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自主神经支配在犊牛低血糖期间胰高血糖素释放控制中的作用。

The role of the autonomic innervation in the control of glucagon release during hypoglycaemia in the calf.

作者信息

Bloom S R, Edwards A V, Vaughan N J

出版信息

J Physiol. 1974 Feb;236(3):611-23. doi: 10.1113/jphysiol.1974.sp010455.

Abstract
  1. The extent to which the autonomic innervation to the pancreas is implicated in the control of glucagon release during hypoglycaemia has been investigated in calves 3-6 weeks after birth.2. A pronounced rise in plasma glucagon concentration occurred in normal conscious calves in response to hypoglycaemia following administration of insulin (0.1 u./kg). Prior treatment with atropine caused no significant change in the hypoglycaemic response to insulin in these animals but the rise in plasma glucagon concentration was delayed.3. Section of both splanchnic nerves produced no significant change in the tolerance of conscious calves to this small dose of insulin and the changes in plasma glucagon concentration in these animals were within the normal range.4. In contrast, the same dose of insulin produced severe hypoglycaemia, accompanied by convulsions, in atropinized calves with cut splanchnic nerves. In spite of the intensity of the hypoglycaemic stimulus the rise in plasma glucagon concentration was both delayed and diminished in these animals.5. Administration of atropine alone (0.2 mg/kg) to normal fasting calves produced a significant fall in the mean plasma concentrations of both glucose and glucagon (P < 0.01) within 30 min, without affecting that of insulin.6. A significant increase in plasma glucagon concentration also occurred in response to stimulation of the peripheral ends of the thoracic vagi in adrenalectomized calves with cut splanchnic nerves under barbiturate anaesthesia. A rise in mean plasma glucose concentration was also observed in these experiments and found to be significantly correlated with the glucagon response.7. It is concluded that changes in either sympathetic or parasympathetic efferent activity may modify plasma glucagon concentration in the conscious calf, but that only the latter mechanism is likely to be implicated in the response to changes in plasma glucose concentration within the physiological range.
摘要
  1. 对出生3 - 6周的小牛进行了研究,以探讨低血糖期间胰腺的自主神经支配在胰高血糖素释放控制中的作用程度。

  2. 给正常清醒的小牛注射胰岛素(0.1单位/千克)后,因低血糖,血浆胰高血糖素浓度显著升高。事先用阿托品处理,这些动物对胰岛素的低血糖反应无显著变化,但血浆胰高血糖素浓度的升高延迟。

  3. 切断双侧内脏神经,清醒小牛对这一小剂量胰岛素的耐受性无显著变化,这些动物血浆胰高血糖素浓度的变化在正常范围内。

  4. 相反,相同剂量的胰岛素在切断内脏神经并注射阿托品的小牛中引起严重低血糖,并伴有惊厥。尽管低血糖刺激强烈,但这些动物血浆胰高血糖素浓度的升高既延迟又减弱。

  5. 给正常禁食的小牛单独注射阿托品(0.2毫克/千克),30分钟内血浆葡萄糖和胰高血糖素的平均浓度显著下降(P < 0.01),而胰岛素浓度不受影响。

  6. 在巴比妥麻醉下,切断内脏神经的肾上腺切除小牛,刺激胸段迷走神经外周端,血浆胰高血糖素浓度也显著升高。在这些实验中还观察到平均血浆葡萄糖浓度升高,且发现与胰高血糖素反应显著相关。

  7. 得出的结论是,交感或副交感传出活动的变化可能会改变清醒小牛的血浆胰高血糖素浓度,但只有后者机制可能参与对生理范围内血浆葡萄糖浓度变化的反应。

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本文引用的文献

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Release of glucagon, induced by stress.
Q J Exp Physiol Cogn Med Sci. 1973 Jan;58(1):99-108. doi: 10.1113/expphysiol.1973.sp002195.

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