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肾上腺素输注和肾上腺素能阻滞对清醒犬葡萄糖氧化的影响。

Effect of epinephrine infusion and adrenergic blockade on glucose oxidation in conscious dogs.

作者信息

Wolfe R R, Shaw J H

出版信息

Metabolism. 1986 Jul;35(7):673-8. doi: 10.1016/0026-0495(86)90177-0.

DOI:10.1016/0026-0495(86)90177-0
PMID:3523120
Abstract

The effect of combined alpha- and beta-adrenergic blockade, and the effect of epinephrine infusion, on the rate of glucose oxidation has been tested in conscious dogs. The dogs were prepared seven to ten days before the experiment with chronic catheters and tracheostomy. Glucose oxidation was measured by means of the primed-constant infusion of U-14C-glucose and indirect calorimetry. Six experimental groups were tested. In all groups, insulin and glucagon concentrations were held constant throughout by the inhibition of their secretion with somatostatin and intraportal replacement at basal rates. All experiments consisted of two two-hour periods. In half of the experiments, combined alpha- and beta-adrenergic blockade was administered in the second period, and in the other experiments, epinephrine was infused in the second period. The adrenergic blockade or epinephrine infusion (E) was performed in three different groups. In one, free fatty acid (FFA) levels were allowed to change spontaneously in response to blockade or E; in a second group, liposyn and heparin were infused throughout periods 1 and 2 in order to maintain FFA levels at high, constant levels; and in a third group, FFA levels were maintained at a constant low level in periods 1 and 2 by means of an infusion of nicotinic acid. In all cases tested, epinephrine infusion caused an increase in the rate of glucose oxidation. Adrenergic blockade also caused an increase in glucose oxidation when FFA levels were allowed to spontaneously fall; but when FFA levels were held constant (either high or low), there was no effect on glucose oxidation.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在清醒犬中测试了联合α和β肾上腺素能阻滞剂以及肾上腺素输注对葡萄糖氧化速率的影响。在实验前七至十天,为犬制备慢性导管和气管造口术。通过对U-14C-葡萄糖进行初量-恒速输注和间接量热法来测量葡萄糖氧化。测试了六个实验组。在所有组中,通过生长抑素抑制胰岛素和胰高血糖素的分泌并以基础速率进行门静脉内替代,使胰岛素和胰高血糖素浓度在整个实验过程中保持恒定。所有实验均由两个两小时的时间段组成。在一半的实验中,在第二个时间段给予联合α和β肾上腺素能阻滞剂,在其他实验中,在第二个时间段输注肾上腺素。肾上腺素能阻滞剂或肾上腺素输注(E)在三个不同的组中进行。在一组中,游离脂肪酸(FFA)水平可根据阻滞剂或E的作用自发变化;在第二组中,在第1和第2阶段全程输注脂肪乳剂和肝素,以将FFA水平维持在高且恒定的水平;在第三组中,在第1和第2阶段通过输注烟酸将FFA水平维持在恒定的低水平。在所有测试的情况下,输注肾上腺素均导致葡萄糖氧化速率增加。当FFA水平自发下降时,肾上腺素能阻滞剂也会导致葡萄糖氧化增加;但当FFA水平保持恒定(高或低)时,对葡萄糖氧化没有影响。(摘要截选至250词)

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