Jia X, Elliott R, Kwok Y N, Pederson R A, McIntosh C H
Department of Physiology, University of British Columbia, Vancouver, Canada.
Diabetes. 1995 May;44(5):495-500. doi: 10.2337/diab.44.5.495.
In previous studies on the enteroinsular axis in Zucker rats, it was found that glucose-dependent insulinotropic polypeptide (GIP) levels were normal in obese animals, but the glucose threshold for the insulinotropic action of GIP in the perfused rat pancreas was reduced. Glucagon-like peptide I (GLP-I)(7-36) is also an important incretin, and in the current study, glucose, insulin, and immunoreactive (IR)-COOH-terminal GLP-I responses to oral glucose were compared in lean (Fa/?) and obese (fa/fa) rats. In addition, the concentration thresholds for stimulation and glucose dependence of perfused pancreases to GLP-I(7-36) were examined. Glucose responses to oral glucose were similar in fa/fa and Fa/? rats. Obese animals were hyperinsulinemic when fasting and after oral glucose. Significant increases in IR-GLP-I levels in response to glucose were only observed in fa/fa rats. Perfused pancreases from fa/fa rats hypersecreted insulin at all glucose concentrations. In the presence of 4.4 mmol/l glucose, GLP-I(7-36) increased insulin secretion in fa/fa pancreases approximately 25-fold, whereas there was only a 5-fold increase in Fa/? pancreases. Pancreases from fa/fa rats, perfused with a glucose gradient (2.8-11 mmol/l) in the presence of GLP-I(7-36), responded with an immediate increase in insulin secretion, i.e., at a glucose concentration of 2.8 mmol/l, whereas Fa/? pancreases required a minimum of 4.22 mmol/l glucose for stimulation. With high glucose (16.7 mmol/l), both fa/fa and Fa/? rat pancreases exhibited similar responsiveness to GLP-I(7-36), having thresholds of < 50 pmol/l.(ABSTRACT TRUNCATED AT 250 WORDS)
在先前对Zucker大鼠肠胰岛轴的研究中发现,肥胖动物体内的葡萄糖依赖性促胰岛素多肽(GIP)水平正常,但在灌注的大鼠胰腺中,GIP促胰岛素作用的葡萄糖阈值降低。胰高血糖素样肽I(GLP-I)(7-36)也是一种重要的肠促胰岛素,在本研究中,比较了瘦型(Fa/?)和肥胖型(fa/fa)大鼠口服葡萄糖后的葡萄糖、胰岛素及免疫反应性(IR)-COOH末端GLP-I反应。此外,还检测了灌注胰腺对GLP-I(7-36)刺激的浓度阈值及葡萄糖依赖性。fa/fa和Fa/?大鼠口服葡萄糖后的葡萄糖反应相似。肥胖动物在禁食时和口服葡萄糖后均出现高胰岛素血症。仅在fa/fa大鼠中观察到葡萄糖刺激后IR-GLP-I水平显著升高。fa/fa大鼠的灌注胰腺在所有葡萄糖浓度下均过度分泌胰岛素。在4.4 mmol/l葡萄糖存在的情况下,GLP-I(7-36)使fa/fa胰腺的胰岛素分泌增加约25倍,而Fa/?胰腺仅增加5倍。在GLP-I(7-36)存在的情况下,用葡萄糖梯度(2.8-11 mmol/l)灌注fa/fa大鼠的胰腺,胰岛素分泌立即增加,即在葡萄糖浓度为2.8 mmol/l时,而Fa/?胰腺至少需要4.22 mmol/l葡萄糖才能受到刺激。在高葡萄糖(16.7 mmol/l)情况下,fa/fa和Fa/?大鼠的胰腺对GLP-I()的反应相似,阈值均<50 pmol/l。(摘要截选至250词)