Le Maho Y, Vu Van Kha H, Koubi H, Dewasmes G, Girard J, Ferré P, Cagnard M
Am J Physiol. 1981 Nov;241(5):E342-54. doi: 10.1152/ajpendo.1981.241.5.E342.
Starvation in 15 geese (mean initial body mass, m = 6.3 kg) fasting for about 40 days (mean decrease in m = 2.5 kg) was characterized by three periods. Period I (3-8 days), an adaptation period, was marked by a considerable decrease in the daily rate of change in m (dm) as well as in resting metabolic rate (RMR), and by high fat mobilization. In period II (a period of economy) the decreases in dm, RMR, and daily rate of nitrogen excretion (dne) were reduced: when expressed per unit of body mass these rates were either constant or decreased slightly. Period III, a critical period, was characterized by a rapid increase in both dm and dne that appeared when body mass had dropped to 4.7-3.2 kg. In parallel there was a greater decrease in intracellular fluid volume below 5 kg. Throughout the fast, in contrast to fasting mammals, plasma glucose and alanine concentrations were maintained at high levels (8-10 and 0.4 mM, respectively), and there was no increase in acetoacetate. However, after 20 days of fasting, plasma beta-hydroxybutyrate concentration (beta-OHB) increased to about 20 mM, while blood pH remained constant and blood PCO2 decreased. Thus, compensation for metabolic acidosis was partly attributed to respiratory alkalosis. Throughout the fast, the variations in beta-OHB were a mirror image of those for daily changes in body mass and in nitrogen excretion. This presumably reflects a hormonal change, but might also suggest a key role of beta-OHB in the control of energy expenditure and/or in regulation of body mass as well as in protein sparing.
对15只鹅(平均初始体重m = 6.3千克)进行约40天的禁食(平均体重下降m = 2.5千克),其饥饿过程具有三个阶段。第一阶段(3 - 8天)为适应期,特征是体重每日变化率(dm)以及静息代谢率(RMR)显著下降,且脂肪动员量高。在第二阶段(节约期),dm、RMR和氮排泄每日变化率(dne)的下降幅度减小:以单位体重表示时,这些速率要么保持恒定,要么略有下降。第三阶段为关键期,特征是当体重降至4.7 - 3.2千克时,dm和dne迅速增加。与此同时,体重低于5千克时细胞内液体积下降幅度更大。在整个禁食过程中,与禁食的哺乳动物不同,血浆葡萄糖和丙氨酸浓度维持在较高水平(分别为8 - 10毫摩尔/升和0.4毫摩尔/升),且乙酰乙酸没有增加。然而,禁食20天后,血浆β - 羟基丁酸浓度(β - OHB)升至约20毫摩尔/升,而血液pH值保持恒定,血液PCO2下降。因此,代谢性酸中毒的代偿部分归因于呼吸性碱中毒。在整个禁食过程中,β - OHB的变化与体重和氮排泄的每日变化呈镜像关系。这可能反映了激素变化,但也可能表明β - OHB在控制能量消耗和/或调节体重以及节约蛋白质方面起关键作用。