Boden G, Rezvani I, Owen O E
J Clin Invest. 1984 Mar;73(3):785-93. doi: 10.1172/JCI111272.
The effects of glucagon deficiency and excess on plasma concentrations of 21 amino acids were studied in six normal human subjects for 8 h. During glucagon deficiency, produced by intravenous infusion of somatostatin (0.5 mg/h) and insulin (5 mU/kg per h), amino acid concentration (sum of 21 amino acids) rose from 2,607 +/- 76 to 2,922 +/- 133 microM after 4 h (P less than 0.025). The largest increases occurred in lysine (+26%), glycine (+24%), alanine (+23%), and arginine (+23%) concentrations. During glucagon excess produced by intravenous infusion of somatostatin (0.5 mg/h), insulin (5 mU/kg per h), and glucagon (60 ng/kg per h), amino acid concentration decreased from 2,774 +/- 166 to 2,388 +/- 102 microM at 8 h (P less than 0.01). The largest decreases occurred in citrulline (-37%), proline (-32%), ornithine (-30%), tyrosine (-23%), glycine (-20%), threonine (-21%), and alanine (18%) concentrations. Urinary urea nitrogen and total nitrogen excretions were lower during glucagon deficiency than during glucagon excess (3.1 +/- 0.2 vs. 6.3 +/- 2.3 g/8 h, P less than 0.05 and 4.8 +/- 1.0 vs 7.0 +/- 2.6 g/8 h, respectively, P less than 0.05). Biostator-controlled euglycemic glucagon deficiency was produced in four normal subjects for 4 h to eliminate possible effects of changes in glucose concentration on amino acids. Amino acid concentration (sum of 18 amino acids) increases occurred in arginine (+42%), alanine (+28%), glutamine (+25%), and glycine (+16%) concentrations. The data show that small changes (-66 pg/ml and +50 pg/ml) in basal glucagon concentrations cause plasma amino acid concentrations to change in opposite directions. The finding that urinary excretion of nitrogen and urea nitrogen was greater during glucagon excess than during glucagon deficiency suggested alterations in the rate of gluconeogenesis from amino acids as one mechanism by which glucagon controls blood amino acid levels.
在6名正常受试者中研究了胰高血糖素缺乏和过量对21种氨基酸血浆浓度的影响,为期8小时。在通过静脉输注生长抑素(0.5毫克/小时)和胰岛素(5微单位/千克每小时)造成胰高血糖素缺乏期间,4小时后氨基酸浓度(21种氨基酸的总和)从2607±76微摩尔/升升至2922±133微摩尔/升(P<0.025)。赖氨酸(+26%)、甘氨酸(+24%)、丙氨酸(+23%)和精氨酸(+23%)浓度升高最为明显。在通过静脉输注生长抑素(0.5毫克/小时)、胰岛素(5微单位/千克每小时)和胰高血糖素(60纳克/千克每小时)造成胰高血糖素过量期间,8小时时氨基酸浓度从2774±166微摩尔/升降至2388±102微摩尔/升(P<0.01)。瓜氨酸(-37%)、脯氨酸(-32%)、鸟氨酸(-30%)、酪氨酸(-23%)、甘氨酸(-20%)、苏氨酸(-21%)和丙氨酸(-18%)浓度下降最为明显。胰高血糖素缺乏时尿尿素氮和总氮排泄量低于胰高血糖素过量时(分别为3.1±0.2克/8小时对6.3±2.3克/8小时,P<0.05;4.8±1.0克/8小时对7.0±2.6克/8小时,P<0.05)。对4名正常受试者进行了生物调节器控制的正常血糖性胰高血糖素缺乏4小时,以消除血糖浓度变化对氨基酸可能产生的影响。精氨酸(+42%)、丙氨酸(+28%)、谷氨酰胺(+25%)和甘氨酸(+16%)浓度的氨基酸浓度(18种氨基酸的总和)出现升高。数据表明,基础胰高血糖素浓度的微小变化(-66皮克/毫升和+50皮克/毫升)会使血浆氨基酸浓度朝相反方向变化。胰高血糖素过量时氮和尿素氮的尿排泄量高于胰高血糖素缺乏时,这一发现表明,氨基酸糖异生速率的改变是胰高血糖素控制血液氨基酸水平的一种机制。