Wang Z, Wang R M, Owji A A, Smith D M, Ghatei M A, Bloom S R
Division of Endocrinology, Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom.
J Clin Invest. 1995 Jan;95(1):417-21. doi: 10.1172/JCI117671.
Glucagon-like peptide-1 7-36 amide (GLP-1) has been postulated to be the primary hormonal mediator of the entero-insular axis but evidence has been indirect. The discovery of exendin (9-39), a GLP-1 receptor antagonist, allowed this to be further investigated. The IC50 for GLP-1 receptor binding, using RIN 5AH beta-cell membranes, was found to be 0.36 nmol/l for GLP-1 and 3.44 nmol/l for exendin (9-39). There was no competition by exendin (9-39) at binding sites for glucagon or related peptides. In the anaesthetized fasted rat, insulin release after four doses of GLP-1 (0.1, 0.2, 0.3, and 0.4 nmol/kg) was tested by a 2-min intravenous infusion. Exendin (9-39) (1.5, 3.0, and 4.5 nmol/kg) was administered with GLP-1 0.3 nmol/kg, or saline, and only the highest dose fully inhibited insulin release. Exendin (9-39) at 4.5 nmol/kg had no effect on glucose, arginine, vasoactive intestinal peptide or glucose-dependent insulinotropic peptide stimulated insulin secretion. Postprandial insulin release was studied in conditioned conscious rats after a standard meal. Exendin (9-39) (0.5 nmol/kg) considerably reduced postprandial insulin concentrations, for example by 48% at 15 min (431 +/- 21 pmol/l saline, 224 +/- 32 pmol/l exendin, P < 0.001). Thus, GLP-1 appears to play a major role in the entero-insular axis.
胰高血糖素样肽-1 7-36酰胺(GLP-1)被认为是肠-胰岛轴的主要激素介质,但证据一直是间接的。胰高血糖素样肽-1受体拮抗剂艾塞那肽(9-39)的发现使得这一问题能够得到进一步研究。使用RIN 5AHβ细胞膜,发现GLP-1与胰高血糖素样肽-1受体结合的IC50为0.36 nmol/L,而艾塞那肽(9-39)为3.44 nmol/L。艾塞那肽(9-39)在胰高血糖素或相关肽的结合位点没有竞争作用。在麻醉的禁食大鼠中,通过2分钟静脉输注测试了四剂GLP-1(0.1、0.2、0.3和0.4 nmol/kg)后的胰岛素释放。将艾塞那肽(9-39)(1.5、3.0和4.5 nmol/kg)与0.3 nmol/kg的GLP-1或生理盐水一起给药,只有最高剂量能完全抑制胰岛素释放。4.5 nmol/kg的艾塞那肽(9-39)对葡萄糖、精氨酸、血管活性肠肽或葡萄糖依赖性促胰岛素多肽刺激的胰岛素分泌没有影响。在标准餐后,对条件性清醒大鼠的餐后胰岛素释放进行了研究。艾塞那肽(9-39)(0.5 nmol/kg)显著降低了餐后胰岛素浓度,例如在15分钟时降低了48%(生理盐水组为431±21 pmol/L,艾塞那肽组为224±32 pmol/L,P<0.001)。因此,GLP-1似乎在肠-胰岛轴中起主要作用。