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通过微透析研究肾上腺素输注对皮下脂肪组织间质环境的影响。

Effects of adrenaline infusion on the interstitial environment of subcutaneous adipose tissue as studied by microdialysis.

作者信息

Samra J S, Simpson E J, Clark M L, Forster C D, Humphreys S M, Macdonald I A, Frayn K N

机构信息

Nuffield Department of Clinical Medicine, Radcliffe Infirmary, Oxford Lipid Metabolism Group, UK.

出版信息

Clin Sci (Lond). 1996 Oct;91(4):425-30. doi: 10.1042/cs0910425.

DOI:10.1042/cs0910425
PMID:8983867
Abstract
  1. Adrenaline was infused at a rate of 25 ng min-1 kg-1 into seven healthy volunteers and its effects on adipose tissue were studied by microdialysis. 2. Adrenaline infusion led to a rapid rise in plasma adrenaline concentration from a basal value of 0.15 +/- 0.03 nmol/l to a peak value of 1.82 +/- 0.15 nmol/l within 30 min (analysis of variance: P < 0.001). Plasma noradrenaline levels increased from the basal value of 1.48 +/- 0.21 nmol/l to 1.78 +/- 0.20 nmol/l within 30 min of infusion (analysis of variance: P < 0.05). Once the infusion was stopped the plasma adrenaline and noradrenaline levels returned to basal values within 15 min. 3. The arterialized blood glycerol concentration increased from the basal value of 47 +/- 6 mumol/l to 101 +/- 8 mumol/l (analysis of variance: P < 0.001), and the interstitial glycerol concentration increased from 181 +/- 17 mumol/l to 350 +/- 47 mumol/l (analysis of variance: P < 0.001) within 30 min of adrenaline infusion. Thereafter the concentrations declined gradually towards basal values. When the infusion was discontinued the levels declined further, below the basal value. 4. Adrenaline infusion caused a significant increase in the plasma glucose and blood lactate concentration (analysis of variance: P < 0.001 and P < 0.001), but no such effect was observed in the interstitial concentrations. 5. The basal dialysate concentrations of adrenaline and noradrenaline were 43 +/- 37 pmol/l and 1170 +/- 430 pmol/l respectively. There were difficulties in estimating the absolute interstitial concentrations of adrenaline and noradrenaline which are discussed. The dialysate adrenaline concentration increased to a peak value of 112 +/- 48 pmol/l (analysis of variance: P < 0.05) within 30 min. The dialysate noradrenaline concentration increased to a peak value of 2830 +/- 1470 pmol/l, but the rise was not significant. 6. These results show that the interstitial concentrations of metabolites and hormones can be significantly different from those of blood and plasma and these differences reflect tissue specialization.
摘要
  1. 以25纳克·分钟⁻¹·千克⁻¹的速率向7名健康志愿者输注肾上腺素,并通过微透析研究其对脂肪组织的影响。2. 输注肾上腺素导致血浆肾上腺素浓度在30分钟内从基础值0.15±0.03纳摩尔/升迅速升至峰值1.82±0.15纳摩尔/升(方差分析:P<0.001)。输注30分钟内,血浆去甲肾上腺素水平从基础值1.48±0.21纳摩尔/升升至1.78±0.20纳摩尔/升(方差分析:P<0.05)。一旦停止输注,血浆肾上腺素和去甲肾上腺素水平在15分钟内恢复至基础值。3. 动脉化血液甘油浓度从基础值47±6微摩尔/升升至101±8微摩尔/升(方差分析:P<0.001),肾上腺素输注30分钟内,间质甘油浓度从181±17微摩尔/升升至350±47微摩尔/升(方差分析:P<0.001)。此后浓度逐渐降至基础值。停止输注后,水平进一步下降,低于基础值。4. 输注肾上腺素导致血浆葡萄糖和血乳酸浓度显著升高(方差分析:P<0.001和P<0.001),但间质浓度未观察到此类影响。5. 肾上腺素和去甲肾上腺素的基础透析液浓度分别为43±37皮摩尔/升和1170±430皮摩尔/升。讨论了估计肾上腺素和去甲肾上腺素的绝对间质浓度存在的困难。透析液肾上腺素浓度在30分钟内升至峰值112±48皮摩尔/升(方差分析:P<0.05)。透析液去甲肾上腺素浓度升至峰值2830±1470皮摩尔/升,但升高不显著。6. 这些结果表明,代谢物和激素的间质浓度可能与血液和血浆中的浓度显著不同,这些差异反映了组织特异性。

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