Grill V, Adamson U, Rundfeldt M, Andersson S, Cerasi E
J Clin Invest. 1979 Sep;64(3):700-7. doi: 10.1172/JCI109512.
The influence of previous exposure to glucose on the subsequent B- and A(2)-cell secretory responses to arginine was investigated in the perfused pancreas of the rat. Arginine (8 mM) was administered in two brief (9 min) pulses separated by a period of 66 min. In pancreata from 18-h-fasted animals the two pulses of arginine elicited biphasic glucagon secretory responses, while stimulation of insulin release was barely detectable. When 27.7 mM glucose was administered for 30 min during the intervening period up to 20 min before the second pulse of arginine, the glucagon response to arginine was diminished by 55% while the insulin release was markedly increased in comparison with the first pulse. 8.3 mM glucose, when administered before the second pulse of arginine, exerted effects that were smaller but otherwise similar to those of 27.7 mM glucose.The inclusion of 3.9 mM glucose during the stimulation periods with arginine decreased the glucagon and greatly increased the insulin secretory response. Under these conditions, previous exposure to 27.7 mM glucose inhibited the glucagon and enhanced the insulin response to the second stimulatory pulse of arginine to the same relative degree as when arginine was administered alone. Diazoxide (2 mM), when administered together with 27.7 mM glucose, almost completely inhibited insulin release induced by the presence of glucose, yet did not influence the modulation exerted by glucose on the subsequent insulin and glucagon secretory response to arginine. Conversely, these effects of the glucose pulse could not be reproduced by 1 mug/ml of porcine insulin. Previous exposure to glyceraldehyde (10 mM) mimicked the glucose effects.Also, in pancreata from fed rats, previous exposure to 27.7 mM glucose markedly inhibited subsequent arginine-induced glucagon secretion while the concomittant insulin response was enhanced.IT IS CONCLUDED THAT: (a) both A(2)- and B-cell responsiveness is modulated by a previous exposure to glucose which produces opposite effects in the two cell types, (b) this action of glucose does not depend on its insulin-releasing capacity, and (c) instead, a "memory" of glucose is induced as a consequence of the metabolism of the sugar in the A(2) and B cells.
在大鼠的灌注胰腺中,研究了先前接触葡萄糖对随后胰岛B细胞和A₂细胞对精氨酸分泌反应的影响。以两个短暂(9分钟)脉冲的形式给予精氨酸(8 mM),两个脉冲之间间隔66分钟。在禁食18小时动物的胰腺中,两个精氨酸脉冲引发了双相胰高血糖素分泌反应,而胰岛素释放的刺激几乎检测不到。当在第二个精氨酸脉冲前长达20分钟的间隔期内给予27.7 mM葡萄糖30分钟时,与第一个脉冲相比,精氨酸引起的胰高血糖素反应降低了55%,而胰岛素释放明显增加。在第二个精氨酸脉冲前给予8.3 mM葡萄糖,其作用较小,但与27.7 mM葡萄糖的作用相似。在精氨酸刺激期加入3.9 mM葡萄糖可降低胰高血糖素分泌,并显著增加胰岛素分泌反应。在这些条件下,先前接触27.7 mM葡萄糖抑制胰高血糖素分泌,并增强胰岛素对第二个精氨酸刺激脉冲的反应,其相对程度与单独给予精氨酸时相同。二氮嗪(2 mM)与27.7 mM葡萄糖一起给药时,几乎完全抑制了由葡萄糖诱导的胰岛素释放,但不影响葡萄糖对随后胰岛素和胰高血糖素对精氨酸分泌反应的调节作用。相反,1 μg/ml的猪胰岛素无法重现葡萄糖脉冲的这些作用。先前接触甘油醛(10 mM)可模拟葡萄糖的作用。此外,在喂食大鼠的胰腺中,先前接触27.7 mM葡萄糖可显著抑制随后精氨酸诱导的胰高血糖素分泌,同时增强伴随的胰岛素反应。结论如下:(a)先前接触葡萄糖可调节A₂细胞和B细胞的反应性,在两种细胞类型中产生相反的作用;(b)葡萄糖的这种作用不依赖于其释放胰岛素的能力;(c)相反,由于A₂细胞和B细胞中糖的代谢,诱导了对葡萄糖的“记忆”。