Miyasaka Kyoko, Masuda Masao, Kanai Setsuko, Ohta Minoru, Suzuki Shinji, Tateishi Kayoko, Funakoshi Akihiro
Department of Clinical Physiology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Pancreas. 2002 Apr;24(3):269-75. doi: 10.1097/00006676-200204000-00010.
Luminal cholecystokinin-releasing factor (LCRF), purified from rat intestinal secretions, is an intraluminal regulator of cholecystokinin (CCK) secretion during bile and pancreatic juice diversion.
Because the LCRF content was not influenced by intravenous administration of atropine or somatostatin, the inhibitory effect of a potent somatostatin analog octreotide on LCRF content, the plasma CCK level, and pancreatic secretion was examined.
Rats were prepared with bile and pancreatic cannulae and two duodenal cannulae and with an external jugular vein cannula. After 1.5-hour basal collection, bile and pancreatic juice was diverted for 2 hours, during which octreotide was infused intravenously or into the duodenal lumen. The changes in pancreatic secretion were recorded for 2 hours, and the plasma CCK level and LCRF content 2 hours after the treatment were measured.
Bile and pancreatic juice diversion significantly increased pancreatic secretion and plasma CCK and LCRF levels. Intravenous infusion of octreotide (0.2 and 0.5 nmol/kg/hour) inhibited all parameters. Intraduodenal infusion of a lower dose of octreotide (33 nmol/kg/hour) inhibited pancreatic secretion, but did not inhibit CCK release or LCRF content. The higher doses (100 and 300 nmol/kg/hour) inhibited all parameters.
Intravenous and intraduodenal administrations of octreotide inhibited CCK release and LCRF content and pancreatic secretion induced by bile and pancreatic juice diversion.
从大鼠肠分泌物中纯化得到的肠腔胆囊收缩素释放因子(LCRF)是胆汁和胰液引流期间胆囊收缩素(CCK)分泌的肠腔内调节因子。
由于LCRF含量不受静脉注射阿托品或生长抑素的影响,因此研究了一种强效生长抑素类似物奥曲肽对LCRF含量、血浆CCK水平和胰腺分泌的抑制作用。
给大鼠制备胆汁和胰管插管、两根十二指肠插管以及颈外静脉插管。在进行1.5小时的基础收集后,将胆汁和胰液引流2小时,在此期间静脉内或十二指肠腔内注入奥曲肽。记录2小时内胰腺分泌的变化,并测量治疗后2小时的血浆CCK水平和LCRF含量。
胆汁和胰液引流显著增加了胰腺分泌以及血浆CCK和LCRF水平。静脉内注入奥曲肽(0.2和0.5 nmol/kg/小时)可抑制所有参数。十二指肠内注入较低剂量的奥曲肽(33 nmol/kg/小时)可抑制胰腺分泌,但不抑制CCK释放或LCRF含量。较高剂量(100和300 nmol/kg/小时)可抑制所有参数。
静脉内和十二指肠内给予奥曲肽可抑制胆汁和胰液引流诱导的CCK释放、LCRF含量以及胰腺分泌。