Sacks H, Terry L C
J Clin Invest. 1981 Feb;67(2):419-29. doi: 10.1172/JCI110050.
Other investigators have demonstrated that concentrations of immunoreactive somatostatin (IRS) are higher in blood from the hepatic portal vein or its tributaries than in blood from the hepatic or peripheral systemic veins of man and animals. This suggests that there is hepatic extraction of IRS from the portal system in vivo. In the rat, portal vein plasma IRS is reported to be heterogeneous and to contain, in part, a 1,600 mol wt form of IRS which is immunochemically similar to synthetic somatostatin and not significantly bound to high molecular weight plasma protein. Our study was undertaken to determine directly whether unbound synthetic cyclic somatostatin was cleared by the rat liver perfused through the hepatic portal vein in vitro with a recirculating, plasma-free, erythrocyte-containing perfusate. At 37 degrees C and pH 7.40, perfusate IRS, at initial concentrations (1,728 pg/ml) within the range previously reported in rat portal venous blood, was removed by the liver at a rate commensurate with first-order kinetics. Hepatic clearance was 0.84+/-0.04 ml/min per g postperfusion wet weight (SE). Hepatic extraction was 36+/-2%, and t((1/2)) was 20.0+/-1.3 min. Recovery of IRS from the perfusate without the liver was >85%, excluding significant degradation by the medium. Clearance, extraction, and t((1/2)) of IRS were not changed by an unphysiologic IRS concentration (621,500 pg/ml), or by pharmacologic concentrations of insulin (8.2 muM) or glucagon (2.9 muM). The t((1/2)) was prolonged significantly to 28.2+/-1.9 and 45.6+/-4.7 min during perfusions at liver temperatures of 25 degrees and 16 degrees C, respectively. At 37 degrees C, the t((1/2)) was also significantly increased to 28.7+/-3.2 and 24.2+/-1.1 min at perfusate pH 7.06 and 6.78, respectively. These studies indicate that the rat liver clears unbound IRS from the perfusate by a first-order kinetic process that is (a) unsaturable at pharmacologic concentrations, (b) temperature-sensitive and, to a lesser extent, influenced by lowered pH, and (c) not affected by insulin and glucagon. The liver would appear to play an important role in the metabolism of the 1,600 mol wt form of somatostatin. Clearance of endogenous IRS by the liver should be considered in the interpretation of IRS concentrations in the peripheral systemic veins.
其他研究人员已证明,在人和动物中,肝门静脉或其支流血液中免疫反应性生长抑素(IRS)的浓度高于肝静脉或外周体静脉血液中的浓度。这表明在体内门静脉系统存在对IRS的肝脏摄取。据报道,大鼠门静脉血浆中的IRS具有异质性,部分含有分子量为1600的IRS形式,其免疫化学性质与合成生长抑素相似,且与高分子量血浆蛋白的结合不显著。我们的研究旨在直接确定游离的合成环状生长抑素在体外经肝门静脉灌注含红细胞、无血浆的循环灌注液时,是否会被大鼠肝脏清除。在37℃和pH 7.40条件下,灌注液中IRS的初始浓度(1728 pg/ml)处于先前报道的大鼠门静脉血浓度范围内,肝脏以符合一级动力学的速率清除IRS。肝清除率为每克灌注后湿重0.84±0.04 ml/min(标准误)。肝脏摄取率为36±2%,半衰期为20.0±1.3分钟。在无肝脏的情况下,灌注液中IRS的回收率>85%,排除了介质导致的显著降解。非生理性的IRS浓度(621500 pg/ml)、药理浓度的胰岛素(8.2 μM)或胰高血糖素(2.9 μM)均未改变IRS的清除率、摄取率和半衰期。在肝脏温度为25℃和16℃的灌注过程中,半衰期分别显著延长至28.2±1.9分钟和45.6±4.7分钟。在37℃时,当灌注液pH分别为7.06和6.78时,半衰期也显著增加至28.7±3.2分钟和24.2±1.1分钟。这些研究表明,大鼠肝脏通过一级动力学过程清除灌注液中的游离IRS,该过程(a)在药理浓度下不饱和,(b)对温度敏感,且在较小程度上受pH降低的影响,(c)不受胰岛素和胰高血糖素的影响。肝脏似乎在分子量为1600的生长抑素代谢中起重要作用。在解释外周体静脉中IRS浓度时,应考虑肝脏对内源性IRS的清除作用。