Roden M, Prskavec M, Fürnsinn C, Elmadfa I, König J, Schneider B, Wagner O, Waldhäusl W
Department of Internal Medicine III, University of Vienna, Austria.
Hepatology. 1995 Jul;22(1):169-74.
Selenium, an essential trace element, has been shown to decrease plasma glucose concentrations of diabetic rats. To study the short-term effects of selenium on hepatic carbohydrate metabolism, isolated perfused livers of fed Sprague-Dawley rats were continuously infused with sodium selenite for 90 minutes. This resulted in an immediate elevation of selenium in the effluent perfusate (3.3 +/- 0.1, 16.1 +/- 0.4, 30.3 +/- 1.6, and 118.9 +/- 0.8 mumol/L at infusion of 10, 50, 100, and 500 mumol/L sodium selenite, respectively). Basal hepatic glucose production decreased in a dose-dependent manner within 60 minutes of low-dose sodium selenite infusion (10: 0.60 +/- 0.20, 50: 0.21 +/- 0.40, and 100 mumol/L: 0.21 +/- 0.09 mumol.min-1.g-1 liver; P < .05 vs. zero time), while it was transiently increased by 500 mumol/L sodium selenite (1.11 +/- 0.18 mumol.min-1.g-1 liver; P < .05). Glucagon-stimulated glycogenolysis was suppressed by 50% (P < .05) at 1.8 nmol/L insulin and by 90% (P < .001) at 10 mumol/L sodium selenite. That selenium concentration did not affect glutathione peroxidase activities in liver and perfusate erythrocytes within 60 minutes. Toxic effects of high-dose selenite (500 mumol/L), but not of low-dose selenite (10 mumol/L) infusion, were indicated by increased hepatic glucose (P < .05), lactate (P < .01), and lactate dehydrogenase (P < .001) release as well as histologically by degeneration and necrosis of periportal hepatocytes. In conclusion, low-dose selenite exerts a potent insulinlike effect on hepatic glycogenolysis in vitro by counteracting glucagon action, whereas high-dose selenite may severely impair liver function.
硒作为一种必需的微量元素,已被证明可降低糖尿病大鼠的血糖浓度。为研究硒对肝脏碳水化合物代谢的短期影响,对喂食后的斯普拉格-道利大鼠的离体灌注肝脏持续输注亚硒酸钠90分钟。这导致流出灌注液中的硒立即升高(分别在输注10、50、100和500μmol/L亚硒酸钠时,流出灌注液中的硒浓度为3.3±0.1、16.1±0.4、30.3±1.6和118.9±0.8μmol/L)。在低剂量亚硒酸钠输注(10μmol/L:0.60±0.20、50μmol/L:0.21±0.40和100μmol/L:0.21±0.09μmol·min⁻¹·g⁻¹肝脏)60分钟内,基础肝葡萄糖生成呈剂量依赖性降低(与零时间相比,P<0.05),而500μmol/L亚硒酸钠使其短暂升高(1.11±0.18μmol·min⁻¹·g⁻¹肝脏;P<0.05)。在1.8nmol/L胰岛素时,胰高血糖素刺激的糖原分解被抑制50%(P<0.05),在10μmol/L亚硒酸钠时被抑制90%(P<0.001)。在60分钟内,硒浓度不影响肝脏和灌注液红细胞中的谷胱甘肽过氧化物酶活性。高剂量亚硒酸钠(500μmol/L)输注而非低剂量亚硒酸钠(10μmol/L)输注的毒性作用表现为肝葡萄糖(P<0.05)、乳酸(P<0.01)和乳酸脱氢酶(P<0.001)释放增加,以及组织学上肝门周肝细胞的变性和坏死。总之,低剂量亚硒酸钠在体外通过拮抗胰高血糖素作用对肝脏糖原分解发挥强大的胰岛素样作用,而高剂量亚硒酸钠可能严重损害肝功能。