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分解代谢激素输注对器官氨基酸摄取的影响。

Effect of catabolic hormone infusion on organ amino acid uptake.

作者信息

Warner B W, James J H, Hasselgren P O, LaFrance R, Fischer J E

出版信息

J Surg Res. 1987 Apr;42(4):418-24. doi: 10.1016/0022-4804(87)90177-6.

Abstract

Elevated plasma levels of the so-called catabolic hormones (glucocorticoid, epinephrine, glucagon) have been observed in severely injured patients, and infusion of these hormones to normal subjects has reportedly simulated several metabolic aberrations characteristic of severe trauma and sepsis. We recently reported that amino acid uptake was reduced in soleus muscle, heart, and diaphragm, and increased in the liver, of septic rats. The purpose of the present study was to investigate organ amino acid uptake in nonseptic rats infused with catabolic hormones. Central venous catheters were placed in male Sprague-Dawley rats (100-150 g) and after 24 hr hormones (glucagon 5 micrograms/kg/hr, epinephrine 6 micrograms/kg/hr, corticosterone 4.2 mg/kg/hr) or vehicle (saline, ascorbic acid 1 mg/ml, albumin 3 mg/ml) was infused for 72 hr. Animals were housed in metabolic cages and allowed food and water ad lib. One hour prior to sacrifice, alpha-[3H]aminoisobutyric acid (AIB) (2.5 microCi), a nonmetabolized amino acid analog mainly transported by system-A, was injected intravenously. Animals were killed and organs were removed, weighed, and dissolved in tissue solubilizer for measurement of radioactivity. AIB uptake was significantly elevated in all organs of catabolic hormone-infused animals studied. The results suggest that catabolic hormones may be involved in the pathogenesis of increased amino acid uptake in the liver during sepsis. Inhibited amino acid uptake in skeletal muscle during sepsis, however, is probably not primarily mediated by catabolic hormones.

摘要

在严重受伤的患者中观察到所谓的分解代谢激素(糖皮质激素、肾上腺素、胰高血糖素)的血浆水平升高,据报道,将这些激素输注到正常受试者体内会模拟出严重创伤和脓毒症的几种代谢异常。我们最近报道,脓毒症大鼠的比目鱼肌、心脏和膈肌中的氨基酸摄取减少,而肝脏中的氨基酸摄取增加。本研究的目的是调查输注分解代谢激素的非脓毒症大鼠的器官氨基酸摄取情况。将中心静脉导管插入雄性Sprague-Dawley大鼠(100-150克)体内,24小时后输注激素(胰高血糖素5微克/千克/小时、肾上腺素6微克/千克/小时、皮质酮4.2毫克/千克/小时)或载体(生理盐水、1毫克/毫升抗坏血酸、3毫克/毫升白蛋白)72小时。将动物饲养在代谢笼中,允许其自由进食和饮水。在处死前1小时,静脉注射α-[3H]氨基异丁酸(AIB)(2.5微居里),这是一种主要由A系统转运的非代谢氨基酸类似物。处死动物后,取出器官,称重,并溶解在组织溶解剂中以测量放射性。在研究的输注分解代谢激素的动物的所有器官中,AIB摄取均显著升高。结果表明,分解代谢激素可能参与脓毒症期间肝脏中氨基酸摄取增加的发病机制。然而,脓毒症期间骨骼肌中氨基酸摄取的抑制可能不是主要由分解代谢激素介导的。

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