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外源性胰岛素对胰岛素分泌的体外效应。葡萄糖、亮氨酸、精氨酸、氨茶碱及甲苯磺丁脲的相关研究。

In vitro effect of exogenous insulin on insulin secretion. Studies with glucose, leucine, arginine, aminophylline and tolbutamide.

作者信息

Verspohl E J, Händel M, Hagenloh I, Ammon H P

出版信息

Acta Diabetol Lat. 1982 Oct-Dec;19(4):303-17. doi: 10.1007/BF02629253.

Abstract

Using rat pancreatic islets and the perfused rat pancreas, the effect of exogenous insulin on insulin secretion mediated by glucose, leucine, arginine, aminophylline and tolbutamide was studied. (1) In both systems the insulin releasing capacity of glucose was inhibited by exogenous insulin. In the perfused pancreas the inhibition concerned the first and the second phase of insulin release; (2) the EC50 (half-maximal inhibitory effect of insulin on glucose-induced insulin secretion) in islets was 1.2 nM (= 160 microU/ml) and 2.8 nM (390 microU/ml) in perfused pancreas; (3) exogenous insulin also inhibited insulin release in response to leucine and arginine in the isolated islet system and in the perfused pancreas; (4) using aminophylline and tolbutamide in combination with glucose, the extent of the inhibitory effect of insulin was in the range of the inhibitory effect when glucose was used alone as stimulator in islets. Data suggest that the insulinogenic action of physiological stimulators including glucose, leucine and arginine is inhibited by exogenous insulin whereas this seems not to be the case when insulin release was stimulated by aminophylline and tolbutamide. Comparing the EC50s, isolated islets seem to be more sensitive to inhibition than the perfused pancreas when glucose was used as stimulator. As far as glucose is concerned the inhibitory effect seems to depend on the extent of its concentration and/or the extent to which the mechanism of insulin release is sensitive to stimulation. The EC50 of the inhibitory effect of exogenous insulin was in the range of dissociation constant of binding of insulin to insulin receptors of islets.

摘要

利用大鼠胰岛和灌注大鼠胰腺,研究了外源性胰岛素对由葡萄糖、亮氨酸、精氨酸、氨茶碱和甲苯磺丁脲介导的胰岛素分泌的影响。(1) 在这两个系统中,外源性胰岛素均抑制了葡萄糖的胰岛素释放能力。在灌注胰腺中,这种抑制涉及胰岛素释放的第一阶段和第二阶段;(2) 胰岛中的EC50(胰岛素对葡萄糖诱导的胰岛素分泌的半数最大抑制作用)为1.2 nM(=160 μU/ml),灌注胰腺中的EC50为2.8 nM(390 μU/ml);(3) 外源性胰岛素在分离的胰岛系统和灌注胰腺中也抑制了对亮氨酸和精氨酸的胰岛素释放;(4) 在胰岛中,将氨茶碱和甲苯磺丁脲与葡萄糖联合使用时,胰岛素的抑制作用程度与单独使用葡萄糖作为刺激物时的抑制作用程度范围相同。数据表明,包括葡萄糖、亮氨酸和精氨酸在内的生理刺激物的促胰岛素作用被外源性胰岛素抑制,而当胰岛素释放由氨茶碱和甲苯磺丁脲刺激时似乎并非如此。比较EC50,当使用葡萄糖作为刺激物时,分离的胰岛似乎比灌注胰腺对抑制更敏感。就葡萄糖而言,抑制作用似乎取决于其浓度的程度和/或胰岛素释放机制对刺激敏感的程度。外源性胰岛素抑制作用的EC50在胰岛素与胰岛胰岛素受体结合的解离常数范围内。

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