Strubbe J H, Prins A J
Physiol Behav. 1986;37(3):441-5. doi: 10.1016/0031-9384(86)90203-9.
The present study was undertaken to investigate the effects of short-term fasting periods up to 24 hr on insulin secretory responses of the B-cell to glucose and the consequences for FFA and glucose availability in the circulation. Conscious male rats provided with permanently implanted heart catheters received glucose infusions at midday, lasting for 20 min, in the nearly ad lib condition (i.e., 6 hr of non feeding during daytime) and after extending the fasting period to 12, 18 and 24 hr. Basal preinfusion insulin levels and insulin responses to glucose decreased gradually during these fasting periods. Basal blood glucose dropped only significantly after 24 hr of fasting whereas basal FFA levels increased gradually from 6 hr of fasting onwards. After prolonged fasting insulin released during glucose infusion became more effective in suppressing plasma FFA levels. While our data suggest that the sensitivity to the antilipolytic action of insulin is increased, the decreased responsiveness of the B-cell after moderate fasting periods may result in a drop of basal insulin levels. This facilitates the switch from glucose to FFA metabolism for most tissues already, when the first meals are missed. The results suggest that this physiological process is important to save the glycogen stores as long as possible as fuel for the central nervous system, and also to support basic energy requiring processes adequately.
本研究旨在探讨长达24小时的短期禁食对B细胞胰岛素分泌反应以及循环中游离脂肪酸(FFA)和葡萄糖可用性的影响。给永久性植入心脏导管的雄性清醒大鼠在中午进行葡萄糖输注,持续20分钟,分别处于近自由进食状态(即白天6小时不进食)以及禁食时间延长至12、18和24小时后。在这些禁食期间,基础输注前胰岛素水平和胰岛素对葡萄糖的反应逐渐降低。基础血糖仅在禁食24小时后显著下降,而基础FFA水平从禁食6小时起逐渐升高。长时间禁食后,葡萄糖输注期间释放的胰岛素在抑制血浆FFA水平方面变得更有效。虽然我们的数据表明对胰岛素抗脂解作用的敏感性增加,但适度禁食后B细胞反应性降低可能导致基础胰岛素水平下降。当错过第一餐时,这已经有利于大多数组织从葡萄糖代谢转向FFA代谢。结果表明,这一生理过程对于尽可能长时间保存糖原储备作为中枢神经系统的燃料,以及充分支持基本能量需求过程非常重要。