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血管活性肠肽与促胰液素对胰腺分泌刺激作用的比较

Comparison of vasoactive intestinal peptide and secretin in stimulation of pancreatic secretion.

作者信息

Konturek S J, Pucher A, Radecki T

出版信息

J Physiol. 1976 Feb;255(2):497-509. doi: 10.1113/jphysiol.1976.sp011292.

Abstract

Pancreatic volume flow as well as bicarbonate and protein secretion have been measured in chronic pancreatic fistula cats and dogs in response to I.V. infusion of VIP and secretin or duodenal perfusion of sodium oleate and HCl solution. 2. VIP and secretin infused I.V. in cats produced superimposable pancreatic dose-response curves for volume flow and bicarbonate secretion, reaching almost identical observed and maximal calculated outputs with both peptides. In dogs, VIP was shown previously to be a much less effective stimulant of pancreatic secretion than secretin and the maximal observed bicarbonate output in response to VIP was only about 17% of that to secretin (Konturek, Thor, Dembinski & Król, 1975). It is condluded that VIP in cats is a secretin-like full agonist, whereas in dogs it is a partial agonist of pancreatic bicarbonate secretion. 3. In cats, secretin and VIP showed equal efficacy and their combination exhibited an augmentatory action on pancreatic bicarbonate secretion with additive kinetics, whereas in dogs, VIP was found to have a lower efficacy than secretin and to inhibit competitively secretin-induced pancreatic secretion. These results might be explained by the interaction of VIP and secretin, two chemically related peptides, on a common receptor site of the exocrine pancreas. 4. Caerulein, an analogue of CCK-PZ, infused I.V. in cats and dogs caused a negligible pancreatic bicarbonate secretion and a potent dose-dependent protein secretion. The combination of graded doses of VIP or secretin with a background dose of caerulein resulted in significantly higher bicarbonate and protein outputs than those induced by VIP or secretin alone. 5. Duodenal perfusion of sodium oleate soap in cats and dogs produced pancreatic dose-response curves for volume flow and bicarbonate output similar to those evoked by VIP in these species. Pancreatic protein secretion in response to luminal oleate was slightly higher than could be accounted for by the action of VIP alone. This might be attributed to the release by oleate not only of endogenous VIP but also CCK-PZ or to the vago-vagal reflexes from gut to pancreas. The results of our combined study on cats and dogs suggest the possibility that oleate releases VIP from the gut and that this peptide may play a physiological role in the stimulation of pancreatic secretion.

摘要

在慢性胰瘘猫和狗中,已测量了胰液流量以及碳酸氢盐和蛋白质的分泌,以响应静脉注射血管活性肠肽(VIP)和促胰液素,或十二指肠灌注油酸钠和盐酸溶液。2. 在猫中静脉注射VIP和促胰液素会产生叠加的胰液流量和碳酸氢盐分泌的剂量反应曲线,两种肽的观察到的和计算出的最大输出几乎相同。在狗中,先前已表明VIP作为胰腺分泌的刺激剂比促胰液素的效果要差得多,并且对VIP反应的最大观察到的碳酸氢盐输出仅约为对促胰液素反应的17%(孔图雷克、索尔、登宾斯基和克罗尔,1975年)。得出的结论是,在猫中VIP是一种类似促胰液素的完全激动剂,而在狗中它是胰腺碳酸氢盐分泌的部分激动剂。3. 在猫中,促胰液素和VIP显示出相同的效力,它们的组合对胰腺碳酸氢盐分泌表现出具有相加动力学的增强作用,而在狗中,发现VIP的效力低于促胰液素,并竞争性抑制促胰液素诱导的胰腺分泌。这些结果可能由VIP和促胰液素这两种化学相关的肽在外分泌胰腺的共同受体位点上的相互作用来解释。4. 蛙皮素,一种胆囊收缩素-促胰酶素(CCK-PZ)类似物,在猫和狗中静脉注射引起可忽略不计的胰腺碳酸氢盐分泌和强烈的剂量依赖性蛋白质分泌。将不同剂量的VIP或促胰液素与背景剂量的蛙皮素联合使用,导致的碳酸氢盐和蛋白质输出显著高于单独使用VIP或促胰液素所诱导的输出。5. 在猫和狗中十二指肠灌注油酸钠皂会产生与这些物种中由VIP引起的胰液流量和碳酸氢盐输出的剂量反应曲线相似。对腔内油酸盐反应的胰腺蛋白质分泌略高于仅由VIP作用所能解释的水平。这可能归因于油酸盐不仅释放内源性VIP,还释放CCK-PZ,或者归因于从肠道到胰腺的迷走-迷走反射。我们对猫和狗的联合研究结果表明,油酸盐可能从肠道释放VIP,并且这种肽可能在刺激胰腺分泌中发挥生理作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc2/1309260/1f0e57f6743c/jphysiol00858-0179-a.jpg

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