Böttger I, Faloona G R, Unger R H
J Clin Invest. 1972 Apr;51(4):831-6. doi: 10.1172/JCI106878.
It has been suggested that glucagon-like immunoreactivity (GLI) of gastrointestinal tissues might, like pancreatic glucagon, have calcium-lowering activity. Studies were designed, therefore, to determine if calcium absorption was associated with GLI release from the gut. The intraduodenal administration of 4.5 mmoles of calcium chloride per kg of body weight to conscious dogs was associated with a prompt rise in plasma GLI from a base line of 2.2 ng/ml (SEM +/-0.2) to a peak of 4.3 ng/ml (SEM +/-0.3) at 45 and 60 min, in association with a rise of plasma calcium from 8.6 to 10.4 mg/100 ml. Neither pancreatic glucagon, insulin, nor glucose changed. Smaller calcium loads had progressively diminishing effects on GLI release. Calcium lactate also appeared to stimulate effectively GLI release. Both magnesium chloride and sodium chloride given intraduodenally were associated with a significant though modest increase in GLI. To determine if stimulation of GLI release by substances other than calcium would lower serum calcium, glucose was administered intraduodenally. Despite a marked increase in GLI, plasma calcium fell only 9%, a decline which could be entirely accounted for by hemodilution. Although the physiologic significance of this demonstration that the absorption of calcium salts is associated with GLI release is open to serious question, the findings are not incompatible with the concept that glucagon-like polypeptides are released from the gut during the absorption of certain salts, possibly to alert appropriate homeostatic regulators so as to avoid major changes in electrolyte concentration after the ingestion of large salt loads.
有人提出,胃肠道组织的胰高血糖素样免疫反应性(GLI)可能像胰腺胰高血糖素一样具有降低血钙的活性。因此,设计了一些研究来确定钙的吸收是否与肠道释放GLI有关。给清醒的狗每千克体重十二指肠内注射4.5毫摩尔氯化钙,血浆GLI迅速从基线水平2.2纳克/毫升(标准误±0.2)上升,在45和60分钟时达到峰值4.3纳克/毫升(标准误±0.3),同时血浆钙从8.6毫克/100毫升上升到10.4毫克/100毫升。胰腺胰高血糖素、胰岛素和葡萄糖均未改变。较小的钙负荷对GLI释放的影响逐渐减弱。乳酸钙似乎也能有效刺激GLI释放。十二指肠内给予氯化镁和氯化钠均与GLI显著但适度增加有关。为了确定除钙以外的物质刺激GLI释放是否会降低血清钙,十二指肠内给予葡萄糖。尽管GLI显著增加,但血浆钙仅下降了9%,这一下降完全可以由血液稀释来解释。尽管钙盐吸收与GLI释放相关这一证明的生理意义存在严重疑问,但这些发现与这样的概念并不矛盾,即某些盐吸收过程中肠道会释放胰高血糖素样多肽,可能是为了提醒适当的稳态调节因子,以避免摄入大量盐后电解质浓度发生重大变化。