Abdel-Halim S M, Guenifi A, Efendić S, Ostenson C G
Department of Endocrinology, Karolinska Institute and Hospital, Stockholm, Sweden.
Acta Physiol Scand. 1993 Jun;148(2):219-26. doi: 10.1111/j.1748-1716.1993.tb09551.x.
We have studied the responses of insulin and somatostatin to glucose and arginine in the perfused pancreas of GK rats, which spontaneously develop mild noninsulin-dependent diabetes without concomitant obesity. Our GK rats have been obtained after at least 42 generations of inbreeding of Wistar rats with initial selection for increased blood glucose levels during glucose tolerance tests. During perfusion with a high (16.7 mmol l-1) glucose concentration, normal responses of insulin and somatostatin were found in pancreata from non-diabetic control rats. In GK pancreata, however, these responses were virtually abolished. When the glucose concentration of the perfusion medium was switched from 16.7 to 3.3 mmol l-1 glucose, a transient increase- 'off-response' -in both insulin and somatostatin secretion was noted in GK but not in control pancreata. During the subsequent stimulation with arginine (20 mmol l-1), insulin and somatostatin responses were similar in pancreata from non-diabetic and GK rats. The pancreatic content of insulin did not differ between non-diabetic and GK rats, whereas the content of somatostatin was increased by 56% (P < 0.025) in GK glands. In conclusion, abnormalities assigned to pancreatic hormone secretion in the GK rat comprise not only markedly impaired insulin but also somatostatin response to glucose. Since there was no decrease in pancreatic content of these hormones in GK rats, the cause of glucose insensitivity of the hormone-producing cells is likely to reside in a defective stimulus-secretion coupling rather than decreased availability of the hormones.
我们研究了GK大鼠灌注胰腺中胰岛素和生长抑素对葡萄糖和精氨酸的反应,GK大鼠会自发发展为轻度非胰岛素依赖型糖尿病且无伴随肥胖。我们的GK大鼠是在对Wistar大鼠进行至少42代近亲繁殖后获得的,最初是在葡萄糖耐量试验中选择血糖水平升高的大鼠。在高葡萄糖浓度(16.7 mmol l-1)灌注期间,非糖尿病对照大鼠胰腺中胰岛素和生长抑素的反应正常。然而,在GK大鼠胰腺中,这些反应几乎完全消失。当灌注培养基的葡萄糖浓度从16.7 mmol l-1切换到3.3 mmol l-1葡萄糖时,GK大鼠胰腺中胰岛素和生长抑素分泌出现短暂增加——“脱逸反应”,而对照大鼠胰腺中未出现。在随后用精氨酸(20 mmol l-1)刺激期间,非糖尿病和GK大鼠胰腺中胰岛素和生长抑素的反应相似。非糖尿病和GK大鼠胰腺中的胰岛素含量没有差异,而GK大鼠胰腺中生长抑素的含量增加了56%(P < 0.025)。总之,GK大鼠胰腺激素分泌异常不仅包括胰岛素反应明显受损,还包括生长抑素对葡萄糖的反应受损。由于GK大鼠胰腺中这些激素的含量没有降低,激素产生细胞对葡萄糖不敏感的原因可能在于刺激-分泌偶联缺陷,而不是激素可用性降低。