We previously showed, through direct neural recording in conscious rats, that hypoglycemia increases adrenal sympathetic nerve activity (SNA) both acutely and 24 hours following the second of 2 daily antecedent hypoglycemic episodes. Nonetheless, antecedent hypoglycemia impaired catecholamine responsiveness to subsequent acute hypoglycemia. Here we hypothesized that antecedent, nonhypoglycemic adrenal sympathetic stimulation by leptin would impair acute adrenal catecholamine responsiveness to subsequent hypoglycemia. We also hypothesized that acute leptin administration (after 2 days of antecedent hypoglycemia) would enhance adrenal SNA and thereby enhance catecholamine responsiveness to concurrent hypoglycemia. Leptin or saline was administered to normal rats in repeated subcutaneous injections for 2 days prior to acute insulin-induced hypoglycemia. In contrast to our hypothesis, antecedent leptin did not change catecholamine responsiveness or glycemic change in response to subsequent acute insulin administration. In additional studies, intravenous leptin or saline was acutely administered beginning 1 hour before insulin-induced hypoglycemia. All rats had been exposed to antecedent hypoglycemia. In these experiments, acute leptin did not alter catecholamine responses to insulin or glycemic change during or after termination of insulin. We conclude that antecedent nonhypoglycemic sympathetic stimulation by leptin does not alter subsequent catecholamine or glycemic responses to insulin. Moreover, concurrent leptin does not enhance catecholamine responses to insulin in rats exposed to antecedent hypoglycemia.

译文

:我们之前通过在有意识的大鼠中进行直接神经记录表明,低血糖症会在每日两次前两次降血糖发作的第二天和第二个小时后的24小时内,迅速增加肾上腺交感神经活动(SNA)。尽管如此,先前的低血糖症会损害儿茶酚胺对随后的急性低血糖症的反应性。在这里我们假设瘦素的先行非降血糖肾上腺交感刺激会损害急性肾上腺儿茶酚胺对随后的低血糖反应。我们还假设急性瘦素给药(先天性低血糖2天后)会增强肾上腺SNA,从而增强儿茶酚胺对同时发生的低血糖的反应性。在急性胰岛素诱发的低血糖之前,通过皮下注射连续2天向正常大鼠施用瘦素或生理盐水。与我们的假设相反,瘦素在随后的急性胰岛素治疗中并未改变儿茶酚胺反应性或血糖变化。在其他研究中,在胰岛素诱发的低血糖发生前1小时开始静脉注射瘦素或生理盐水。所有大鼠均暴露于先前的低血糖症。在这些实验中,急性瘦素在胰岛素终止期间或终止后未改变儿茶酚胺对胰岛素的反应或血糖变化。我们得出结论,瘦素之前的非降血糖交感神经刺激不会改变随后的儿茶酚胺或对胰岛素的血糖反应。此外,并发瘦素不能增强儿茶酚胺对暴露于先前低血糖的大鼠的胰岛素反应。

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