糖、果糖和甘露醇输注的影响。

Hepatic control of feeding: effect of glucose, fructose, and mannitol infusion.

作者信息

Tordoff M G, Friedman M I

机构信息

Monell Chemical Senses Center, Philadelphia, Pennsylvania 19104.

出版信息

Am J Physiol. 1988 Jun;254(6 Pt 2):R969-76. doi: 10.1152/ajpregu.1988.254.6.R969.

Abstract

Plasma fuels, pancreatic hormones, liver glycogen, and food and water intake were measured immediately before or during the nocturnal feeding period of rats given hepatic portal or jugular infusions of glucose, fructose, and mannitol (0.3 M x 10 ml/2 h). Compared with mock and saline control infusions, hepatic portal glucose, fructose, and mannitol reliably and equally decreased food intake. Jugular fructose and mannitol also decreased food intake when infused before rats ate but not while they ate. Jugular glucose infusion did not affect food intake. Hepatic portal glucose did not reliably elevate systemic plasma glucose or insulin but increased hepatic glycogen content, indicating that most infused glucose was taken up by the liver. In contrast, jugular glucose increased systemic plasma glucose and insulin but did not affect hepatic glycogen. Hepatic portal fructose decreased plasma ketones and increased triglycerides and liver glycogen. Jugular fructose also decreased ketone levels and tended to increase liver glycogen. Mannitol by either route decreased plasma glucose and increased plasma free fatty acids. These results indicate that hepatic portal infusions that produce changes in plasma fuel concentrations within the physiological range decrease food intake. They strongly suggest this is accomplished by a direct action of the infusates on the metabolism of the liver.

摘要

在给大鼠进行肝门静脉或颈静脉输注葡萄糖、果糖和甘露醇(0.3M×10ml/2h)的夜间喂食期之前或期间,立即测量血浆燃料、胰腺激素、肝糖原以及食物和水的摄入量。与假手术和生理盐水对照输注相比,肝门静脉输注葡萄糖、果糖和甘露醇可靠且同等程度地减少了食物摄入量。在大鼠进食前输注颈静脉果糖和甘露醇也会减少食物摄入量,但在进食时输注则不会。颈静脉输注葡萄糖不影响食物摄入量。肝门静脉输注葡萄糖不能可靠地升高全身血浆葡萄糖或胰岛素水平,但会增加肝糖原含量,这表明大部分输注的葡萄糖被肝脏摄取。相比之下,颈静脉输注葡萄糖会增加全身血浆葡萄糖和胰岛素水平,但不影响肝糖原。肝门静脉输注果糖会降低血浆酮体水平,增加甘油三酯和肝糖原。颈静脉输注果糖也会降低酮体水平,并倾向于增加肝糖原。通过任何一种途径输注甘露醇都会降低血浆葡萄糖水平并增加血浆游离脂肪酸。这些结果表明,在生理范围内引起血浆燃料浓度变化的肝门静脉输注会减少食物摄入量。它们强烈表明,这是通过输注液对肝脏代谢的直接作用来实现的。

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