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正常男性输注胰高血糖素:对3-甲基组氨酸排泄及血浆氨基酸的影响。

Glucagon infusion in normal man: effects on 3-methylhistidine excretion and plasma amino acids.

作者信息

Fitzpatrick G F, Meguid M M, Gitilitz P H, Brennan M F

出版信息

Metabolism. 1977 May;26(5):477-85. doi: 10.1016/0026-0495(77)90091-9.

Abstract

In order to assess the role of glucagon in human protein metabolism and to examine its action as a "catabolic" hormone, studies were conducted in two normal male subjects over an 8-day period. After minimum and stable urinary nitrogen excretion had been produced by the continuous nasogastric administration of carbohydrate (720 g/day) for 8 consecutive days, a continuous intravenous infusion of glucagon (1.0 mg/24 hr) was superimposed on days 7 and 8. Excretion of total nitrogen (N) and urea-N increased significantly (p less than 0.05). Excretion of 3-methylhistidine was unaltered, suggesting that the source of the N losses produced by glucagon did not derive from increased muscle proteolysis. Although striking hypoaminoacidemia was produced, the reductions of extracellular amino acids alone could not account for all of the extra urea excreted. These data suggest that hyperglucagonemia in normal man induces mild nitrogen losses by stimulation of hepatic ureogenesis from free intracellular amino acid pools and not by increased rates of muscle protein breakdown.

摘要

为了评估胰高血糖素在人体蛋白质代谢中的作用,并检验其作为一种“分解代谢”激素的作用,对两名正常男性受试者进行了为期8天的研究。在连续8天通过持续鼻胃管给予碳水化合物(720克/天)使尿氮排泄量达到最低且稳定后,在第7天和第8天叠加持续静脉输注胰高血糖素(1.0毫克/24小时)。总氮(N)和尿素氮的排泄量显著增加(p<0.05)。3-甲基组氨酸的排泄量未改变,这表明胰高血糖素导致的氮损失来源并非肌肉蛋白水解增加。尽管产生了明显的低氨基酸血症,但仅细胞外氨基酸的减少并不能解释所有额外排出的尿素。这些数据表明,正常人体内的高胰高血糖素血症通过刺激肝脏利用游离细胞内氨基酸池生成尿素来诱导轻度氮损失,而非通过增加肌肉蛋白质分解速率。

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