Hahn H J, Ziegler B, Weiss I, Besch W, Heinke P
Acta Diabetol Lat. 1983 Jul-Sep;20(3):231-40. doi: 10.1007/BF02581267.
We investigated in vitro the pancreatic B-cell response of hyperinsulinemic animals compared to that of controls with the aim of clarifying if the hyperinsulinemia is related to an alteration of the islet insulin secretion. Hyperinsulinemia was induced by pregnancy (observation at 19.5 days) and electrolytic lesions of the hypothalamic nucleus ventromedialis (2 days after lesion). The kinetics of the glucose dose/response curves (measured during a 60 min incubation period) differed markedly in the two hyperinsulinemic conditions. Whereas the islets from pregnant rats were characterized by a lowered glucose threshold, an enhanced half-maximal and maximal secretion rate, those of lesioned rats showed only an increased half-maximal and maximal secretion response in spite of a comparable islet insulin content. When culturing islets of hyperinsulinemic animals up to 6 days, the insulin secretion of those prepared from VMH-lesioned rats behaved identically to controls, whereas the islets of pregnant rats maintained their enhanced sensitivity at a glucose concentration of 5 mmol/l. These results confirm that the pancreatic B-cell response contributed significantly to the hyperinsulinemia, but different mechanisms are likely to be responsible for the altered B-cell secretion.
我们在体外研究了高胰岛素血症动物与对照动物的胰腺β细胞反应,目的是弄清高胰岛素血症是否与胰岛胰岛素分泌的改变有关。通过妊娠(在妊娠19.5天时观察)和下丘脑腹内侧核的电解损伤(损伤后2天)诱导高胰岛素血症。在两种高胰岛素血症情况下,葡萄糖剂量/反应曲线的动力学(在60分钟孵育期内测量)有显著差异。妊娠大鼠的胰岛表现为葡萄糖阈值降低、半数最大分泌率和最大分泌率增强,而损伤大鼠的胰岛尽管胰岛胰岛素含量相当,但仅表现出半数最大分泌反应和最大分泌反应增加。将高胰岛素血症动物的胰岛培养长达6天,VMH损伤大鼠制备的胰岛胰岛素分泌与对照动物相同,而妊娠大鼠的胰岛在葡萄糖浓度为5 mmol/l时保持其增强的敏感性。这些结果证实胰腺β细胞反应对高胰岛素血症有显著贡献,但不同机制可能导致β细胞分泌改变。