Kimura R E, LaPine T R, Johnston J, Ilich J Z
Department of Pediatrics, University of Utah School of Medicine, Salt Lake City 84132.
Pediatr Res. 1988 Feb;23(2):241-4. doi: 10.1203/00006450-198802000-00022.
Using a chronically catheterized rat model, the effect of fasting on portal venous, aortic, and venous blood concentration minus aortic blood concentration ([PV-A]) blood glucose, lactate, alanine, and glutamine concentrations was determined. It has been postulated that the intestine is a source of lactate and alanine, precursors for glycogen synthesis, in the fed state. After 48 h of fasting portal venous glucose, lactate, and alanine blood concentrations decreased by 31, 28, and 41%, respectively. Portal venous glutamine concentration was not affected by fasting. A glucose [PV-A] was not found in either fed or fasted states. Whereas the lactate [PV-A] was not present in fed rats, it was negative in fasted rats. Alanine [PV-A] was positive in fed and fasted rats. The glutamine [PV-A] was negative in fed and fasted rats. These data indicate that portal venous concentrations of the gluconeogenic precursors, lactate and alanine, decrease in fasted rats. In fasted rats intestinal utilization of lactate increases as reflected by a negative [PV-A]. Fasting did not affect alanine production by the intestine or glutamine utilization. Despite these changes with fasting, we conclude that the intestine does not appear to be able to maintain portal venous blood concentrations of gluconeogenic precursors.
利用长期插管的大鼠模型,测定了禁食对门静脉、主动脉以及静脉血浓度减去主动脉血浓度([PV-A])的血糖、乳酸、丙氨酸和谷氨酰胺浓度的影响。据推测,在进食状态下,肠道是糖原合成前体乳酸和丙氨酸的来源。禁食48小时后,门静脉葡萄糖、乳酸和丙氨酸血浓度分别下降了31%、28%和41%。门静脉谷氨酰胺浓度不受禁食影响。在进食或禁食状态下均未发现葡萄糖[PV-A]。虽然进食大鼠不存在乳酸[PV-A],但禁食大鼠的乳酸[PV-A]为负值。进食和禁食大鼠的丙氨酸[PV-A]均为正值。进食和禁食大鼠的谷氨酰胺[PV-A]均均为负值。这些数据表明,禁食大鼠中糖异生前体乳酸和丙氨酸的门静脉浓度降低。禁食大鼠中,[PV-A]为负值反映出肠道对乳酸的利用增加。禁食不影响肠道丙氨酸的产生或谷氨酰胺的利用。尽管禁食会带来这些变化,但我们得出结论,肠道似乎无法维持门静脉血中糖异生前体的浓度。