Hirano T, Manabe T, Imanishi K, Ando K, Kyogoku T, Yotsumoto F, Imamura T, Ohshio G
First Department of Surgery, Faculty of Medicine, Kyoto University, Japan.
Nihon Geka Hokan. 1992 Mar 1;61(2):125-33.
We studied the effect of short-term (3 hours) pancreatic duct obstruction (PDO) on the exocrine pancreas and on the secretion of lysosomal enzymes into the pancreatic juice of rabbits during stimulation by pancreatic secretagogues. The following evaluations were made: serum amylase levels, pancreatic water content, pancreatic amylase, trypsinogen and cathepsin B content, and output of pancreatic enzymes and lysosomal hydrolases when stimulated by secretin and caerulein as well as the distribution of cathepsin B in subcellular fraction. PDO for 3 hours plus secretin infusion caused a significant rise in serum amylase levels, pancreatic water content, and pancreatic amylase and trypsinogen content due to congestion of digestive enzymes during PDO. There was also a redistribution of cathepsin B from the lysosomal fraction to the zymogen fraction. In normal rabbits and in those with only secretin infusion, caerulein stimulated the secretion of cathepsin B, into pancreatic juice. Just after PDO, the secretion of cathepsin B, amylase and trypsinogen significantly decreased. By 24 hours after PDO, the output of cathepsin B stimulated by caerulein and secretin had increased significantly. Amylase and trypsinogen output were also significantly increased at this stage, in both the secretin and caerulein fractions. These results indicate that the secretion of lysosomal enzymes into pancreatic juice is stimulated by gut hormones, such as caerulein, in the normal physiological state and in pathological states, such as PDO. These results also show augmented secretion of both lysosomal enzymes and pancreatic digestive enzymes in the recovery stage after PDO and their important roles at this stage.(ABSTRACT TRUNCATED AT 250 WORDS)
我们研究了短期(3小时)胰管阻塞(PDO)对兔外分泌胰腺以及在胰腺促分泌剂刺激下溶酶体酶分泌到胰液中的影响。进行了以下评估:血清淀粉酶水平、胰腺含水量、胰腺淀粉酶、胰蛋白酶原和组织蛋白酶B含量,以及在促胰液素和雨蛙肽刺激下胰酶和溶酶体水解酶的输出,以及组织蛋白酶B在亚细胞组分中的分布。3小时的PDO加促胰液素输注导致血清淀粉酶水平、胰腺含水量、胰腺淀粉酶和胰蛋白酶原含量显著升高,这是由于PDO期间消化酶的充血所致。组织蛋白酶B也从溶酶体组分重新分布到酶原组分。在正常兔和仅输注促胰液素的兔中,雨蛙肽刺激组织蛋白酶B分泌到胰液中。PDO刚结束时,组织蛋白酶B、淀粉酶和胰蛋白酶原的分泌显著减少。PDO后24小时,雨蛙肽和促胰液素刺激的组织蛋白酶B输出显著增加。此时,促胰液素和雨蛙肽组分中的淀粉酶和胰蛋白酶原输出也显著增加。这些结果表明,在正常生理状态和PDO等病理状态下,溶酶体酶分泌到胰液中受到肠道激素如雨蛙肽的刺激。这些结果还表明,PDO后恢复阶段溶酶体酶和胰腺消化酶的分泌均增加,且它们在该阶段发挥重要作用。(摘要截短至250字)