Rayner V, Weekes T E, Bruce J B
Dig Dis Sci. 1981 Jan;26(1):33-41. doi: 10.1007/BF01307973.
The effect of insulin on the myoelectric activity of the small intestine was determined in conscious pigs. Animals were implanted with electrodes along the small intestine, a strain gage on the stomach and catheters in both saphenous arteries. Feeding modified the migrating myoelectric complex (MMC), a cyclic pattern of action potential activity of the small intestine characteristic of fasting. The first period of regular spiking activity (RSA) on the duodenum after feeding was delayed and was not followed by quiescence. Plasma insulin and glucose concentrations during the first three MMC after feeding were highest just before periods of duodenal RSA. Injection or infusion of insulin into fasted pigs with production of hypoglycemia caused disruption of stomach motility and duodenal electrical activity. The duodenal MMC was not altered when glucose to prevent hypoglycemia was infused together with insulin or when glucose was infused alone. These studies suggest that insulin is not directly responsible for the postprandial modification of MMC activity as insulin infusions only modify the MMC when hypoglycemia occurs.
在清醒猪身上测定了胰岛素对小肠肌电活动的影响。沿小肠植入电极,在胃上放置应变片,并在双侧隐动脉中插入导管。进食改变了移行性肌电复合波(MMC),这是一种小肠在禁食时特有的动作电位活动的周期性模式。进食后十二指肠上第一个规则的锋电位活动(RSA)期延迟,且随后没有静止期。进食后最初三个MMC期间,血浆胰岛素和葡萄糖浓度在十二指肠RSA期之前最高。向禁食猪注射或输注胰岛素导致低血糖时,会引起胃动力和十二指肠电活动的紊乱。当与胰岛素一起输注葡萄糖以预防低血糖或单独输注葡萄糖时,十二指肠MMC没有改变。这些研究表明,胰岛素并非餐后MMC活动改变的直接原因,因为只有在发生低血糖时胰岛素输注才会改变MMC。