Stagner J I, Samols E, Weir G C
J Clin Invest. 1980 Apr;65(4):939-42. doi: 10.1172/JCI109750.
Canine pancreata were perfused in vitro to examine whether hormone cycles could be demonstrated without hepatic or central nervous influence. Insulin, glucagon, and somatostatin demonstrated regular sustained cyclic secretion from the in vitro canine pancreas. Oscillations were noted for over 200 min during the infusion of a constant glucose concentration. Insulin demonstrated a 10-min period with a range of 8-12 min/cycle. Somatostatin had a 10-min period with a range of 8-11 min. Glucagon had a period of 8.6 min with range of 6-10 min. These periods do not allow glucagon to be consistently 90 degrees out of phase with insulin and somatostatin. When glucose was increased from 88 to 200 mg/dl, insulin cycles persisted but on an elevated base line, demonstrating that cycles react to glucose changes but are not dependent upon them. Cycles were disrupted by infusions of dopamine, apomorphine, epinephrine, and acetylcholine, but were reestablished. Autonomic blockade by both single and combined infusions of atropine (cholinergic), propranolol, and dibenzyline (adrenergic) had no effect on cycles. These results suggest that, in vitro, there is an intrinsic rhythm of hormone secretion by the pancreas despite a constant glucose level. The production of in vitro cycles requires the presence of a driving oscillator or pacemaker within the pancreas and the coordination of islets by pace-maker-islet communication, presumably by a non-adrenergic neural system. In vitro oscillations may Indicate that the pancreas is the driver or Zeitgeber of in vivo glucose-insulin cycles.
对犬胰腺进行体外灌注,以研究在无肝脏或中枢神经影响的情况下,是否能证明激素循环的存在。胰岛素、胰高血糖素和生长抑素在体外犬胰腺中表现出规律的持续周期性分泌。在输注恒定葡萄糖浓度期间,观察到振荡持续超过200分钟。胰岛素的周期为10分钟,每个周期范围为8 - 12分钟。生长抑素的周期为10分钟,范围为8 - 11分钟。胰高血糖素的周期为8.6分钟,范围为6 - 10分钟。这些周期并不使胰高血糖素始终与胰岛素和生长抑素相差90度。当葡萄糖从88毫克/分升增加到200毫克/分升时,胰岛素循环持续存在,但基线升高,表明循环对葡萄糖变化有反应,但不依赖于葡萄糖变化。多巴胺、阿扑吗啡、肾上腺素和乙酰胆碱的输注会破坏循环,但循环会重新建立。单独或联合输注阿托品(胆碱能)、普萘洛尔和双苄胺(肾上腺素能)进行自主神经阻滞对循环没有影响。这些结果表明,在体外,尽管葡萄糖水平恒定,胰腺仍存在激素分泌的内在节律。体外周期的产生需要胰腺内存在驱动振荡器或起搏器,以及通过起搏器 - 胰岛通讯(可能通过非肾上腺素能神经系统)对胰岛进行协调。体外振荡可能表明胰腺是体内葡萄糖 - 胰岛素循环的驱动者或授时因子。