Metz S A
Department of Medicine, University of Wisconsin School of Medicine, Madison.
Diabetes. 1991 Dec;40(12):1565-73. doi: 10.2337/diab.40.12.1565.
At least three types of phospholipase exist in the beta-cells of the pancreatic islet. Data regarding their physiological activation are incomplete but suggest that glucose (or its metabolite glyceraldehyde) either activates or potentiates the activation of several phospholipases. At least seven phospholipid hydrolysis by-products (diacylglycerol, myo-inositol 1,4,5-trisphosphate, lysophospholipids, arachidonic acid and its cyclooxygenase- and lipoxygenase-derived metabolites, phosphatidate) have been demonstrated to have effects compatible with their postulated roles as mediators or modulators of islet function. Presumptive mechanisms of action have been tentatively identified for these metabolites. However, key studies in the puzzle are missing, and current methodologies have important limitations. Shortcomings include the paucity of measurements of the mass of metabolites; the frequent use of static incubations rather than perfusions; a lack of complete time- and agonist concentration-dependence curves; the equation of metabolite accumulation with rates of metabolite generation (which ignores metabolite removal as a key variable); the use of nonspecific, insensitive, or ambiguous phospholipase assays; and the need for more studies directly correlating lipid metabolism and insulin secretion in physiologically functioning preparations. Like Rubik's Cube, the pancreatic islet is a dynamic puzzle comprised of many interrelated components requiring proper alignment and integration. Phospholipid turnover is one "panel" in the islet; however, an obligate role for phospholipase activation in glucose-induced insulin secretion is not yet rigorously established, despite tantalizing, inferential evidence. It may be that glucose serves principally to potentiate the phospholipase and secretory responses to other signals that act by initiating phospholipid hydrolysis.
胰岛的β细胞中至少存在三种类型的磷脂酶。关于它们生理激活的数据并不完整,但表明葡萄糖(或其代谢物甘油醛)要么激活几种磷脂酶,要么增强其激活作用。至少七种磷脂水解副产物(二酰甘油、肌醇1,4,5 -三磷酸、溶血磷脂、花生四烯酸及其环氧化酶和脂氧合酶衍生的代谢产物、磷脂酸)已被证明具有与其作为胰岛功能介质或调节剂的假定作用相符的效应。已初步确定了这些代谢产物的推定作用机制。然而,这个谜团中的关键研究缺失,并且当前的方法存在重要局限性。缺点包括代谢产物质量测量的匮乏;频繁使用静态孵育而非灌注;缺乏完整的时间和激动剂浓度依赖性曲线;将代谢产物积累等同于代谢产物生成速率(这忽略了代谢产物清除作为一个关键变量);使用非特异性、不敏感或含糊不清的磷脂酶测定方法;以及需要更多在生理功能制剂中直接关联脂质代谢和胰岛素分泌的研究。就像魔方一样,胰岛是一个由许多相互关联的组件组成的动态谜题,需要正确排列和整合。磷脂周转是胰岛中的一个“面板”;然而,尽管有诱人的推断证据,但磷脂酶激活在葡萄糖诱导的胰岛素分泌中的必然作用尚未得到严格证实。可能是葡萄糖主要起到增强磷脂酶和对通过启动磷脂水解起作用的其他信号的分泌反应的作用。