Reaven E, Curry D, Moore J, Reaven G
J Clin Invest. 1983 Feb;71(2):345-50. doi: 10.1172/jci110775.
In this study we examined the effect of age and various age-related environmental factors on maximal glucose-stimulated insulin release by the intact perfused pancreas. Male Sprague-Dawley rats were maintained from 40 d to 12 mo of age on standard chow, or on a sucrose-rich or calorie-restricted diet. At 12 mo, studies were carried out on the isolated pancreas of each animal to determine maximal (300 mg/ml) glucose-stimulated insulin secretion. After these studies were completed, each pancreas was perfused with formalin fixative and processed for morphometric estimation of the mass of the endocrine pancreas. Data from these older animals were compared with data from 2-mo-old control rats. The results indicate that maximal glucose-stimulated insulin secretion per unit endocrine pancreas was markedly reduced in all three groups of 12-mo-old rats, and was only 25-33% of that of 2-mo-old rats. Thus, aging led to a decline in insulin secretion per beta cell that was not modifiable by environmental manipulation. On the other hand, environmental factors can influence the development of endocrine tissue within the pancreas, and in so doing, modify total pancreatic insulin secretion. The mass of the endocrine pancreas of 12-mo-old rats fed either sucrose or chow was between three and four times that of 2-mo-old control rats, and these older rats were able to maximally secrete as much insulin per total pancreas as the young rats. In contrast, the endocrine cell mass of the calorie-restricted rats had not enlarged to this extent, and the maximally stimulated perfused pancreas from these rats secreted less insulin. These data suggest that the aging animal, challenged in vivo to secrete insulin, can overcome the loss of the beta cell response by expanding its pancreatic pool of beta cells. Although this compensation is successful in the 12-mo-old, obese, middle-aged rat, it is not yet clear what effect further aging would have on these events.
在本研究中,我们检测了年龄及各种与年龄相关的环境因素对完整灌注胰腺最大葡萄糖刺激胰岛素释放的影响。雄性斯普拉格-道利大鼠从40日龄饲养至12月龄,分别给予标准饲料、富含蔗糖的饲料或热量限制饮食。12月龄时,对每只动物的离体胰腺进行研究,以测定最大(300mg/ml)葡萄糖刺激的胰岛素分泌。这些研究完成后,用福尔马林固定液灌注每只胰腺,并进行处理以对内分泌胰腺的质量进行形态学评估。将这些老年动物的数据与2月龄对照大鼠的数据进行比较。结果表明,三组12月龄大鼠每单位内分泌胰腺的最大葡萄糖刺激胰岛素分泌均显著降低,仅为2月龄大鼠的25%-33%。因此,衰老导致每个β细胞胰岛素分泌下降,且这种下降不能通过环境操纵来改变。另一方面,环境因素可影响胰腺内分泌组织的发育,进而改变胰腺总的胰岛素分泌。喂食蔗糖或标准饲料的12月龄大鼠的内分泌胰腺质量是2月龄对照大鼠的三到四倍,这些老年大鼠每只胰腺总的最大胰岛素分泌量与年轻大鼠相当。相比之下,热量限制大鼠的内分泌细胞质量未增大到这种程度,这些大鼠最大刺激灌注胰腺分泌的胰岛素较少。这些数据表明,衰老动物在体内受到分泌胰岛素的挑战时,可通过扩大其胰腺β细胞池来克服β细胞反应的丧失。尽管这种补偿在12月龄的肥胖中年大鼠中是成功的,但进一步衰老对这些事件会有何种影响尚不清楚。