Marliss E B, Girardier L, Seydoux J, Wollheim C B, Kanazawa Y, Orci L, Renold A E, Porte D
J Clin Invest. 1973 May;52(5):1246-59. doi: 10.1172/JCI107292.
A direct neural role in the regulation of immunoreactive glucagon (IRG) secretion has been investigated during stimulation of mixed autonomic nerves to the pancreas in anesthetized dogs. The responses were evaluated by measurement of blood flow and hormone concentration in the venous effluent from the stimulated region of pancreas. Electrical stimulation of the distal end of the discrete bundles of nerve fibers isolated along the superior pancreaticoduodenal artery was invariably followed by an increase in IRG output. With 10-min periods of nerve stimulation, the integrated response showed that the higher the control glucagon output, the greater was the increment. Atropinization did not influence the response to stimulation. That the preparation behaved in physiologic fashion was confirmed by a fall in IRG output, and a rise in immunoreactive insulin (IRI) output, during hyperglycemia induced by intravenous glucose (0.1 g/kg). The kinetics of this glucose effect on IRG showed characteristics opposite to those of nerve stimulation: the lower the control output, the less the decrement. Furthermore, during the control steady state, blood glucose concentration was tightly correlated with the IRI/IRG molar output ratio, the function relating the two parameters being markedly nonlinear. Injection or primed infusion of glucose diminished the IRG response to simultaneous nerve stimulation. Measurement of IRG was inferred to reflect response of pancreatic glucagon secretion on the basis of the site of sample collection (the superior pancreaticoduodenal vein), the absence of changes in arterial IRG, and similar responses being obtained using an antibody specific for pancreatic glucagon. THESE STUDIES SUPPORT A ROLE FOR THE AUTONOMIC NERVOUS SYSTEM IN THE CONTROL OF GLUCAGON SECRETION: direct nerve stimulation induces glucagon release. Such sympathetic activation may be interpreted as capable of shifting the sensitivity of the A cell to glucose in the direction of higher glycemia for a given glucagon output. The experimental model employed is valid for further studies of regulatory mechanisms of endocrine pancreatic function in vivo.
在麻醉犬中,当混合自主神经受到刺激并作用于胰腺时,研究了神经在调节免疫反应性胰高血糖素(IRG)分泌中所起的直接作用。通过测量胰腺受刺激区域静脉流出液中的血流量和激素浓度来评估反应。沿着胰十二指肠上动脉分离出的离散神经纤维束的远端进行电刺激后,IRG输出总是增加。在进行10分钟的神经刺激时,综合反应表明,基础胰高血糖素输出越高,增加量就越大。阿托品化并不影响对刺激的反应。静脉注射葡萄糖(0.1 g/kg)诱导高血糖期间,IRG输出下降,免疫反应性胰岛素(IRI)输出增加,这证实了该制备物的生理行为。这种葡萄糖对IRG的作用动力学表现出与神经刺激相反的特征:基础输出越低,减少量越小。此外,在对照稳态期间,血糖浓度与IRI/IRG摩尔输出比密切相关,这两个参数之间的函数关系明显呈非线性。注射或预充输注葡萄糖会减弱IRG对同时进行的神经刺激的反应。基于样本采集部位(胰十二指肠上静脉)、动脉IRG无变化以及使用针对胰腺胰高血糖素的特异性抗体获得类似反应,推断IRG测量反映了胰腺胰高血糖素分泌的反应。这些研究支持自主神经系统在控制胰高血糖素分泌中发挥作用:直接神经刺激诱导胰高血糖素释放。这种交感神经激活可被解释为能够在给定的胰高血糖素输出情况下,使A细胞对葡萄糖的敏感性朝着更高血糖水平的方向转变。所采用的实验模型对于进一步研究体内内分泌胰腺功能的调节机制是有效的。