Wijkstra S, Moes H, Schuiling G A, Koiter T R
Department of Obstetrics and Gynaecology, University of Groningen, The Netherlands.
Physiol Behav. 1995 Sep;58(3):445-50. doi: 10.1016/0031-9384(95)00080-3.
To partly or completely satisfy the increasing demand for insulin, pregnant rats were infused SC with human insulin (2.4 or 4.8 IU/day) from day 14 to day 20 of gestation. Cyclic control rats underwent the same procedure of 6 days of insulin-treatment. During the treatment all groups of rats were hypoglycaemic, but foetal survival was not affected. The low dose treatment prevented the characteristic rise of the insulin response to a glucose challenge during pregnancy, both in vivo and in vitro, while the high dose treatment suppressed the insulin response, as well as the pancreatic insulin content. The insulin responses and insulin contents of pregnant rats were higher than those of the corresponding cyclic control rats. These results support the hypothesis that during gestation the increased insulin demand, due to the actions of placental hormones, is the cause of the increased insulin secretion. However, it cannot be excluded that direct effects of placental hormones on the islets of Langerhans are also involved.
为了部分或完全满足对胰岛素日益增长的需求,在妊娠第14天至第20天,给怀孕大鼠皮下输注人胰岛素(2.4或4.8国际单位/天)。周期性对照大鼠接受相同的6天胰岛素治疗程序。在治疗期间,所有大鼠组均出现低血糖,但胎儿存活率未受影响。低剂量治疗在体内和体外均阻止了孕期对葡萄糖刺激的胰岛素反应的特征性升高,而高剂量治疗则抑制了胰岛素反应以及胰腺胰岛素含量。怀孕大鼠的胰岛素反应和胰岛素含量高于相应的周期性对照大鼠。这些结果支持这样的假设,即在妊娠期间,由于胎盘激素的作用,胰岛素需求增加是胰岛素分泌增加的原因。然而,不能排除胎盘激素对胰岛的直接作用也参与其中。