Racotta R, Islas-Chaires M, Vega C, Soto-Mora M, Russek M
Am J Physiol. 1984 Feb;246(2 Pt 2):R247-50. doi: 10.1152/ajpregu.1984.246.2.R247.
Changes in hepatic lactate and glucose and systemic blood lactate produced by intraperitoneal injections of epinephrine, isoproterenol, glucagon, and insulin showed a high correlation (r = 0.9) with the changes in food intake elicited by the same substances. The changes in systemic blood glucose showed no correlation with the changes in feeding, which suggests that central glucoreceptors are not playing an important role in the observed changes in feeding. The intramuscular epinephrine had no significant effect on food intake, in spite of changes in systemic and hepatic lactate and glucose similar to those elicited by intraperitoneal epinephrine. However, intramuscular epinephrine had no hepatic glycogenolytic effect. This suggests that the changes in glucose and lactate elicited by intraperitoneal epinephrine result from hepatic glycogenolysis, whereas the changes elicited by intramuscular epinephrine result from muscular glycogenolysis and inhibition of insulin. Thus hepatic glucose and lactate are good predictors of feeding only when they are produced endogenously by hepatic glycogenolysis. It was concluded that hepatic lactate cannot be the substance sensed by hepatic metabolic receptors. However, due to a possible change in the hepatic lactate-to-pyruvate ratio elicited by intraperitoneal epinephrine, hepatic pyruvate may still be correlated with feeding during the action of both intramuscular and intraperitoneal epinephrine. Therefore the hypothesis that pyruvate is the substance monitored by hepatic metabolic receptors should be tested.
腹腔注射肾上腺素、异丙肾上腺素、胰高血糖素和胰岛素所引起的肝脏乳酸和葡萄糖以及全身血液乳酸的变化,与相同物质所引起的食物摄入量变化呈现高度相关性(r = 0.9)。全身血糖的变化与进食变化无相关性,这表明中枢葡萄糖受体在观察到的进食变化中未发挥重要作用。尽管肌肉注射肾上腺素引起的全身和肝脏乳酸及葡萄糖变化与腹腔注射肾上腺素相似,但对食物摄入量无显著影响。然而,肌肉注射肾上腺素没有肝糖原分解作用。这表明腹腔注射肾上腺素引起的葡萄糖和乳酸变化是由肝糖原分解所致,而肌肉注射肾上腺素引起的变化是由肌肉糖原分解和胰岛素抑制所致。因此,只有当肝脏葡萄糖和乳酸由肝糖原分解内源性产生时,它们才是进食的良好预测指标。得出的结论是,肝脏乳酸不可能是肝脏代谢受体所感知的物质。然而,由于腹腔注射肾上腺素可能引起肝脏乳酸与丙酮酸比值的变化,在肌肉注射和腹腔注射肾上腺素作用期间,肝脏丙酮酸仍可能与进食相关。因此,应该检验丙酮酸是肝脏代谢受体所监测物质的假说。