Karlsson S, Sundler F, Ahrén B
Department of Medicine, Lund University, Malmö University Hospital, Sweden.
Am J Physiol. 1998 Jan;274(1):E124-9. doi: 10.1152/ajpendo.1998.274.1.E124.
Gastrin-releasing peptide (GRP) stimulates insulin secretion by a direct islet effect. In this study, we initially demonstrated, by immunocytochemistry of the mouse pancreas, GRP immunoreactive nerve fibers within exocrine tissue, islets, and intrapancreatic ganglia. A more pronounced GRP innervation was found in ganglia compared with in islets. We therefore studied whether indirect cholinergic mechanisms contribute to the insulinotropic action of GRP. In mice, the insulinotropic response to GRP (4.25 nmol/kg i.v.) was inhibited by the m3-selective, muscarinic receptor antagonist 4-diphenylacetoxy-N-methyl piperidine methobromide (4-DAMP, 0.21 mol/kg; by 68%, P < 0.05) and by the ganglionic blocker hexamethonium (28 mol/kg; by 98%, P < 0.05). In contrast, in isolated islets, 4-DAMP or hexamethonium (10 or 100 microM) did not inhibit GRP (100 nM)-induced insulin secretion. Furthermore, afferent denervation by neonatal capsaicin did not affect the insulin response to GRP. We conclude that the insulinotropic effect of GRP in the mouse is mediated by both direct islet effects and through activation, at the ganglionic level, of postganglionic cholinergic nerves. In vivo, the indirect cholinergic mechanism predominates.
胃泌素释放肽(GRP)通过直接作用于胰岛刺激胰岛素分泌。在本研究中,我们首先通过对小鼠胰腺进行免疫细胞化学检测,证明了外分泌组织、胰岛和胰腺内神经节中存在GRP免疫反应性神经纤维。与胰岛相比,神经节中的GRP神经支配更为明显。因此,我们研究了间接胆碱能机制是否有助于GRP的促胰岛素作用。在小鼠中,对GRP(静脉注射4.25 nmol/kg)的促胰岛素反应受到m3选择性毒蕈碱受体拮抗剂4-二苯基乙酰氧基-N-甲基哌啶甲基溴化物(4-DAMP,0.21 μmol/kg;抑制68%,P<0.05)和神经节阻滞剂六甲铵(28 μmol/kg;抑制98%,P<0.05)的抑制。相比之下,在分离的胰岛中,4-DAMP或六甲铵(10或100 μM)并不抑制GRP(100 nM)诱导的胰岛素分泌。此外,新生期辣椒素去传入神经支配并不影响对GRP的胰岛素反应。我们得出结论,GRP在小鼠中的促胰岛素作用是通过直接作用于胰岛以及在神经节水平激活节后胆碱能神经介导的。在体内,间接胆碱能机制占主导地位。