Frankel B J, Gerich J E, Hagura R, Fanska R E, Gerritsen G C, Grodsky G M
J Clin Invest. 1974 Jun;53(6):1637-46. doi: 10.1172/JCI107714.
Hereditary insulin-deficient diabetes mellitus occurs in certain sublines of nonobese Chinese hamsters. Several characteristics of this syndrome are similar to those seen in insulin-deficient human diabetics. Therefore, to characterize pancreatic islet function, dynamic insulin and glucagon release from normal and nonketotic diabetic hamster pancreases in response to glucose (300 mg/100 ml) and theophylline (10 mM), infused singly and together, was studied in vitro.20-min glucose infusions of normal hamster pancreases caused biphasic insulin release, consisting of a rapid first peak and a gradually rising second phase, similar to that reported for man in vivo. Both phases were significantly reduced in the diabetic pancreases. Theophylline alone stimulated similar nonphasic insulin release in both the normal and the diabetic pancreases. Glucose and theophylline together caused greater insulin release than either stimulant alone in both normals and diabetics; however, the diabetic response was still subnormal. Glucose suppressed glucagon release from normal pancreases; suppression was significantly impaired in diabetics. Theophylline stimulated nonphasic glucagon release in both the normals and diabetics. Glucose partially suppressed the theophylline-stimulated release in both groups.Insulin/glucagon molar ratios of the diabetics were consistently subnormal, although individual hormone levels often overlapped into the normal range. IN SUMMARY, THE PANCREASES OF GENETICALLY DIABETIC CHINESE HAMSTERS PERFUSED IN VITRO SHOWED: (a) decreased first and second phase insulin release in response to glucose-containing stimuli-only partially ameliorated by theophylline-, and (b) impaired suppression of glucagon in response to glucose, resulting in (c) a decreased insulin/glucagon molar ratio. These data support the suggestion that both alpha and beta cells of diabetic pancreases may be insensitive to glucose.
遗传性胰岛素缺乏型糖尿病发生于某些品系的非肥胖中国仓鼠。该综合征的几个特征与胰岛素缺乏型人类糖尿病患者所见相似。因此,为了表征胰岛功能,研究了正常和非酮症糖尿病仓鼠胰腺在体外对单独和联合输注的葡萄糖(300mg/100ml)和茶碱(10mM)的动态胰岛素和胰高血糖素释放。对正常仓鼠胰腺进行20分钟的葡萄糖输注会引起双相胰岛素释放,包括快速的第一个峰值和逐渐上升的第二个阶段,这与人体体内报道的情况相似。糖尿病胰腺的两个阶段均显著降低。单独使用茶碱在正常和糖尿病胰腺中均刺激了类似的非相胰岛素释放。葡萄糖和茶碱联合使用在正常和糖尿病个体中引起的胰岛素释放均比单独使用任何一种刺激剂时更多;然而,糖尿病个体的反应仍低于正常水平。葡萄糖抑制正常胰腺中胰高血糖素的释放;糖尿病个体的这种抑制作用明显受损。茶碱在正常和糖尿病个体中均刺激非相胰高血糖素释放。葡萄糖在两组中均部分抑制了茶碱刺激的释放。糖尿病个体的胰岛素/胰高血糖素摩尔比始终低于正常水平,尽管个别激素水平常常重叠到正常范围内。总之,体外灌注的遗传性糖尿病中国仓鼠的胰腺表现出:(a)对含葡萄糖刺激的第一和第二阶段胰岛素释放减少——仅部分被茶碱改善——以及(b)对葡萄糖反应时胰高血糖素抑制受损,导致(c)胰岛素/胰高血糖素摩尔比降低。这些数据支持了糖尿病胰腺的α细胞和β细胞可能对葡萄糖不敏感的观点。