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体内胰岛素分泌的肾上腺素能调节取决于甲状腺状态。

Adrenergic modulation of insulin secretion in vivo dependent on thyroid states.

作者信息

Okajima F, Ui M

出版信息

Am J Physiol. 1978 Feb;234(2):E106-11. doi: 10.1152/ajpendo.1978.234.2.E106.

Abstract

Insulin secretory responses via adrenergic mechanisms were studied in vivo with hyperthyroid rats prepared by daily injections with thyroxine and with rats rendered hypothyroid by the addition of methylthiouracil in the drinking water. Isoproterenol, a beta-adrenergic agent, caused hyperinsulinemia in hyperthyroid rats more markedly than in euthyroid rats, but failed to induce hyperinsulinemia in hypothyroid rats. The isoproterenol-induced hyperinsulinemia was abolished by a beta-adrenergic receptor blocker in hyperthyroid as well as in euthyroid rats. The glucose-induced hyperinsulinemia was enhanced in hyperthyroid, was not essentially affected in euthyroid, and was inhibited in hypothyroid rats, by an alpha- and beta-adrenergic agent such as epinephrine. It is concluded that the relative function of alpha- to beta-adrenergic receptors responsible for the pancreatic secretion of insulin is dependent on the thyroid state; beta-adrenergic actions are predominant over alpha-actions in hyperthyroidism and vice versa in hypothyroidism.

摘要

通过肾上腺素能机制的胰岛素分泌反应在体内进行了研究,实验对象包括每日注射甲状腺素制备的甲状腺功能亢进大鼠,以及在饮用水中添加甲硫氧嘧啶致使甲状腺功能减退的大鼠。异丙肾上腺素,一种β - 肾上腺素能药物,在甲状腺功能亢进大鼠中引起高胰岛素血症的程度比在甲状腺功能正常的大鼠中更为显著,但在甲状腺功能减退大鼠中未能诱导高胰岛素血症。在甲状腺功能亢进和甲状腺功能正常的大鼠中,β - 肾上腺素能受体阻滞剂均可消除异丙肾上腺素诱导的高胰岛素血症。葡萄糖诱导的高胰岛素血症在甲状腺功能亢进大鼠中增强,在甲状腺功能正常的大鼠中基本不受影响,而在甲状腺功能减退大鼠中则受到肾上腺素等α - 和β - 肾上腺素能药物的抑制。结论是,负责胰腺胰岛素分泌的α - 与β - 肾上腺素能受体的相对功能取决于甲状腺状态;在甲状腺功能亢进时β - 肾上腺素能作用占主导,而在甲状腺功能减退时则相反。

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