Girard J R, Guillet I, Marty J, Assan R, Marliss E B
Diabetologia. 1976 Aug;12(4):327-37. doi: 10.1007/BF00420976.
The present study examines the role of insulin, glucagon and cortisol in the regulation of gluconeogenesis from lactate and amino acids in fetal and newborn rats. Injection of glucagon in the full-term fetal rat caused a rise in glucose (and insulin) and a fall in blood levels of most individual amino acids, stimulated hepatic accumulation of 14C-amino isobutyric acid and 14C-cycloleucine and increased the conversion of 14C lactate, alanine and serine to glucose in vivo and in vitro (liver slices). Such changes were equivalent to the changes seen in 4 h old newborn rats. When glucagon was administered at birth, little difference was observed between control and treated animals in plasma amino acids and a smaller increment in conversion of 14C substrate to glucose occurred. By contrast, insulin injection at birth caused hypoglycemia, suppression of levels of certain amino acids and inhibition of conversion of 14C substrates into glucose. Glucose injection at birth caused elevated glycemia and plasma insulin and suppression of most amino acid levels and of conversion of 14C substrate into glucose. Cortisol injection at birth caused a marked, generalized by hyperaminoacidemia, a stimulation of glucagon secretion and of conversion of 14C substrates into glucose. These observations support the thesis that glucagon plays a major role in the induction of hepatic gluconeogenesis and that insulin acts as an antagonist hormone.
本研究探讨了胰岛素、胰高血糖素和皮质醇在调节新生大鼠和胎鼠体内由乳酸和氨基酸生成葡萄糖过程中的作用。给足月胎鼠注射胰高血糖素会导致血糖(及胰岛素)升高,多数单个氨基酸的血浓度下降,刺激肝脏对14C-氨基异丁酸和14C-环亮氨酸的摄取,并增加体内及体外(肝切片)14C-乳酸、丙氨酸和丝氨酸向葡萄糖的转化。这些变化与出生4小时的新生大鼠所观察到的变化相当。出生时给予胰高血糖素,对照组和处理组动物在血浆氨基酸方面差异不大,14C底物向葡萄糖的转化率升高幅度较小。相比之下,出生时注射胰岛素会导致低血糖、某些氨基酸水平受到抑制以及14C底物向葡萄糖的转化受到抑制。出生时注射葡萄糖会导致血糖升高、血浆胰岛素升高,多数氨基酸水平受到抑制以及14C底物向葡萄糖的转化受到抑制。出生时注射皮质醇会导致显著的、全身性的高氨基酸血症,刺激胰高血糖素分泌以及14C底物向葡萄糖的转化。这些观察结果支持了以下论点,即胰高血糖素在诱导肝脏糖异生过程中起主要作用,而胰岛素起拮抗激素的作用。