Hsieh P S, Moore M C, Neal D W, Cherrington A D
Department of Molecular Physiology and Biophysics and Diabetes Research and Training Center, Vanderbilt University, Nashville, Tennessee 37232-0615, USA.
Am J Physiol. 1998 Dec;275(6):E987-92. doi: 10.1152/ajpendo.1998.275.6.E987.
The aim of this study was to assess the decay of the effect of the portal signal on net hepatic glucose uptake (NHGU). Experiments were performed on five 42-h-fasted conscious dogs. After the 40-min basal period, somatostatin was given peripherally along with insulin (1.8 pmol. kg-1. min-1) and glucagon (0.65 ng. kg-1. min-1) intraportally. In the first experimental period (Pe-GLU-1; 90 min), glucose was infused into a peripheral vein to double the glucose load to the liver (HGL). In the second experimental period (Po-GLU; 90 min), glucose (20.1 micromol. kg-1. min-1) was infused intraportally and the peripheral glucose infusion was reduced to maintain the same HGL. In the third period (Pe-GLU-2; 120 min), the portal glucose infusion was stopped and the peripheral glucose infusion was increased to again sustain HGL. Arterial insulin levels (42 +/- 3, 47 +/- 3, 43 +/- 3 pmol/l) were basal and similar in the Pe-GLU-1, Po-GLU, and Pe-GLU-2 periods, respectively. Arterial glucagon levels were also basal and similar (51 +/- 3, 49 +/- 2, 46 +/- 2 ng/l) in the three experimental periods. The glucose loads to the liver were 251 +/- 11, 274 +/- 14, and 276 +/- 12 micromol. kg-1. min-1, respectively. NHGU was 6.3 +/- 2.4, 19.1 +/- 2.8, and 9.2 +/- 1.2 micromol. kg-1. min-1, and nonhepatic glucose uptake (non-HGU) was 23.6 +/- 3.0, 5.3 +/- 1.8, and 25.5 +/- 3.7 micromol. kg-1. min-1 in the three periods, respectively. Cessation of the portal signal for only 10 min shifted NHGU and non-HGU to 9.4 +/- 2.2 and 25.0 +/- 2.8 micromol. kg-1. min-1, respectively; thus the effect of the portal signal was rapidly reversed both at the liver and peripheral tissues.
本研究的目的是评估门静脉信号对肝脏葡萄糖净摄取(NHGU)作用的衰减情况。实验在五只禁食42小时的清醒犬身上进行。在40分钟的基础期后,外周给予生长抑素,同时经门静脉给予胰岛素(1.8 pmol·kg⁻¹·min⁻¹)和胰高血糖素(0.65 ng·kg⁻¹·min⁻¹)。在第一个实验期(Pe-GLU-1;90分钟),将葡萄糖注入外周静脉以使肝脏的葡萄糖负荷(HGL)加倍。在第二个实验期(Po-GLU;90分钟),经门静脉注入葡萄糖(20.1 μmol·kg⁻¹·min⁻¹),并减少外周葡萄糖输注以维持相同的HGL。在第三个时期(Pe-GLU-2;120分钟),停止门静脉葡萄糖输注,并增加外周葡萄糖输注以再次维持HGL。动脉胰岛素水平(42±3、47±3、43±3 pmol/L)在Pe-GLU-1、Po-GLU和Pe-GLU-2时期分别处于基础水平且相似。三个实验期的动脉胰高血糖素水平也处于基础水平且相似(51±3、49±2、46±2 ng/L)。肝脏的葡萄糖负荷分别为251±11、274±14和276±12 μmol·kg⁻¹·min⁻¹。三个时期的NHGU分别为6.3±2.4、19.1±2.8和9.2±1.2 μmol·kg⁻¹·min⁻¹,非肝脏葡萄糖摄取(non-HGU)分别为23.6±3.0、5.3±1.8和25.5±3.7 μmol·kg⁻¹·min⁻¹。仅停止门静脉信号10分钟,NHGU和non-HGU分别变为9.4±2.2和25.0±2.8 μmol·kg⁻¹·min⁻¹;因此,门静脉信号的作用在肝脏和外周组织均迅速逆转。