Yamada F, Inoue S, Saitoh T, Tanaka K, Satoh S, Takamura Y
Third Department of Internal Medicine, Yokohama City University School of Medicine, Japan.
Endocrinology. 1993 May;132(5):2199-205. doi: 10.1210/endo.132.5.8477665.
We investigated 1) the effect of immobilization stress on glucose metabolism in rats after sham operation (SHAM), adrenomedullectomy (ADMX), and adrenalectomy (ADX); and 2) the effect of glucoregulatory hormone infusion on plasma glucose using untreated normal fasted and fed rats under unanesthetized conditions. In immobilization stress, the plasma glucose concentration increased only in the SHAM group during fasting, while under fed conditions, all three groups showed significant increases (SHAM > ADMX > ADX). Plasma glucagon and norepinephrine significantly increased in all groups; plasma epinephrine increased only in the SHAM group, and plasma corticosterone increased in SHAM and ADMX groups under both conditions. The hepatic glycogen content in all fed groups significantly decreased after immobilization stress, while a very low content before stress and an undetectable level after stress were observed in all fasted groups. Only epinephrine infusion increased plasma glucose during fasting, while epinephrine and glucagon infusion increased it under fed conditions. Corticosterone infusion did not change it under either condition. These results suggest that in the fasted condition, only epinephrine plays an essential role, while under fed conditions, glucagon and corticosterone as well as epinephrine also act as synergistic factors in stress-induced hyperglycemia.
1)假手术(SHAM)、肾上腺髓质切除术(ADMX)和肾上腺切除术(ADX)后,制动应激对大鼠葡萄糖代谢的影响;2)在未麻醉条件下,使用未处理的正常禁食和喂食大鼠,输注葡萄糖调节激素对血浆葡萄糖的影响。在制动应激中,禁食期间仅SHAM组的血浆葡萄糖浓度升高,而在喂食条件下,所有三组均显著升高(SHAM>ADMX>ADX)。所有组的血浆胰高血糖素和去甲肾上腺素均显著升高;血浆肾上腺素仅在SHAM组中升高,并且在两种条件下SHAM组和ADMX组的血浆皮质酮均升高。制动应激后,所有喂食组的肝糖原含量均显著降低,而所有禁食组在应激前含量极低,应激后未检测到。仅输注肾上腺素在禁食期间会使血浆葡萄糖升高,而输注肾上腺素和胰高血糖素在喂食条件下会使其升高。输注皮质酮在两种条件下均未使其改变。这些结果表明,在禁食状态下,只有肾上腺素起重要作用,而在喂食状态下,胰高血糖素、皮质酮以及肾上腺素在应激诱导的高血糖中也起协同作用。