Yelich M R, Witek-Janusek L
Department of Physiology, Loyola University of Chicago, Stritch School of Medicine, Maywood, IL 60153-5585, USA.
Shock. 1994 Dec;2(6):438-44. doi: 10.1097/00024382-199412000-00009.
The purpose of this study was to examine the temporal plasma glucose, lactate, insulin, and somatostatin responses of 10-day-old (10 d) and 28-day-old (28 d) rats to the effects of an LD90 dose of endotoxin for a 4 h period. Salmonella enteritidis endotoxin was administered to 10 d and 28 d rats at .2 and 30.0 mg/kg, respectively. Hyperglycemia was the initial response to endotoxin, followed by hypoglycemia; this was similar for 10 d and 28 d rats. Lactate levels were significantly elevated in 10 d rats, but only mild hyperlactacidemia was observed in 28 d rats. Hyperinsulinemia was observed in both 10 d and 28 d rats in response to elevated glucose levels; in 10 d rats, decreased insulin levels preceded the hyperinsulinemia. Plasma somatostatin levels were elevated in both 10 d and 28 d rats in response to endotoxin, but the endotoxin-induced somatostatin levels were greater and occurred earlier in 28 d rats than in 10 d rats. The magnitude of the somatostatin response to endotoxin in the developing rats was markedly less than that previously reported in adult rats. Since previous reports indicated that somatostatin supported the glucoregulatory adaptive response to endotoxin in adult rats, the present results suggested that the diminished somatostatin response to endotoxin in developing rats may partially underlie their increased sensitivity to endotoxin and the profound glucose dyshomeostasis that results subsequently.
本研究的目的是检测10日龄(10 d)和28日龄(28 d)大鼠在4小时内对致死剂量90%(LD90)内毒素作用的血浆葡萄糖、乳酸、胰岛素和生长抑素的时间反应。分别以0.2和30.0 mg/kg的剂量给10日龄和28日龄大鼠注射肠炎沙门氏菌内毒素。高血糖是对内毒素的初始反应,随后是低血糖;10日龄和28日龄大鼠的情况相似。10日龄大鼠的乳酸水平显著升高,但28日龄大鼠仅观察到轻度高乳酸血症。10日龄和28日龄大鼠对血糖水平升高均出现高胰岛素血症;在10日龄大鼠中,胰岛素水平降低先于高胰岛素血症出现。10日龄和28日龄大鼠对内毒素的反应均使血浆生长抑素水平升高,但内毒素诱导的生长抑素水平在28日龄大鼠中更高且出现更早。发育中大鼠对内毒素的生长抑素反应幅度明显小于先前在成年大鼠中报道的幅度。由于先前的报告表明生长抑素支持成年大鼠对内毒素的葡萄糖调节适应性反应,目前的结果表明,发育中大鼠对内毒素的生长抑素反应减弱可能部分是其对内毒素敏感性增加以及随后出现的严重葡萄糖稳态失调的原因。