Konturek S J, Tasler J, Obtulowicz W, Cieszkowski M
Gastroenterology. 1976 Jan;70(1):66-9.
This study was undertaken to compare the ability of L- and D-isomers of amino acids bathing the oxyntic gland area to stimulate acid secretion in conscious dogs with Heidenhain pouch (HP), gastric fistula (GF) and pancreatic fistula (PF). Acid outputs from HP were determined by an intragastric titration method when amino acid solutions were perfused into HP at various concentrations, pH values, and distention pressures. Only L-isomers of all natural amino acids were found to stimulate acid secretion, whereas D-isomers of amino acids tested were completely inert in this respect. The comparison of the secretagogue activity of amino acids shows that L-histidine among essential amino acids and glycine among nonessential amino acids exhibited the strongest stimulation of acid outputs, reaching, respectively, 52 and 40% of the maximal response to histamine. Decreasing the pH of L-histidine solution perfused into HP in sequential order from 5.0 to 1.0 resulted in a stepwise reduction of acid output, falling at pH 1.0 to about 40% of the peak response achieved at pH 5.0. Local irrigation of HP by 2% xylocaine and intravenous infusion of atropine (100 mug per kg per hr) or metiamide (2.9 mg per kg per hr) reduced but did not abolish HP response to chemical stimulation and the pH dependency of this response. We conclude that only L- and not D-isomers of amino acids bathing the oxyntic gland area stimulate acid secretion by a local, gastrin-independent mechanism sensitive to distention pressure and pH.
本研究旨在比较用海登海因小胃(HP)、胃瘘(GF)和胰瘘(PF)的清醒犬,以氨基酸的L-和D-异构体灌注泌酸腺区域时刺激胃酸分泌的能力。当以不同浓度、pH值和扩张压力将氨基酸溶液灌注到HP中时,通过胃内滴定法测定HP的酸分泌量。发现所有天然氨基酸中只有L-异构体刺激胃酸分泌,而所测试的氨基酸D-异构体在这方面完全无活性。氨基酸促分泌活性的比较表明,必需氨基酸中的L-组氨酸和非必需氨基酸中的甘氨酸对胃酸分泌的刺激作用最强,分别达到组胺最大反应的52%和40%。将灌注到HP中的L-组氨酸溶液的pH值按顺序从5.0降至1.0,导致胃酸分泌量逐步减少,在pH 1.0时降至pH 5.0时峰值反应的约40%。用2%利多卡因局部冲洗HP以及静脉输注阿托品(每千克每小时100微克)或甲硫咪胺(每千克每小时2.9毫克)可降低但不能消除HP对化学刺激的反应以及该反应对pH的依赖性。我们得出结论,只有灌注泌酸腺区域的氨基酸L-异构体而非D-异构体,通过对扩张压力和pH敏感的局部、不依赖胃泌素的机制刺激胃酸分泌。