Patel Y C, Ruggere D, Malaisse-Lagae F, Orci L
Metabolism. 1983 Jul;32(7 Suppl 1):18-25. doi: 10.1016/s0026-0495(83)80006-7.
In the present study we have attempted to assess the functional status of somatostatin cells in relation to the function of the other islet cell types (B, A, and PP cells) in the BB Wistar rat. Somatostatin-like immunoreactivity (SLI), glucagon, and insulin were measured in extracted plasma obtained from the hepatic portal vein (PV) and inferior vena cava (IVC) of acutely diabetic untreated rats, insulin-treated diabetic rats and nondiabetic controls. Extracts of the pancreas were assayed for SLI, glucagon, and insulin, and the pancreatic populations of A, B, D, and PP cells were evaluated by morphometry. Extrapancreatic somatostatin changes were assessed by measurement of SLI in extracts of the whole gut, hypothalamus, and retina. Direct studies of SLI, glucagon, and insulin secretion in response to glucose, arginine, and theophylline were carried out using the isolated perfused pancreases of two separate groups of untreated diabetic and nondiabetic rats. Our results showed that in the severely insulin deficient BB Wistar rat (1) pancreatic concentrations of SLI, glucagon, and insulin were reduced; (2) the B cells are virtually eliminated and the D cells severely reduced early in diabetes; A and PP cells are resistant initially but eventually sustain major losses as observed in terminal islets; (3) retinal SLI is reduced, but SLI in gut and brain appears unchanged; (4) the secretion of SLI, glucagon, and insulin from the perfused pancreas is diminished 60%, 36%, and 99%, respectively; (5) PV and IVC blood levels of SLI and glucagon are elevated despite decreased pancreatic secretion; (6) The trans-hepatic gradient of SLI is reduced; and (7) Insulin treatment normalizes the elevated PV and IVC levels of SLI and glucagon. It is concluded that the elevated PV and IVC levels of SLI are secondary to insulin deficiency and result from increased SLI secretion most probably from the gut and from diminished hepatic metabolism. The origin of the hyperglucagonemia is less certain, but as in the case of SLI, important contributions from extra-pancreatic secretion appears likely.
在本研究中,我们试图评估BB系Wistar大鼠体内生长抑素细胞的功能状态与其他胰岛细胞类型(B细胞、A细胞和PP细胞)功能之间的关系。对急性糖尿病未治疗大鼠、胰岛素治疗的糖尿病大鼠以及非糖尿病对照大鼠,检测其肝门静脉(PV)和下腔静脉(IVC)抽取的血浆中的生长抑素样免疫反应性(SLI)、胰高血糖素和胰岛素。检测胰腺提取物中的SLI、胰高血糖素和胰岛素,并通过形态学方法评估A细胞、B细胞、D细胞和PP细胞在胰腺中的数量。通过检测全肠道、下丘脑和视网膜提取物中的SLI来评估胰腺外生长抑素的变化。使用两组单独的未治疗糖尿病大鼠和非糖尿病大鼠的离体灌注胰腺,直接研究SLI、胰高血糖素和胰岛素对葡萄糖、精氨酸和茶碱的分泌反应。我们的结果显示,在严重胰岛素缺乏的BB系Wistar大鼠中:(1)胰腺中SLI、胰高血糖素和胰岛素的浓度降低;(2)糖尿病早期B细胞几乎消失,D细胞严重减少;A细胞和PP细胞最初具有抗性,但最终如在晚期胰岛中观察到的那样遭受重大损失;(3)视网膜SLI降低,但肠道和大脑中的SLI似乎未变;(4)灌注胰腺中SLI、胰高血糖素和胰岛素的分泌分别减少60%、36%和99%;(5)尽管胰腺分泌减少,但PV和IVC血液中SLI和胰高血糖素水平升高;(6)SLI的肝内梯度降低;(7)胰岛素治疗可使PV和IVC中升高的SLI和胰高血糖素水平恢复正常。得出的结论是,PV和IVC中升高的SLI水平继发于胰岛素缺乏,最可能是由于肠道SLI分泌增加以及肝脏代谢减少所致。高胰高血糖素血症的起源尚不太明确,但与SLI的情况一样,胰腺外分泌可能起重要作用。