Wernerman J, Hammarqvist F, Botta D, Vinars E
Department of Anesthesiology and Intensive Care, Karolinska Institute, St Göran's Hospital, Stockholm, Sweden.
Clin Physiol. 1993 May;13(3):309-19. doi: 10.1111/j.1475-097x.1993.tb00331.x.
Stress hormones were infused for 6 h in healthy volunteers (n = 32). Free amino acid concentrations were determined in plasma and in skeletal muscle biopsy specimens. A triple hormone combination of adrenaline, cortisol, and glucagon raised the level of alanine in muscle, while glutamine, glutamate, the branched chain amino acids, the aromatic amino acids, and the basic amino acids decreased. Adrenaline alone partly reproduced this pattern, while a 6-h infusion of cortisol left the muscle free amino acids unaffected. In plasma all individual amino acids except alanine and glutamate decreased in the subjects receiving adrenaline or a triple-hormone combination. Altered plasma amino acid concentrations did not necessarily reflect changes in the tissue amino acid content. It is concluded that an infusion of a triple combination of stress hormones into healthy volunteers produces changes in muscle amino acid metabolism similar to those seen immediately after surgical trauma.
在32名健康志愿者中注入应激激素6小时。测定血浆和骨骼肌活检标本中的游离氨基酸浓度。肾上腺素、皮质醇和胰高血糖素的三联激素组合提高了肌肉中丙氨酸的水平,而谷氨酰胺、谷氨酸、支链氨基酸、芳香族氨基酸和碱性氨基酸减少。单独使用肾上腺素部分重现了这种模式,而6小时的皮质醇注入对肌肉游离氨基酸没有影响。在接受肾上腺素或三联激素组合的受试者中,除丙氨酸和谷氨酸外,血浆中所有单个氨基酸均减少。血浆氨基酸浓度的改变不一定反映组织氨基酸含量的变化。得出的结论是,向健康志愿者注入应激激素三联组合会导致肌肉氨基酸代谢发生变化,类似于手术创伤后立即出现的变化。