Weir G C, Knowlton S D, Martin D B
J Clin Invest. 1974 Dec;54(6):1403-12. doi: 10.1172/JCI107887.
The isolated in situ perfused rat pancreas was used to study glucose and catecholamine control of glucagon secretion, and to investigate the possible role of endogenous cyclic AMP as a mediator of this secretory process. When perfusate glucose was acutely dropped from 100 to 25 mg/100 ml, glucagon was released in a biphasic pattern with an early spike and a later plateau-like response. 300 mg/100 ml glucose suppressed glucagon secretion to near the detection limit of the radioimmunoassay (15 pg/ml). When perfusate glucose was dropped from 300 to 25 mg/100 ml, a delayed, relatively small peak occurred suggesting persisting alpha cell suppression by prior high glucose exposure. 2-Deoxy d-glucose stimulated glucagon secretion and inhibited insulin secretion. Glucagon was secreted in a biphasic pattern in response to both 2.7 x 10(-7) M epinephrine and norepinephrine. The glucagon response to epinephrine was markedly suppressed by glucose at 300 mg/100 ml, and the biphasic response pattern was obliterated. Glucose evoked a two-phase insulin secretory pattern, and the second phase was markedly and rapidly inhibited by epinephrine. Pancreases were perfused with glucose at 300 mg/100 ml which was then lowered to 80 mg/100 ml. 5 min later, epinephrine was infused and definite blunting of the first-phase spike occurred. 10 mM theophylline produced modest rapid uniphasic stimulation of glucagon release, and, in addition, caused enhancement of epinephrine-stimulated glucagon release. An inhibitory influence upon epinephrine-stimulated glucagon was observed as well. Insulin secretion was stimulated by 10 mM theophylline, and this stimulation was inhibited by epinephrine.
采用离体原位灌注大鼠胰腺研究葡萄糖和儿茶酚胺对胰高血糖素分泌的控制,并探讨内源性环磷酸腺苷作为这一分泌过程介质的可能作用。当灌注液中的葡萄糖从100mg/100ml急剧降至25mg/100ml时,胰高血糖素以双相模式释放,先是出现一个早期峰值,随后是一个类似平台期的反应。300mg/100ml的葡萄糖将胰高血糖素分泌抑制至接近放射免疫测定的检测极限(15pg/ml)。当灌注液中的葡萄糖从300mg/100ml降至25mg/100ml时,出现一个延迟的、相对较小的峰值,提示先前高糖暴露使α细胞持续受到抑制。2-脱氧-D-葡萄糖刺激胰高血糖素分泌并抑制胰岛素分泌。胰高血糖素对2.7×10⁻⁷M肾上腺素和去甲肾上腺素均以双相模式分泌。300mg/100ml的葡萄糖显著抑制了胰高血糖素对肾上腺素的反应,双相反应模式消失。葡萄糖引发双相胰岛素分泌模式,而肾上腺素显著且迅速地抑制了第二相分泌。胰腺用300mg/100ml的葡萄糖灌注,随后降至80mg/100ml。5分钟后注入肾上腺素,第一相峰值明显减弱。10mM氨茶碱对胰高血糖素释放产生适度的快速单相刺激,此外,还增强了肾上腺素刺激的胰高血糖素释放。同时也观察到对肾上腺素刺激的胰高血糖素存在抑制作用。10mM氨茶碱刺激胰岛素分泌,而这种刺激被肾上腺素抑制。