11 胰升血糖素样肽-1对肝切除后肝细胞胞浆游离钙影响的实验研究
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贾乾斌

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The influence of glucagon-like peptide-1 on cytosolic free calcium ion concentration in isolated rat hepatocytes after hepatectomy
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    摘要:

    目的:探讨胰升血糖素样肽-1(GLP-1)对肝切除后肝细胞胞浆游离钙的影响。
    方法:将大鼠随机分2组,A组不切肝,B组切肝65%。于术后第1,3,5天收集血标本5mL测定血糖、GLP-1、胰岛素(In)和胰升血糖素(G1)。同时用酶法分离制备肝细胞悬液。以Fura-2/AM荧光指示剂,用荧光分光光度仪检测肝切除后肝细胞的荧光强度及GLP-1对荧光强度的影响。
    结果:B组肝切除术后血糖明显增高(P<0.05),血浆GLP-1也明显高于A组(P<0.001),尤以术后第1天更显著; In则明显下降(P<0.001),而G1手术后升高,但差异无显著性(P>0.05),术后In/GL值明显下降(P<0.05)。所测正常肝细胞[Ca2+]i为(707.46±122.59)nmol/L,肝切除术后第1,3,5天肝细胞[Ca2+]i较正常肝细胞略降低(P>0.05);加入GLP-1后肝细胞[Ca2+]i略有升高(P>0.05)。
    结论:大鼠肝切除术后存在明显胰岛素抵抗,主要系因胰岛素水平明显下降,致In/G1值也明显降低的结果;GLP-1的拟胰岛素作用并非通过增加肝细胞[Ca2+]in而实现的。

    Abstract:

    Abstract:Objective:To investigate the effect of glucagonlike peptide1(GLP1) on cytosolic free calcium ion concentration([Ca2+] i) in isolated rat hepatocytes after hepatectomy.
    Methods :The rats were allocated randomly to two groups: The rats of group one did not undergo hepatectomy. The rats of group two had 65% liver resection. The blood specimen taken from vena cava was mensurated for glucose, insulin, glucagon, and glucagonlike peptide1(GLP1) on the first, third and fifth day after hepatectomy. The [Ca2+]i in isolated rat hepatocytes was investigated by using fura2 fluoresence, and then, in vitro, the effect of GLP1 on the [Ca2+] i in hepatocytes was investigated in 2 groups.
    Results:The blood glucose value in group two was significantly higher than that in group one after operation (P<0.05), especially on the first day. The plasma GLP1 value was also significantly higher than that of group one (P<0.001). The level of serum insulin was decreased obviously (P<0.001), while the value of glucagon was increased,but not significantly, which led to reduction of the ratio of insulin to glucagon. The [Ca2+] i in hepatocytes on the first, third and fifth day after hepatectomy was decreased slightly (P>0.05) compared with that of group one. In vitro, GLP1 produced a slightly increase in the [Ca2+]i in hepatocytes (P>0.05).
    Conclusions:After hepatectomy, in rats is associated with an obvious insulin resistance, mainly due to the level of serum insulin was obviously decreased (P<0.001), and the value of glucagon was increased, which led to reduced ratio of insulin to glucagon. GLP1 is insulinomimetic upon glucose metabolism in hepatic tissue, which acting through specific receptors is not associated to [Ca2+] i increase.

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贾乾斌, 彭兵, 刘自明, 吴红斌, 李双庆, 吴言涛.11 胰升血糖素样肽-1对肝切除后肝细胞胞浆游离钙影响的实验研究[J].中国普通外科杂志,2007,16(7):11-.
DOI:10.7659/j. issn.1005-6947.2007.07.011

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  • 在线发布日期: 2007-07-25