Reyes Toso C F, Linares L M, Rodríguez R R
Departamento de Fisiología, Universidad de Buenos Aires, Argentina.
Medicina (B Aires). 1995;55(4):311-6.
Plasma glucose concentrations were measured in: 1) conscious and anesthetized rats during an iv glucose tolerance test (IVGTT) and 2) conscious and anaesthetized phentolamine/propranolol blocked rats during an IVGTT. Anesthesia was induced with ketamine (120 mg.kg-1) or pentobarbitone (60 mg.kg-1) ip at -30 min of the beginning of the IVGTT, which was followed by 2 injections of the anesthetic agents at intervals of 30 min. Propranolol (2 mg.kg-1) was given ip at -25 and -5 min. An iv infusion of phentolamine (0.015 mg.min-1) was started at -20 min and continued up to the end of the experiment. During the IVGTT, the anesthetized rats showed a moderate hyperglycemic response to glucose load compared to conscious animals (ketamine: p < 0.01 at 5 min; and p < 0.05 at 10-20 min; pentobarbitone: p < 0.05 at 5-20 min). The hyperglycemic response to glucose administration in the conscious rats was not affected by adrenergic blockade (p > 0.05). While in ketamine anesthetized rats the increased glucose response was abolished by adrenergic blockade (p < 0.05 at 5-10 min), this effect was not seen in pentobarbitone anesthetized animals. These results suggest the existence of an inhibitory tone on insulin secretion and a glycogenolytic response in ketamine anesthetized rats, probably mediated by adrenergic inervation of the pancreas and liver and by circulating catecholamines secreted from the adrenal medulla.
1)静脉葡萄糖耐量试验(IVGTT)期间的清醒和麻醉大鼠,以及2)IVGTT期间的清醒和麻醉的酚妥拉明/普萘洛尔阻断大鼠。在IVGTT开始前30分钟腹腔注射氯胺酮(120mg·kg-1)或戊巴比妥(60mg·kg-1)诱导麻醉,随后每隔30分钟注射2次麻醉剂。在-25分钟和-5分钟时腹腔注射普萘洛尔(2mg·kg-1)。在-20分钟开始静脉输注酚妥拉明(0.015mg·min-1)并持续至实验结束。在IVGTT期间,与清醒动物相比,麻醉大鼠对葡萄糖负荷表现出中度高血糖反应(氯胺酮:5分钟时p<0.01;10 - 20分钟时p<0.05;戊巴比妥:5 - 20分钟时p<0.05)。清醒大鼠对葡萄糖给药的高血糖反应不受肾上腺素能阻断的影响(p>0.05)。虽然在氯胺酮麻醉的大鼠中,肾上腺素能阻断消除了增加的葡萄糖反应(5 - 10分钟时p<0.05),但在戊巴比妥麻醉的动物中未观察到这种效应。这些结果表明,氯胺酮麻醉的大鼠存在对胰岛素分泌和糖原分解反应的抑制性调节,可能由胰腺和肝脏的肾上腺素能神经支配以及肾上腺髓质分泌的循环儿茶酚胺介导。