Feng B C, Li J, Kliegman R M
Department of Pediatrics, Medical College of Wisconsin, Milwauhee 53226, USA.
Biochem Mol Med. 1997 Aug;61(2):192-7. doi: 10.1006/bmme.1997.2608.
To understand the role of amylin, the novel pancreatic hormone, in fuel metabolism of neonatal mammals, the transcription of the amylin gene in newborn dogs was studied under different conditions, such as fasting, hyperinsulinemia, and hyper IGF-1. Our results showed (1) The amylin mRNA level decreased during a 24-h fasting period after birth, 59.1 +/- 4.5% at 4 h, 80.1 +/- 7.9% at 10 h, and 44.5 +/- 3.0% at 24 h, compared to 0-h-fasted controls, respectively. In this period, the decreased mRNA level of the amylin gene and the increased mRNA levels of the gluconeogenic genes showed an inverse ratio relationship. (2) Euglycemic hyperinsulinemic clamp did not alter the amylin mRNA level, 39.6 +/- 1.2% (hyperinsulinemia) vs 41.4 +/- 3.1% (controls), in newborn dogs, but lowered the amylin mRNA by 35.3%, 64.7 +/- 12.5% vs 100.0 +/- 12.0%, in adult dogs. (3) Euglycemic hyper-IGF-1 clamp had no effect on the amylin mRNA levels of either newborn or adult dogs, 52.4 +/- 9.1% (hyper IGF-1) vs 47.9 +/- 4.3% (controls) in newborns and 95.2 +/- 12.6% (hyper IGF-1) vs 100.0 +/- 14.0% (controls) in adults. The data from the present study showed that amylin may be involved in carbohydrate homeostasis, but may not be able to stimulate gluconeogenesis in newborn dogs during a 24-h fasting period after birth. Whether amylin action may be another mechanism for neonatal hyperglycemia by inducing insulin resistance in peripheral tissues needs further investigation.
为了解新型胰腺激素胰淀素在新生哺乳动物能量代谢中的作用,我们研究了新生犬在不同条件下(如禁食、高胰岛素血症和高胰岛素样生长因子-1)胰淀素基因的转录情况。我们的结果显示:(1)出生后24小时禁食期间,与禁食0小时的对照组相比,胰淀素mRNA水平下降,4小时时下降59.1±4.5%,10小时时下降80.1±7.9%,24小时时下降44.5±3.0%。在此期间,胰淀素基因mRNA水平的下降与糖异生基因mRNA水平的上升呈反比关系。(2)新生儿犬进行正常血糖高胰岛素钳夹试验时,胰淀素mRNA水平未改变,高胰岛素血症组为39.6±1.2%,对照组为41.4±3.1%;但成年犬进行该试验时,胰淀素mRNA水平降低了35.3%,高胰岛素血症组为64.7±12.5%,对照组为100.0±12.0%。(3)新生儿和成年犬进行正常血糖高胰岛素样生长因子-1钳夹试验时,胰淀素mRNA水平均未受影响,新生儿高胰岛素样生长因子-1组为52.4±9.1%,对照组为47.9±4.3%;成年犬高胰岛素样生长因子-1组为95.2±12.6%,对照组为100.0±14.0%。本研究数据表明,胰淀素可能参与碳水化合物稳态,但在出生后24小时禁食期间可能无法刺激新生犬的糖异生。胰淀素的作用是否通过诱导外周组织胰岛素抵抗而成为新生儿高血糖的另一种机制,尚需进一步研究。