Iversen J
J Clin Invest. 1971 Oct;50(10):2123-36. doi: 10.1172/JCI106706.
Using the isolated, perfused canine pancreas preparation, previously described, the interrelationship of the secretion of pancreatic glucagon and insulin was studied after stimulation with glucose, gastrointestinal hormones, and the amino acid arginine. The results confirm the concept that pancreatic glucagon is a hormone of "glucose need" and suggest that it may be important in a moment to moment control of glucoregulation. The secretion of pancreatic glucagon was stimulated after infusion of gastrin, pancreozymin, and arginine, while no increase was associated with secretin infusion. The magnitude of the increase was closely related to the glucose concentration present in the perfusion medium, being higher and more pronounced during perfusion with low concentrations of glucose (25 mg/100 ml or 50 mg/100 ml). Stimulation of insulin secretion was seen after glucose, gastrin, pancreozymin, secretin, and arginine. The magnitude of the increase was again closely related to the glucose concentration present, this time being higher and more pronounced during perfusion with high glucose concentrations (150 mg/100 ml). Secretion of both pancreatic hormones always followed a biphasic response pattern after the stimuli mentioned, similar to the characteristic release pattern previously described for insulin after an increment in glucose concentration. In order to elucidate whether endogenous pancreatic glucagon possesses an insulinogenic action, as it has been shown to be the case with the administration of exogenous pancreatic glucagon, the time interrelationship of the secretion of pancreatic glucagon and insulin was investigated by determining the initial rise of the hormones after stimulation with gastrin, pancreozymin, and arginine. The rise of glucagon and insulin occurred simultaneously, i.e. inside a 10 sec period. This does not, however, exclude with certainty an insulinogenic role of pancreatic glucagon.
采用先前描述的离体灌注犬胰腺标本,研究了葡萄糖、胃肠激素和氨基酸精氨酸刺激后胰高血糖素和胰岛素分泌之间的相互关系。结果证实了胰高血糖素是一种“葡萄糖需求”激素的概念,并表明它在血糖调节的即时控制中可能很重要。注入胃泌素、胰酶泌素和精氨酸后,胰高血糖素的分泌受到刺激,而注入促胰液素后其分泌无增加。增加的幅度与灌注液中存在的葡萄糖浓度密切相关,在低浓度葡萄糖(25mg/100ml或50mg/100ml)灌注期间更高且更明显。葡萄糖、胃泌素、胰酶泌素、促胰液素和精氨酸刺激后可见胰岛素分泌增加。增加的幅度同样与存在的葡萄糖浓度密切相关,这次在高葡萄糖浓度(150mg/100ml)灌注期间更高且更明显。上述刺激后,两种胰腺激素的分泌总是呈现双相反应模式,类似于先前描述的葡萄糖浓度增加后胰岛素的特征性释放模式。为了阐明内源性胰高血糖素是否具有胰岛素生成作用,正如外源性胰高血糖素给药时的情况所示,通过测定胃泌素、胰酶泌素和精氨酸刺激后激素的初始升高,研究了胰高血糖素和胰岛素分泌的时间相互关系。胰高血糖素和胰岛素的升高同时发生,即在10秒内。然而,这并不能确定地排除胰高血糖素的胰岛素生成作用。