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乳清蛋白对血糖通量和正常血糖男性代谢物谱的单剂量影响:对胰高血糖素和胰岛素生物学的深入了解。

The impact of a single dose of whey protein on glucose flux and metabolite profiles in normoglycemic males: insights into glucagon and insulin biology.

机构信息

Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Science, Deakin University, Geelong, Victoria, Australia.

School of Exercise and Nutrition Science, Deakin University, Geelong, Victoria, Australia.

出版信息

Am J Physiol Endocrinol Metab. 2023 Dec 1;325(6):E688-E699. doi: 10.1152/ajpendo.00182.2023. Epub 2023 Oct 25.

Abstract

Protein ingestion concurrently stimulates euglycemic glucagon and insulin secretion, a response that is particularly robust with rapidly absorbing proteins. Previously, we have shown that ingestion of repeated doses of rapidly absorbing whey protein equally stimulated endogenous glucose production (EGP) and glucose disposal (Rd), thus explaining the preservation of euglycemia. Here, we aimed to determine if a smaller single dose of whey could elicit a large enough glucagon and insulin response to stimulate glucose flux. Therefore, in normoglycemic young adult males ( = 10; age ∼26; BMI ∼25), using [6,6-H] glucose tracing and quantitative targeted metabolite profiling, we determined the metabolic response to a single 25 g "standard" dose of whey protein. Whey protein ingestion did not alter glycemia, but increased circulating glucagon (peak 4-fold basal), insulin (peak 6-fold basal), amino acids, and urea while also reducing free fatty acid (FFA) and glycerol concentrations. Interestingly, the postprandial insulin response was driven by both a stimulation of insulin secretion and marked reduction in hepatic insulin clearance. Whey protein ingestion resulted in a modest stimulation of EGP and Rd, both peaking at ∼20% above baseline 1 h after protein ingestion. These findings demonstrate that the ingestion of a single standard serving of whey protein can induce a euglycemic glucagon and insulin response that stimulates glucose flux. We speculate on a theory that could potentially explain how glucagon and insulin synergistically provide hardwired control of nitrogen and glucose homeostasis. Protein ingestion concurrently stimulates glucagon and insulin secretion. Here we show that in normoglycemic males, ingestion of a single "standard" 25 g serving of rapidly absorbing whey protein drives a sufficiently large glucagon and insulin response, such that it simultaneously increases endogenous glucose production and glucose disposal. We speculate on a novel theory that could potentially explain how the antagonistic/synergistic actions of glucagon and insulin simultaneously provide tight control of glucose and nitrogen homeostasis.

摘要

蛋白质摄入会同时刺激血糖正常的胰高血糖素和胰岛素分泌,这种反应在吸收迅速的蛋白质中尤为明显。此前,我们已经表明,反复摄入快速吸收的乳清蛋白同样会刺激内源性葡萄糖生成(EGP)和葡萄糖摄取(Rd),从而维持血糖正常。在这里,我们旨在确定较小剂量的乳清蛋白是否可以引起足够大的胰高血糖素和胰岛素反应来刺激葡萄糖通量。因此,在血糖正常的年轻成年男性中(n=10;年龄约为 26 岁;BMI 约为 25),我们使用[6,6-H]葡萄糖示踪和定量靶向代谢物分析,确定了单次 25 克“标准”乳清蛋白摄入的代谢反应。乳清蛋白摄入不会改变血糖,但会增加循环中的胰高血糖素(峰值是基础值的 4 倍)、胰岛素(峰值是基础值的 6 倍)、氨基酸和尿素,同时降低游离脂肪酸(FFA)和甘油三酯浓度。有趣的是,餐后胰岛素反应是由胰岛素分泌的刺激和肝胰岛素清除率的显著降低共同驱动的。乳清蛋白摄入导致 EGP 和 Rd 适度增加,这两种情况在摄入蛋白质后 1 小时内分别达到基线值的 20%左右。这些发现表明,摄入一份标准的乳清蛋白可以诱导血糖正常的胰高血糖素和胰岛素反应,从而刺激葡萄糖通量。我们推测了一种理论,该理论可能解释胰高血糖素和胰岛素如何协同提供氮质和葡萄糖稳态的固有控制。蛋白质摄入会同时刺激胰高血糖素和胰岛素分泌。在这里,我们表明,在血糖正常的男性中,摄入一份标准的 25 克快速吸收乳清蛋白足以引起足够大的胰高血糖素和胰岛素反应,从而同时增加内源性葡萄糖生成和葡萄糖摄取。我们推测了一种新理论,该理论可能解释胰高血糖素和胰岛素的拮抗/协同作用如何同时提供对葡萄糖和氮质稳态的严格控制。

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