Giroix M H, Portha B, Kergoat M, Picon L
Diabete Metab. 1984 Jan;10(1):12-7.
Non-insulin-dependent diabetes ( NIDD ) was obtained in adult rats following a neonatal streptozotocin injection. Rats with NIDD exhibited a chronic low-insulin response to glucose in vivo, slightly elevated basal plasma glucose values (less than 2 g/l) and low pancreatic insulin stores (50% of the controls). Glucagon secretion was studied in this model, in vivo and in vitro using the isolated perfused pancreas technique. Normal basal plasma glucagon levels were observed in the fed state and were in accordance with normal basal glucagon release in vitro. The pancreatic glucagon stores were normal in the diabetics. In experiments with the perfused pancreas, the increased glucose concentration suppressed glucagon release as readily in the diabetics as in the controls. Moreover 5.5 mM glucose suppressed glucagon release stimulated by 19 mM arginine to the same extent in both groups. These data indicate that the suppression of A cell function by glucose is normal in rats with NIDD . Theophylline and isoproterenol also produced normal glucagon release in diabetics. By contrast, the glucagon secretion in response to arginine was lower in the diabetics. This was observed either in vivo (arginine infusion) or in vitro in the presence or the absence of glucose in the perfusate. But in the presence of theophylline the response to arginine was normalized in the diabetics. Impairment of A cell function of the diabetics is not limited to recognition of amino-acids, since acetylcholine evoked a lower glucagon response in the diabetics than in the controls. These defects are different from those described in their B cells.
新生期注射链脲佐菌素后,成年大鼠可诱发非胰岛素依赖型糖尿病(NIDD)。患有NIDD的大鼠在体内对葡萄糖呈现慢性低胰岛素反应,基础血浆葡萄糖值略有升高(低于2 g/l),胰腺胰岛素储备较低(为对照组的50%)。采用离体灌注胰腺技术在体内和体外研究了该模型中的胰高血糖素分泌情况。在喂食状态下观察到正常的基础血浆胰高血糖素水平,且与体外正常的基础胰高血糖素释放情况一致。糖尿病大鼠的胰腺胰高血糖素储备正常。在灌注胰腺的实验中,升高的葡萄糖浓度在糖尿病大鼠中与对照组一样能轻易抑制胰高血糖素释放。此外,5.5 mM葡萄糖在两组中对由19 mM精氨酸刺激引起的胰高血糖素释放的抑制程度相同。这些数据表明,在患有NIDD的大鼠中,葡萄糖对A细胞功能的抑制是正常的。茶碱和异丙肾上腺素在糖尿病大鼠中也能产生正常的胰高血糖素释放。相比之下,糖尿病大鼠对精氨酸的胰高血糖素分泌较低。这在体内(精氨酸输注)或体外灌注液中存在或不存在葡萄糖的情况下均有观察到。但在茶碱存在的情况下,糖尿病大鼠对精氨酸的反应恢复正常。糖尿病大鼠A细胞功能的损害不仅限于对氨基酸的识别,因为乙酰胆碱在糖尿病大鼠中引起的胰高血糖素反应低于对照组。这些缺陷与在其B细胞中描述的缺陷不同。