自主神经系统活动改变作为大鼠蛋白质-能量限制后β细胞分泌反应受损的决定因素。
Altered activity of the autonomous nervous system as a determinant of the impaired beta-cell secretory response after protein-energy restriction in the rat.
作者信息
Leon-Quinto T, Magnan C, Portha B
机构信息
Laboratoire Physiopathologie Nutrition, CNRS ESA 7059, Université Paris, France.
出版信息
Endocrinology. 1998 Aug;139(8):3382-9. doi: 10.1210/endo.139.8.6149.
Glucose-induced insulin secretion in vivo is known to be severely blunted in the rat as a consequence of protein-energy restriction starting early in life. We have recently reported in such malnourished rats (M rats) that the release of the counterregulatory hormones that defend against hypoglycemia was severely disturbed, and their plasma levels of epinephrine and norepinephrine were prominently increased. Knowing that the autonomic nervous system has the potential to play a major role in the control of insulin secretion in response to glucose in vivo, we therefore determined whether protein-energy restriction starting after weaning could alter sympathetic and/or parasympathetic nerve activities, and whether these changes could be responsible for the lack of response to glucose of their beta-cells in vivo. When tested in the basal postabsorptive state, the malnourished rats exhibited profound alterations of both parasympathetic and sympathetic nerve activities; the firing rates of the vagus nerve and the superior cervical ganglion were dramatically decreased and increased, respectively. Under the same conditions, insulin secretion in vivo in response to a glucose load (deltaI/deltaG) was severely decreased in M rats compared with that in control (C) rats. When evaluated after administration of acetylcholine, deltaI was amplified to the same extent in M rats as in C rats. After administration of the alpha2A-adrenergic agonist oxymetazoline, glucose-induced insulin release in M rats was not significantly affected, whereas it was sharply decreased in C rats. Finally, administration of yohimbine, an alpha2-adrenergic antagonist, partially restored the lack of reactivity of the beta-cells to glucose in the M rats, as deltaI/deltaG was amplified by 6-fold in the M group and by 3.3-fold in the C group. We conclude that protein-energy restriction starting early in life in rats brings about changes in the overall activity of the autonomic nervous system that, in turn, are responsible at least in part for the acquisition/maintenance of decreased beta-cell reactivity to glucose in vivo.
由于生命早期开始的蛋白质能量限制,已知大鼠体内葡萄糖诱导的胰岛素分泌会严重减弱。我们最近报道,在这类营养不良的大鼠(M大鼠)中,抵御低血糖的反调节激素的释放受到严重干扰,其血浆肾上腺素和去甲肾上腺素水平显著升高。鉴于自主神经系统在体内对葡萄糖反应的胰岛素分泌控制中可能发挥主要作用,因此我们确定断奶后开始的蛋白质能量限制是否会改变交感神经和/或副交感神经活动,以及这些变化是否可能是其体内β细胞对葡萄糖缺乏反应的原因。在基础空腹状态下进行测试时,营养不良的大鼠副交感神经和交感神经活动均出现了深刻变化;迷走神经和颈上神经节的放电频率分别显著降低和升高。在相同条件下,与对照(C)大鼠相比,M大鼠体内对葡萄糖负荷(ΔI/ΔG)的胰岛素分泌严重减少。在给予乙酰胆碱后进行评估时,M大鼠的ΔI与C大鼠一样被放大到相同程度。在给予α2A肾上腺素能激动剂羟甲唑啉后,M大鼠中葡萄糖诱导的胰岛素释放没有受到显著影响,而C大鼠中则急剧减少。最后,给予α2肾上腺素能拮抗剂育亨宾后,部分恢复了M大鼠β细胞对葡萄糖的反应性缺乏,因为M组的ΔI/ΔG放大了6倍,C组放大了3.3倍。我们得出结论,大鼠生命早期开始的蛋白质能量限制会导致自主神经系统整体活动发生变化,进而至少部分地导致体内β细胞对葡萄糖反应性降低的获得/维持。