Nishikawa K, Ikeda H, Matsuo T
Horm Metab Res. 1981 Aug;13(8):426-30. doi: 10.1055/s-2007-1019292.
In response to arginine infusion, Zucker fatty rats developed hyperglycemia accompanying hyperglucagonemia and hyperinsulinemia. The hyperglycemia could not be explained by changes in the ratio of glucagon/insulin. However, arginine infusion failed to increase plasma glucose in fatty rats pretreated with anti-glucagon serum, suggesting a hyperglycemic effect of glucagon released by arginine. Kinetic studies of glucose metabolism revealed that the rates of glucose appearance (Ra) and glucose disappearance (Rd) of lean rats rapidly and simultaneously increased to the same extent after the start of arginine infusion. By contrast, in fatty rats, Ra markedly increased immediately after the start of the infusion, but Rd did not significantly increase until hyperglycemia was established. Overall insulin sensitivity of fatty rats was markedly reduced, determined by the steady state plasma glucose method. We conclude tht arginine-induced hyperglycemia in fatty rats is caused by enhanced glucose output from the liver due to hyperglucagonemia and/or by decreased glucose utilization due to insulin resistance.
给予精氨酸输注后,Zucker肥胖大鼠出现高血糖,同时伴有高胰高血糖素血症和高胰岛素血症。高血糖不能用胰高血糖素/胰岛素比值的变化来解释。然而,给予抗胰高血糖素血清预处理的肥胖大鼠,精氨酸输注未能升高血浆葡萄糖,提示精氨酸释放的胰高血糖素具有升高血糖的作用。葡萄糖代谢动力学研究显示,精氨酸输注开始后,瘦鼠的葡萄糖出现率(Ra)和葡萄糖消失率(Rd)迅速且同时升高至相同程度。相比之下,在肥胖大鼠中,输注开始后Ra立即显著升高,但直到高血糖确立时Rd才显著升高。通过稳态血浆葡萄糖法测定,肥胖大鼠的整体胰岛素敏感性显著降低。我们得出结论,肥胖大鼠中精氨酸诱导的高血糖是由于高胰高血糖素血症导致肝脏葡萄糖输出增加和/或由于胰岛素抵抗导致葡萄糖利用减少所致。