Premen A J, Hall J E, Smith M J
Am J Physiol. 1985 May;248(5 Pt 2):F656-62. doi: 10.1152/ajprenal.1985.248.5.F656.
The aim of this study was to ascertain the quantitative importance of glucagon in mediating protein-induced increases in renal blood flow (RBF) and glomerular filtration rate (GFR) during the postprandial state. Six chronically instrumented conscious dogs were each subjected to four protocols: normal protein control meal (C); high protein meat meal (M); somatostatin infusion and meat (S + M); and glucagon infusion. C produced small increases in RBF (12 +/- 2%) and GFR (14 +/- 2%) without changing arterial plasma glucagon. M produced marked increases in RBF (38 +/- 4%), GFR (41 +/- 5%), and glucagon (from 23.3 +/- 3.6 to 73.3 +/- 7.1 pg/ml) over a 3-h period. During S + M, RBF and GFR failed to increase while glucagon was suppressed by 36 +/- 8% over a 2-h period. When S was stopped, glucagon rose to 100 +/- 13.9 pg/ml over the next hour, yet RBF and GFR increased by only 14 +/- 4 and 10 +/- 3%, respectively. Glucagon infusion (3 ng X kg-1 X min-1, i.v.) markedly elevated plasma glucagon to 131.6 +/- 27.3 pg/ml, yet neither RBF nor GFR significantly changed. These data indicate that while a protein-rich meat meal does elevate arterial plasma glucagon, the rise is not great enough to elicit significant changes in renal hemodynamics. Thus, elevated plasma levels of glucagon cannot account for protein-mediated increases in RBF and GFR during the postprandial state.
本研究的目的是确定在餐后状态下,胰高血糖素在介导蛋白质诱导的肾血流量(RBF)和肾小球滤过率(GFR)增加方面的定量重要性。对6只长期植入仪器的清醒犬分别进行四种方案:正常蛋白质对照餐(C);高蛋白肉餐(M);生长抑素输注和肉餐(S+M);以及胰高血糖素输注。C组RBF(12±2%)和GFR(14±2%)有小幅增加,而动脉血浆胰高血糖素未改变。M组在3小时内RBF(38±4%)、GFR(41±5%)和胰高血糖素(从23.3±3.6 pg/ml升至73.3±7.1 pg/ml)显著增加。在S+M期间,RBF和GFR未能增加,而胰高血糖素在2小时内被抑制了36±8%。当停止输注S时,胰高血糖素在接下来的1小时内升至100±13.9 pg/ml,但RBF和GFR仅分别增加了14±4%和10±3%。静脉输注胰高血糖素(3 ng·kg-1·min-1)使血浆胰高血糖素显著升高至131.6±27.3 pg/ml,但RBF和GFR均无显著变化。这些数据表明,虽然富含蛋白质的肉餐确实会使动脉血浆胰高血糖素升高,但升高幅度不足以引起肾血流动力学的显著变化。因此,餐后状态下血浆胰高血糖素水平升高不能解释蛋白质介导的RBF和GFR增加。