Davidoff F
J Clin Invest. 1968 Oct;47(10):2331-43. doi: 10.1172/JCI105918.
Derivatives of guanidine, such as phenethylbiguanide, are potent inhibitors of mitochondrial respiration in vitro, but the relevance of this inhibition to their in vivo blood sugar-lowering action is not clear. We have studied the metabolism of pyruvate and long chain fatty acids by mitochondria from several tissues of guinea pigs and rats and observed the effects of phenethylbiguanide on these processes. The rate of pyruvate decarboxylation and of beta-oxidation of long chain fatty acyl-CoA derivatives by guinea pig heart mitochondria in vitro has been found to exceed the flux of substrate through the citric acid cycle, both in the presence and absence of phosphate acceptor. When serum albumin is included in the incubation medium, the respiration of guinea pig heart, skeletal muscle, and liver mitochondria is inhibited by concentrations of phenethylbiguanide which approximate the levels achieved in those tissues in vivo. In the absence of albumin, the mitochondria are several fold less sensitive to phenethylbiguanide inhibition. Mitochondria from rat tissues are less sensitive than those of guinea pig to in vitro inhibition by phenethylbiguanide, but serum albumin alters sensitivity to inhibition in similar fashion in both species. During the breakdown of pyruvate or long chain fatty acyl-CoA, phenethylbiguanide demonstrates no specificity of inhibition toward the oxidative reactions before the citric acid cycle versus those of the cycle itself. However, oxidation of free fatty acids is relatively resistant to inhibition.
胍的衍生物,如苯乙双胍,在体外是线粒体呼吸的强效抑制剂,但这种抑制作用与它们体内降血糖作用的相关性尚不清楚。我们研究了豚鼠和大鼠几种组织中线粒体对丙酮酸和长链脂肪酸的代谢,并观察了苯乙双胍对这些过程的影响。已发现,在有和没有磷酸受体的情况下,豚鼠心脏线粒体体外丙酮酸脱羧速率和长链脂肪酰辅酶A衍生物的β氧化速率均超过底物通过柠檬酸循环的通量。当孵育培养基中含有血清白蛋白时,豚鼠心脏、骨骼肌和肝脏线粒体的呼吸会被苯乙双胍浓度所抑制,该浓度接近这些组织在体内达到的水平。在没有白蛋白的情况下,线粒体对苯乙双胍抑制的敏感性降低几倍。大鼠组织的线粒体对苯乙双胍体外抑制的敏感性低于豚鼠,但血清白蛋白以类似方式改变了两种物种对抑制的敏感性。在丙酮酸或长链脂肪酰辅酶A分解过程中,苯乙双胍对柠檬酸循环之前的氧化反应和循环本身的氧化反应均无抑制特异性。然而,游离脂肪酸的氧化相对不易受到抑制。