Muller W A, Girardier L, Seydoux J, Berger M, Renold A E, Vranic M
J Clin Invest. 1978 Jul;62(1):124-32. doi: 10.1172/JCI109096.
The anatomical sites and the rates of extrapancreatic secretion of glucagon and of glucagon-like immunoreactivity (GLI) were assessed in dogs 2 h after pancreatectomy by catheterization of the gastrosplenic and mesenteric veins. Glucagon release from the gastrosplenic area approximated one-fourth that of a normal pancreas and rose from 0.25 to 1.0 ng/kg per min during arginine stimulation. Intestinal glucagon secretion was small and did not respond to arginine, suggesting that the stomach is the only important extrapancreatic source of glucagon. Glucagon concentrations attained by gastrosplenic secretion were in close proportion to those obtained during the administration of exogenous glucagon, indicating similar clearance rates of extrapancreatic and pancreatic glucagon, approximating 10 ml/kg per min.GLI secretion (0.3 ng eq/kg per min) was limited to the intestinal area and was transiently stimulated by arginine and exogenous glucagon. Base-line GLI clearance approximated 1 ml/kg per min. No insulin secretion could be detected. Gastrointestinal glucose uptake rose from 0.56 to 2.2 mg/kg per min after glucagon administration suggesting that as much as 10% of total glucose production can be taken up by the gastrointestinal tract. In two dogs both the stomach and pancreas were removed. Intestinal glucagon release remained small and did not increase during arginine administration. By contrast, GLI release was stimulated by both arginine and exogenous glucagon.
在狗胰腺切除术后2小时,通过对胃脾静脉和肠系膜静脉插管,评估胰高血糖素和胰高血糖素样免疫反应性(GLI)的解剖部位及胰腺外分泌率。胃脾区释放的胰高血糖素约为正常胰腺的四分之一,在精氨酸刺激期间,其释放速率从0.25 ng/kg每分钟升至1.0 ng/kg每分钟。肠道胰高血糖素分泌量少,且对精氨酸无反应,这表明胃是胰腺外胰高血糖素的唯一重要来源。胃脾区分泌达到的胰高血糖素浓度与给予外源性胰高血糖素期间获得的浓度密切相关,表明胰腺外和胰腺内胰高血糖素的清除率相似,约为10 ml/kg每分钟。GLI分泌(0.3 ng当量/kg每分钟)仅限于肠道区域,且受到精氨酸和外源性胰高血糖素的短暂刺激。基线GLI清除率约为1 ml/kg每分钟。未检测到胰岛素分泌。给予胰高血糖素后,胃肠道葡萄糖摄取量从0.56 mg/kg每分钟升至2.2 mg/kg每分钟,这表明胃肠道可摄取高达总葡萄糖生成量的10%。在两只狗身上,胃和胰腺均被切除。肠道胰高血糖素释放量仍然很少,在给予精氨酸期间未增加。相比之下,精氨酸和外源性胰高血糖素均刺激GLI释放。