Beales I L, Calam J
Department of Gastroenterology, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
Gut. 1998 Aug;43(2):176-81. doi: 10.1136/gut.43.2.176.
The mechanisms underlying the suppression of somatostatin dependent reflexes in Helicobacter pylori infection are not fully determined. The H pylori product N alpha-methylhistamine and inflammatory mediators such as tumour necrosis factor-alpha (TNF-alpha) may be responsible for the alterations in somatostatin release.
To examine the effect of N alpha-methylhistamine on somatostatin release from cultured somatostatin-secreting D-cells.
Rabbit fundic D-cells were obtained by collagenase-EDTA digestion and enriched by centrifugal elutriation and cultured for 40 hours. The effects of N alpha-methylhistamine on somatostatin release soon after stimulation (two hours) and after more prolonged exposure (24 hours) were assessed.
N alpha-Methylhistamine (1 nM-1 microM) had no effect on basal or carbachol or adrenaline stimulated release over two hours. Similarly with prolonged exposure no effect on somatostatin cell content or release was identified. In contrast, TNF-alpha (24 hours) led to a dose dependent fall in both somatostatin content and release.
N alpha-Methylhistamine had no direct inhibitory effects on D-cells, but TNF-alpha both significantly reduced the cellular content and inhibited release. Inflammatory cytokines, rather than N alpha-methylhistamine, are therefore likely to be responsible for directly inhibiting D-cell function in H pylori infection.
幽门螺杆菌感染时生长抑素依赖性反射受抑制的潜在机制尚未完全明确。幽门螺杆菌产物Nα-甲基组胺以及炎症介质如肿瘤坏死因子-α(TNF-α)可能是生长抑素释放改变的原因。
研究Nα-甲基组胺对培养的分泌生长抑素的D细胞释放生长抑素的影响。
通过胶原酶-乙二胺四乙酸消化获取兔胃底D细胞,经离心淘析富集后培养40小时。评估Nα-甲基组胺在刺激后不久(两小时)以及长时间暴露后(24小时)对生长抑素释放的影响。
Nα-甲基组胺(1 nM - 1 μM)在两小时内对基础状态、卡巴胆碱或肾上腺素刺激的释放均无影响。同样,长时间暴露后,未发现对生长抑素细胞含量或释放有影响。相比之下,TNF-α(24小时)导致生长抑素含量和释放呈剂量依赖性下降。
Nα-甲基组胺对D细胞无直接抑制作用,但TNF-α显著降低了细胞含量并抑制了释放。因此,在幽门螺杆菌感染中,炎症细胞因子而非Nα-甲基组胺可能直接抑制D细胞功能。