Sharp P A, Debnam E S, Srai S K
Department of Physiology, Royal Free Hospital School of Medicine, London.
Gut. 1996 Oct;39(4):545-50. doi: 10.1136/gut.39.4.545.
Increased jejunal glucose transport after ingestion of carbohydrate rich diets may reflect higher concentrations of lumenal glucose. Normal processing of carbohydrate causes wide fluctuations in glucose concentration in the jejunal lumen and this raises the question of whether the high lumenal concentrations seen at peak digestion affect glucose uptake.
To study the effects of 30 minute exposure of rat jejunal mucosa to glucose on sodium-glucose transporter (SGLT1) mediated glucose transport across the brush border membrane.
Jejunal mucosa was exposed in vitro or in vivo to 25 mM glucose or 25 mM mannitol for 30 minutes. In addition, isolated villus enterocytes were incubated with mannitol or glucose for the same time. Brush border membrane vesicles were isolated from these preparations and phlorizin sensitive 3H-D-glucose accumulation was measured.
Lumenal glucose in vivo significantly enhanced SGLT1 mediated glucose uptake by 49.2-57.2%. For jejunal loops in vitro, the increase was 32.0-85.2%. Kinetic analysis disclosed a 50% greater Vmax for glucose uptake in each preparation. The facilitated and passive components of uptake were, however, unaffected by prior exposure to glucose. Incubation of villus enterocytes with 25 mM glucose did not influence glucose uptake by brush border membranes. Finally, exposure of intact mucosa to 20 mM galactose, a nonmetabolised sugar also transported by SGLT1, did not alter glucose transport.
Lumenal glucose promotes glucose transport by brush border membrane within 30 minutes. An intact mucosa is necessary for upregulation and evidence suggests that the response is mediated by locally acting mechanisms.
摄入富含碳水化合物的饮食后空肠葡萄糖转运增加可能反映肠腔葡萄糖浓度升高。碳水化合物的正常消化过程会导致空肠腔葡萄糖浓度大幅波动,这就引发了一个问题,即在消化高峰期出现的高肠腔浓度是否会影响葡萄糖摄取。
研究大鼠空肠黏膜暴露于葡萄糖30分钟对钠-葡萄糖转运体(SGLT1)介导的葡萄糖跨刷状缘膜转运的影响。
将空肠黏膜在体外或体内暴露于25 mM葡萄糖或25 mM甘露醇中30分钟。此外,将分离的绒毛肠上皮细胞与甘露醇或葡萄糖孵育相同时间。从这些制剂中分离刷状缘膜囊泡,并测量根皮苷敏感的3H-D-葡萄糖积累。
体内肠腔葡萄糖显著增强SGLT1介导的葡萄糖摄取,增幅为49.2%-57.2%。对于体外空肠肠袢,增幅为32.0%-85.2%。动力学分析显示,每种制剂中葡萄糖摄取的Vmax增加了50%。然而,摄取的易化和被动成分不受先前暴露于葡萄糖的影响。用25 mM葡萄糖孵育绒毛肠上皮细胞不会影响刷状缘膜对葡萄糖的摄取。最后,将完整黏膜暴露于20 mM半乳糖(一种也由SGLT1转运的非代谢性糖)不会改变葡萄糖转运。
肠腔葡萄糖在30分钟内促进刷状缘膜的葡萄糖转运。上调需要完整的黏膜,且有证据表明该反应由局部作用机制介导。