Reaven E P, Reaven G M
J Clin Invest. 1981 Jul;68(1):75-84. doi: 10.1172/jci110256.
The current study was conducted to determine if physical activity and/or weight control could influence the age-related decrease in beta cell insulin response noted in earlier studies. As such, virgin, male Sprague-Dawley rats were maintained in our facility for 1 yr on three differential experimental programs; in the first group, control rats lived under standard laboratory conditions; the second group of rats ran several miles a day in exercise wheels, and the third group was given a calorie-restricted diet designed to keep the rats weight-matched with the exercising rats. The results showed that the 12-mo-old sedentary control rats weighed an average of 800g. From the time these rats were 4 mo old, they were significantly hyperinsulinemic, with mean (+/- SEM) serum insulin levels of 55 +/- 6 microU/ml. Morphological studies on the pancreas of these rats at the end of the year revealed enlarged, multilobulated, fibrotic islets. After collagenase digestion, the most normal-appearing islets from the 12-mo-old controls were used for insulin secretion studies, these islets showed significantly reduced glucose-induced insulin release (0.83 microU insulin/min per volume islet) compared with islets from young rats (1.80 microU insulin/min per volume islet). In contrast, 12-mo-old exercised or calorie-restricted rats weighed approximately 500 g and did not show the changes in serum insulin levels or pancreas pathology exhibited by the sedentary control animals. However, islets from the calorie-restricted group functioned in vitro no better than islets from he sedentary control group. Islets from the exercised rats were somewhat improved in this regard. In summary, we believe exercise and weight control diminishes the animals' need for insulin-resulting in youthful-appearing islets after a year's time. However, these regimes do not appear able to correct the beta cell decline in function previously described.
本研究旨在确定体育活动和/或体重控制是否会影响早期研究中所指出的与年龄相关的β细胞胰岛素反应下降。因此,将未交配的雄性斯普拉格-道利大鼠在我们的设施中按照三种不同的实验方案饲养1年;在第一组中,对照大鼠在标准实验室条件下生活;第二组大鼠每天在运动轮上跑数英里,第三组给予热量限制饮食,以使大鼠体重与运动大鼠相匹配。结果显示,12个月大的久坐对照大鼠平均体重为800克。从这些大鼠4个月大时起,它们就显著高胰岛素血症,平均(±标准误)血清胰岛素水平为55±6微单位/毫升。在年底对这些大鼠的胰腺进行的形态学研究显示胰岛增大、多叶且纤维化。胶原酶消化后,将12个月大对照大鼠中外观最正常的胰岛用于胰岛素分泌研究,与年轻大鼠的胰岛(每体积胰岛每分钟释放1.80微单位胰岛素)相比,这些胰岛显示葡萄糖诱导的胰岛素释放显著减少(每体积胰岛每分钟0.83微单位胰岛素)。相比之下,12个月大的运动或热量限制大鼠体重约为500克,未表现出久坐对照动物所呈现的血清胰岛素水平变化或胰腺病理改变。然而,热量限制组的胰岛在体外的功能并不比久坐对照组的胰岛好。在这方面,运动大鼠的胰岛有所改善。总之,我们认为运动和体重控制减少了动物对胰岛素的需求,从而在一年后使胰岛呈现出年轻的外观。然而,这些方案似乎无法纠正先前描述的β细胞功能下降。