Nayan Rajeev, Sharma R K
Department of Physiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Indian J Med Res. 2002 Apr;115:165-71.
BACKGROUND & OBJECTIVES: Heat stress produces loss of absorptive surface area of the small intestine, including the ileum which is the site of bile acid absorption. This may cause diarrhoea on account of the possible bile acid malabsorption. To explore this possibility, the effect of high ambient temperature exposure on bile flow was studied in the warm acclimated albino rats.
Following heat exposure at 38 +/- 0.5 degrees C for 4 h/day, for up to 5 consecutive days, bile flow in the rats was measured gravimetrically under pentobarbital-induced anaesthesia, at steady rectal temperature (37 +/- 0.7 degrees C), and flow characteristics and rate were studied.
The bile flow increased with the rise in rectal temperature (Tre) in an anaesthetized animal but, the relationship between the two was not linear; the flow nearly ceased if rectal temperature exceeded 43 degrees-44 degrees C. At steady, near normal, rectal temperature, bile flow showed fluctuations and, repetitive heat exposure led to a significant increase in bile flow.
INTERPRETATION & CONCLUSION: Exposure to high ambient temperature modulates liver secretory function to enhance bile flow rate and increase bile acid absorptive load on the small intestine, whose absorptive function is known to be adversely affected in heat stress.
热应激会导致小肠吸收表面积减少,包括作为胆汁酸吸收部位的回肠。这可能因胆汁酸吸收不良而导致腹泻。为探究这种可能性,我们研究了环境高温暴露对热适应白化大鼠胆汁分泌的影响。
将大鼠连续5天每天在38±0.5℃环境下热暴露4小时,然后在戊巴比妥钠诱导的麻醉下,于稳定的直肠温度(37±0.7℃)时,采用重量法测量大鼠胆汁分泌,并研究胆汁分泌的特征和速率。
在麻醉动物中,胆汁分泌随直肠温度(Tre)升高而增加,但两者关系并非线性;当直肠温度超过43℃-44℃时,胆汁分泌几乎停止。在稳定的、接近正常的直肠温度下,胆汁分泌呈现波动,反复热暴露会导致胆汁分泌显著增加。
环境高温暴露可调节肝脏分泌功能,提高胆汁分泌速率,增加小肠对胆汁酸的吸收负荷,而小肠的吸收功能在热应激时已知会受到不利影响。