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Effect of food intake level on arterial glycaemia, portal glucose appearance and intestinal oxygen consumption in the pig

机译:食物摄入水平对猪动脉血糖,门静脉葡萄糖外观和肠道耗氧量的影响

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摘要

In this study the glycaemic and insulinic responses to a mixed meal of graded size, have been investigated in a pig model in relation to portal glucose appearance. Additionally, nutrients potentially contributing to intestinal energy demand during absorption were identified. Nutrient (glucose, glutamine, and glutamate) and oxygen balances across the small intestine were thus measured over 3 h in conscious 50-60 kg Large White pigs receiving graded levels of a casein-starch based diet (200, 400 or 800 g). Arterial blood glucose response was similar, irrespective of the food intake level, remaining high 3 h after the meal, whereas the pattern of net glucose appearance in the portal vein clearly differed between the 200 g and 800 g feeding level. Intestinal oxygen uptake was highly correlated with nutrient (glucose) absorption, both being maximum within 2 h after the meal. This was accompanied by a high glutamine and glutamate consumption by the intestine, which could account for the additional oxygen consumption during nutrient absorption. In conclusion, changes in blood glucose concentration in the peripheral blood do not adequately reflect glucose absorption. The latter is accompanied by an increase of oxygen consumption in the intestine, supported by glutamine and glutamate (rather than glucose) metabolism.
机译:在这项研究中,已经在猪模型中研究了与分级大小的混合餐有关的血糖和胰岛素反应,这些反应与门诊葡萄糖的出现有关。另外,鉴定了在吸收过程中可能有助于肠道能量需求的营养素。因此,在有意识的50-60公斤大白猪中,在3小时内测量了小肠中的营养素(葡萄糖,谷氨酰胺和谷氨酸)和氧平衡,这些猪接受了分级水平的酪蛋白-淀粉饮食(200、400或800 g)。不管进食水平如何,进餐后3 h的动脉血糖反应都相似,而在200 g和800 g的进食水平之间,门静脉中的净葡萄糖出现模式明显不同。肠内摄氧量与养分(葡萄糖)的吸收高度相关,两者在餐后2小时内最大。这伴随着肠道对谷氨酰胺和谷氨酸的高消耗,这可以解释营养吸收过程中额外的氧气消耗。总之,外周血中血糖浓度的变化不能充分反映葡萄糖的吸收。后者伴随着谷氨酰胺和谷氨酸(而不是葡萄糖)代谢,从而增加了肠道的耗氧量。

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