Emmanouel D S, Jaspan J B, Rubenstein A H, Huen A H, Fink E, Katz A I
J Clin Invest. 1978 Jul;62(1):6-13. doi: 10.1172/JCI109114.
The renal handling of the biologically active glucagon component (the 3,500-mol wt fraction of immunoreactive glucagon [IRG]) and the contribution of the kidney to its overall peripheral metabolism were studied in normal and uremic rats. The metabolic clearance rate of glucagon was 31.8 +/- 1.2 ml/min per kg in normal animals and was diminished by approximately one-third in each of three groups of rats with compromized renal function: 22.3+/-1.6 ml/min per kg in partially (70%) nephrectomized; 22.9+/-3.3 ml/min per kg in bilaterally ureteral ligated; and 23.2+/-1.2 ml/min per kg in bilaterally nephrectomized animals. In normal rats the kidney contributed 30% to the overall metabolic clearance of the hormone and the renal extraction of endogenous and exogenous glucagon was similar, averaging 22.9+/-1.6% and was independent of plasma IRG levels over a wide range of arterial concentrations. The remnant kidney of partially (70%) nephrectomized animals continued to extract substantial amounts (16.6+/-4.2%) of the hormone, but accounted for only 8% of the total peripheral catabolism of IRG. In the two groups of animals with filtering kidneys, renal glucagon uptake was linearly related to its filtered load and could be accounted for by glomerular filtration and tubular reabsorption. However, the kidneys of animals with both ureters ligated (renal extraction of inulin = 3.2+/-1.8%) and hence virtual absence of glomerular filtration, continued to extract 11.5+/-1.9% of the renal arterial glucagon, contributing by 9% to its overall metabolic clearance, indicating that IRG uptake occurs also from the post glomerular capillaries.
在正常大鼠和尿毒症大鼠中,研究了肾脏对具有生物活性的胰高血糖素成分(免疫反应性胰高血糖素[IRG]的3500摩尔重量部分)的处理以及肾脏对其整体外周代谢的贡献。正常动物中胰高血糖素的代谢清除率为31.8±1.2毫升/分钟·千克,在三组肾功能受损的大鼠中,每组的代谢清除率均降低了约三分之一:部分(70%)肾切除的大鼠为22.3±1.6毫升/分钟·千克;双侧输尿管结扎的大鼠为22.9±3.3毫升/分钟·千克;双侧肾切除的动物为23.2±1.2毫升/分钟·千克。在正常大鼠中,肾脏对该激素的整体代谢清除率贡献为30%,肾脏对内源性和外源性胰高血糖素的提取相似,平均为22.9±1.6%,并且在很宽的动脉浓度范围内与血浆IRG水平无关。部分(70%)肾切除动物的残余肾脏继续提取大量(16.6±4.2%)的该激素,但仅占IRG外周总分解代谢的8%。在两组具有滤过功能肾脏的动物中,肾脏对胰高血糖素的摄取与其滤过量呈线性相关,并且可以通过肾小球滤过和肾小管重吸收来解释。然而,双侧输尿管结扎的动物(菊粉的肾脏提取率=3.2±1.8%)因此几乎没有肾小球滤过,但其肾脏仍继续提取肾动脉胰高血糖素的11.5±1.9%,对其整体代谢清除率的贡献为9%,这表明IRG的摄取也发生在肾小球后毛细血管。