关键词: barostat gastric distension glucagon-like peptide-1 glucose-dependent insulinotropic polypeptide incretin intragastric balloon

Mesh : Male Female Humans Aged Glucose Incretins Cross-Over Studies Blood Glucose Gastric Balloon Saline Solution Gastric Inhibitory Polypeptide Glucagon-Like Peptide 1 Insulin

来  源:   DOI:10.1111/dom.15042   PDF(Pubmed)

Abstract:
To evaluate the effect of gastric distension, induced using a gastric \'barostat\', on the secretion of glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) in the presence and absence of small intestinal nutrients in healthy individuals.
Eight healthy participants (two females, six males, mean age 69.3 ± 1.2 years, body mass index 23.5 ± 0.8 kg/m2 ) were each studied on four occasions when they received an intraduodenal infusion of either (i) 0.9% saline or (ii) glucose delivered at a rate of 3 kcal/min both with, and without, an intragastric balloon with the pressure set to 8 mmHg above the intragastric minimum distending pressure.
Following intraduodenal saline or glucose infusion, there was no difference in plasma GLP-1 with or without gastric distension (P = 1.00 for both saline and glucose infusions). There was also no difference in plasma GIP with or without gastric distension (P = 1.00 for saline infusion and P = .99 for glucose infusion).
Gastric distension, either alone or during small intestinal glucose exposure, does not stimulate incretin hormone secretion significantly in healthy humans.
摘要:
目的:使用胃内气球作为减肥程序的兴趣日益增加,然而,潜在的机制仍不清楚。在啮齿动物中,胃胀最近被证明可以刺激肠促胰岛素激素胰高血糖素样肽-1(GLP-1)的分泌,但是胃胀对GLP-1和其他肠促胰岛素激素的影响,葡萄糖依赖性促胰岛素多肽(GIP),在人类中是未知的。我们做了一个随机的,控制,交叉研究,以评估胃胀的影响,在健康个体中使用胃“barostat”对肠促胰岛素激素进行诱导。
方法:8名健康参与者(2名女性,6男,平均年龄69.3±1.2岁,和体重指数23.5±0.8kg/m2)分别在四次接受十二指肠内输注(i)0.9%盐水或(ii)以3kcal/min的速率输送的葡萄糖时进行了研究,没有,压力设定为高于胃内最小膨胀压力8mmHg的胃内气球。
结果:十二指肠内盐水或葡萄糖输注后,有或没有胃扩张的血浆GLP-1无差异(生理盐水和葡萄糖输注P=1.00).有或没有胃扩张的血浆GIP也没有差异(生理盐水输注P=1.00,葡萄糖输注P=0.99)。
结论:我们得出结论,单独或在小肠葡萄糖暴露期间,在健康人中不显著刺激肠促胰岛素激素分泌。本文受版权保护。保留所有权利。
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