Lindfeldt J, Skoglund G, Ahrén B
Department of Surgery, Lund University, Sweden.
J Auton Nerv Syst. 1993 Apr;43(1):37-40. doi: 10.1016/0165-1838(93)90319-p.
We studied the in vivo sensitivity of isolated pancreatic islets to glucose and glucagon 1 week after in vivo micro-surgical denervation of the peri-arterial hepatic nerves in the rat. Basal insulin secretion (at 3.3 mM glucose) was significantly higher in denervated than in sham operated or control animals (137 +/- 27 microU/ml vs. 35 +/- 2 microU/ml, P = 0.004 and 58 +/- 15 microU/ml, P = 0.041, respectively). Also after stimulation with 13.3 mM glucose, insulin secretion was significantly higher in denervated cf. to sham operated animals (388 +/- 50 microU/ml vs. 211 +/- 6 microU/ml, P = 0.005), but not significantly vs. controls (273 +/- 41 microU/ml). In contrast, when the islets were stimulated with glucagon (10(-9)-10(-5) M) at basal glucose concentrations (3.3 mM), the increment of insulin secretion was not significantly higher in the denervated animals vs. control animals. Our findings indicate the existence of a neural control mechanism of basal insulin secretion from the pancreatic islets mediated through the peri-arterial autonomic hepatic nerves.
我们研究了大鼠体内肝动脉周围神经显微手术去神经支配1周后,分离的胰岛对葡萄糖和胰高血糖素的体内敏感性。去神经支配动物的基础胰岛素分泌(在3.3 mM葡萄糖浓度下)显著高于假手术或对照动物(分别为137±27 μU/ml对35±2 μU/ml,P = 0.004;以及58±15 μU/ml对35±2 μU/ml,P = 0.041)。在用13.3 mM葡萄糖刺激后,去神经支配动物的胰岛素分泌也显著高于假手术动物(388±50 μU/ml对211±6 μU/ml,P = 0.005),但与对照动物相比无显著差异(273±41 μU/ml)。相反,当在基础葡萄糖浓度(3.3 mM)下用胰高血糖素(10⁻⁹ - 10⁻⁵ M)刺激胰岛时,去神经支配动物的胰岛素分泌增量与对照动物相比无显著升高。我们的研究结果表明,存在一种通过肝动脉周围自主神经介导的胰岛基础胰岛素分泌的神经控制机制。