Kiely James M, Graewin Shannon J, Pitt Henry A, Swartz-Basile Deborah A
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
J Surg Res. 2005 Mar;124(1):146-50. doi: 10.1016/j.jss.2004.10.006.
Leptin receptors are present in the jejunum, ileum, and vagal neurons. Leptin increases duodenal secretion of cholecystokinin (CCK) and acts with CCK on vagal mechanoreceptors in the regulation of small intestinal motility. We have demonstrated that leptin-deficient (Lepob) obese mice have increased jejunal and normal ileal responses to CCK. Therefore, we hypothesized that leptin administration alters small intestinal motility observed in leptin-deficient obese mice.
Twelve-week-old female leptin-deficient (Lepob) obese mice received either saline (n=12) or 5 microg/g leptin ip (n=12) injections daily. After 4 weeks, jejunal and ileal segments were harvested, mounted in an organ bath, and reacted with acetylcholine (ACh, 10(-5)M) and CCK (10(-8,-7,-6)M). Data were expressed as N/cm2 and compared by ANOVA and Student's t test.
The average body weights in the leptin-treated group were significantly decreased compared to those of the saline-treated group (34 versus 49 g, P <0.01). Jejunal responses to ACh within each group were significantly decreased (P <0.05) when compared to ileal responses. No significant differences in responses to ACh were observed between groups. Jejunal responses to 10(-7,-6)M CCK in the leptin-treated group were significantly greater than those in the saline-treated group. Ileal responses in the leptin group were similarly increased at all CCK concentrations.
These data suggest that daily leptin administration for 4 weeks in leptin-deficient (Lepob) obese mice increases jejunal and ileal responses to CCK and does not alter responses to ACh. Therefore, we conclude that regulation of small intestinal motility may be influenced by synergistic action of cholecystokinin and leptin.
瘦素受体存在于空肠、回肠和迷走神经神经元中。瘦素可增加十二指肠胆囊收缩素(CCK)的分泌,并与CCK共同作用于迷走机械感受器,以调节小肠运动。我们已经证明,瘦素缺乏(Lepob)的肥胖小鼠空肠对CCK的反应增强,而回肠反应正常。因此,我们推测给予瘦素会改变瘦素缺乏肥胖小鼠的小肠运动。
12周龄雌性瘦素缺乏(Lepob)肥胖小鼠每天接受生理盐水注射(n = 12)或腹腔注射5微克/克瘦素(n = 12)。4周后,采集空肠和回肠段,置于器官浴中,并用乙酰胆碱(ACh,10^(-5)M)和CCK(10^(-8,-7,-6)M)进行反应。数据以N/cm²表示,并通过方差分析和学生t检验进行比较。
与生理盐水处理组相比,瘦素处理组的平均体重显著降低(34克对49克,P < 0.01)。与回肠反应相比,每组内空肠对ACh的反应均显著降低(P < 0.05)。两组之间对ACh的反应未观察到显著差异。瘦素处理组空肠对10^(-7,-6)M CCK的反应显著大于生理盐水处理组。瘦素组回肠在所有CCK浓度下的反应均有类似增加。
这些数据表明,在瘦素缺乏(Lepob)肥胖小鼠中,每天给予瘦素4周可增加空肠和回肠对CCK的反应,且不改变对ACh的反应。因此,我们得出结论,小肠运动的调节可能受胆囊收缩素和瘦素协同作用的影响。