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通过放射免疫分析法观察人体中血浆促胰液素水平对十二指肠酸化和进食肉类的反应。

Observations of plasma secretin levels by radioimmunoassay in response to duodenal acidification and to a meat meal in humans.

作者信息

Rhodes R A, Tai H H, Chey W Y

出版信息

Am J Dig Dis. 1976 Oct;21(10):873-9. doi: 10.1007/BF01072080.

DOI:10.1007/BF01072080
PMID:13650
Abstract

The endogenous release of secretin in healthy human subjects was studied by measuring plasma secretin levels by radioimmunoassay (RIA) before, during, and following duodenal acidification and eating a meal. The sensitivity of our RIA was assessed by measuring plasma secretin levels during constant intravenous infusions of 4 graded doses of secretin. Our RIA detected significant increases (P less than 0.001) in plasma secretin with each dose, including a low dose of 0.125 U (41.3 ng)/kg hr. Intraduodenal infusion of 0.1 N HCl resulted in marked increases (P less than 0.001) in plasma secretin levels whenever pH in the second portion of the duodenum was reduced to less than 3.5. In contrast, following a meal, pH in the second portion of the duodenum remained consistently greater than 4.5 and plasma secretin levels showed no changes from basal levels. These studies confirm that endogenous release of secretin depends on an acidic pH of the duodenum, and insigificant changes in the plasma secretin level following ingestion of a meal suggest that endogenous release of secretin in the postprandial period is probably to small in quantity to be detected by the present radioimmunoassay method.

摘要

通过放射免疫分析法(RIA)在十二指肠酸化前、酸化期间及酸化后,以及进餐前、进餐期间和进餐后测量血浆促胰液素水平,对健康人体受试者促胰液素的内源性释放进行了研究。通过在持续静脉输注4个梯度剂量的促胰液素期间测量血浆促胰液素水平,评估了我们的放射免疫分析法的灵敏度。我们的放射免疫分析法检测到,随着每个剂量的增加,血浆促胰液素均显著升高(P<0.001),包括低剂量0.125 U(41.3 ng)/kg·小时。每当十二指肠第二段的pH值降至低于3.5时,十二指肠内注入0.1 N HCl会导致血浆促胰液素水平显著升高(P<0.001)。相比之下,进餐后,十二指肠第二段的pH值始终保持在大于4.5,血浆促胰液素水平与基础水平相比无变化。这些研究证实,促胰液素的内源性释放取决于十二指肠的酸性pH值,而进餐摄入后血浆促胰液素水平变化不显著表明,餐后促胰液素的内源性释放量可能太小,无法通过目前的放射免疫分析方法检测到。

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Observations of plasma secretin levels by radioimmunoassay in response to duodenal acidification and to a meat meal in humans.通过放射免疫分析法观察人体中血浆促胰液素水平对十二指肠酸化和进食肉类的反应。
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本文引用的文献

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INTRALUMINAL AND JUXTAMUCOSAL DUODENAL PH.腔内及十二指肠黏膜旁pH值
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Plasma secretin concentrations in fasting and postprandial state in man.人体禁食和餐后状态下的血浆促胰液素浓度。
Am J Dig Dis. 1978 Nov;23(11):981-8. doi: 10.1007/BF01263096.
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8
Impairment of secretin release in celiac sprue.乳糜泻中促胰液素分泌受损。
Am J Dig Dis. 1978 Sep;23(9):833-9. doi: 10.1007/BF01079794.
Am J Physiol. 1971 Sep;221(3):742-7. doi: 10.1152/ajplegacy.1971.221.3.742.
4
Pancreatic bicarbonate response to various acids in duodenum of the dog.犬十二指肠中胰腺对各种酸的碳酸氢盐反应。
Am J Physiol. 1970 Oct;219(4):964-70. doi: 10.1152/ajplegacy.1970.219.4.964.
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Pancreozymin bioassay in man based on pancreatic enzyme secretion: potency of specific amino acids and other digestive products.基于胰腺酶分泌的人胰酶泌素生物测定法:特定氨基酸和其他消化产物的效力
J Clin Invest. 1970 Aug;49(8):1558-64. doi: 10.1172/JCI106373.
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Postprandial pH and neutralizing capacity of the proximal duodenum in dogs.犬近端十二指肠的餐后pH值及中和能力
Gastroenterology. 1970 Jul;59(1):85-9.
7
Effect of secretin and cholecystokinin on gastric emptying and gastric secretion in man.促胰液素和缩胆囊素对人体胃排空及胃液分泌的影响。
Gastroenterology. 1970 Jun;58(6):820-7.
8
Effect of secretin and cholecystokinin on pentagastrin-stimulated gastric secretion in man.促胰液素和缩胆囊素对人五肽胃泌素刺激的胃酸分泌的影响。
Gastroenterology. 1970 Jul;59(1):114-9.
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Canine pancreatic responses to intestinally perfused fat and products of fat digestion.犬胰腺对肠道灌注脂肪及脂肪消化产物的反应。
Am J Physiol. 1974 May;226(5):1178-87. doi: 10.1152/ajplegacy.1974.226.5.1178.
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Effects of intraduodenal administration of HCl and glucose on circulating immunoreactive secretin and insulin concentrations.十二指肠内给予盐酸和葡萄糖对循环中免疫反应性促胰液素和胰岛素浓度的影响。
J Clin Invest. 1974 Apr;53(4):1185-93. doi: 10.1172/JCI107657.