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胃胰高血糖素免疫反应性在胰腺切除犬中的作用。

The role of gastric glucagon immunoreactivity in pancreatectomized dogs.

作者信息

Ikei S, Mori K, Sakamoto Y, Ishii J, Watanabe O, Inoue M, Akagi M

出版信息

Jpn J Surg. 1980 Sep;10(3):255-60. doi: 10.1007/BF02468757.

Abstract

Immunoreactive glucagon (IRG) or glucagon immunoreactivity is known to be increased in the plasma of insulin-deprived pancreatectomized dogs, most of it originating in the stomach. We attempted to clarify the extent to which gastric IRG is involved in glycogenolysis in the liver of insulin-deprived, pancreatectomized dogs. Mongrel dogs underwent total pancreatectomy. IRG levels in portal vein blood increased to 760 +/- 186 pg/ml on the 4th postoperative day while the insulin levels were negligible. On the 4th postoperative day some of the dogs underwent total gastrectomy. IRG levels in the portal vein blood of pancreatectomized dogs decreased from 760 +/- 186 pg/ml to 135 +/- 44 pg/ml one hour after gastrectomy. Glucose containing insulin was then infused into both pancreatectomized and pancreatectomized-gastrectomized grups of dogs. Glycogen synthesis in the liver during glucose and insulin infusion was much the same in both groups. However, glycogen degradation after glucose and insulin infusion was completely suppressed in pancreatectomized dogs without a stomach while pancreatectomized dogs alone showed marked glycogenolysis in the liver. No difference in portal IRI and blood sugar level was found in both groups while a marked difference in portal IRG were observed. These findings indicate that the IRG released from the stomach plays a significant role i glycogen metabolism in pancreatectomized dogs.

摘要

免疫反应性胰高血糖素(IRG)或胰高血糖素免疫反应性在胰岛素缺乏的胰腺切除犬的血浆中会升高,其中大部分起源于胃。我们试图阐明胃IRG在胰岛素缺乏的胰腺切除犬肝脏糖原分解中所起作用的程度。杂种犬接受了全胰腺切除术。术后第4天,门静脉血中的IRG水平升至760±186 pg/ml,而胰岛素水平可忽略不计。术后第4天,部分犬接受了全胃切除术。胃切除术后1小时,胰腺切除犬门静脉血中的IRG水平从760±186 pg/ml降至135±44 pg/ml。然后向胰腺切除犬组和胰腺切除-胃切除犬组输注含胰岛素的葡萄糖。两组在葡萄糖和胰岛素输注期间肝脏中的糖原合成情况大致相同。然而,在没有胃的胰腺切除犬中,葡萄糖和胰岛素输注后的糖原降解被完全抑制,而仅胰腺切除犬的肝脏中则出现明显的糖原分解。两组门静脉IRI和血糖水平无差异,但门静脉IRG存在显著差异。这些发现表明,从胃释放的IRG在胰腺切除犬的糖原代谢中起重要作用。

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