Lovat Nicole E J, Legare Dallas J, Gieni Randall S, Lautt W Wayne
University of Manitoba College of Medicine, Max Rady Faculty of Health Sciences, 119 Main Street South, Winnipeg, MB R3E 3P5, Canada.
Providence Medical Group, P.O. Box 421, Liberty Lake, WA 99019-0421, USA.
Can J Physiol Pharmacol. 2020 Aug;98(8):541-547. doi: 10.1139/cjpp-2019-0575. Epub 2020 May 26.
Pregnancy requires adaptation of maternal insulin sensitivity. In the fed state, a pulse of insulin stimulates glucose uptake and nutrient energy storage via insulin-dependent as well as hepatic insulin sensitizing substance (HISS)-dependent action. HISS is released by the liver in the fed state in the presence of signals integrated through the liver and a pulse of insulin. HISS promotes glucose storage as glycogen in heart, kidney, and skeletal muscle but not in gut, liver, or adipose tissue. HISS is also responsible for the vasodilatory action previously attributed to insulin. The rapid insulin sensitivity test (RIST), a dynamic euglycemic clamp, can quantitate both HISS-dependent and insulin-dependent glucose uptake. The RIST was used to characterize postprandial insulin sensitivity in the Sprague Dawley rat and the changes in the partitioning of nutrient energy throughout gestation. Early pregnancy demonstrated increased insulin sensitivity attributable to HISS-dependent glucose uptake with unchanged insulin-dependent glucose uptake, preserved plasma insulin concentration, and reduced plasma triglyceride concentration compared to the virgin. In late pregnancy, there was reduced HISS-dependent and insulin-dependent glucose uptake accompanied by increased plasma insulin and triglyceride concentration compared to the virgin. These results suggest an important role for HISS in glucose partitioning in pregnancy.
怀孕需要母体胰岛素敏感性进行适应性调节。在进食状态下,胰岛素脉冲通过胰岛素依赖性以及肝脏胰岛素增敏物质(HISS)依赖性作用刺激葡萄糖摄取和营养能量储存。HISS在进食状态下,在通过肝脏整合的信号和胰岛素脉冲存在时由肝脏释放。HISS促进葡萄糖以糖原形式储存在心脏、肾脏和骨骼肌中,但不在肠道、肝脏或脂肪组织中储存。HISS还负责先前归因于胰岛素的血管舒张作用。快速胰岛素敏感性试验(RIST),一种动态正常血糖钳夹技术,可定量HISS依赖性和胰岛素依赖性葡萄糖摄取。RIST用于表征斯普拉格-道利大鼠的餐后胰岛素敏感性以及整个妊娠期营养能量分配的变化。与未孕大鼠相比,妊娠早期表现出胰岛素敏感性增加,这归因于HISS依赖性葡萄糖摄取增加,而胰岛素依赖性葡萄糖摄取不变,血浆胰岛素浓度保持不变,血浆甘油三酯浓度降低。在妊娠晚期,与未孕大鼠相比,HISS依赖性和胰岛素依赖性葡萄糖摄取减少,同时血浆胰岛素和甘油三酯浓度增加。这些结果表明HISS在妊娠期间葡萄糖分配中起重要作用。
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