Goodlad R A, Raja K B, Peters T J, Wright N A
Department of Histopathology, Royal Postgraduate Medical School, Imperial Cancer Research Fund Histopathology Unit, London.
Gut. 1991 Sep;32(9):994-8. doi: 10.1136/gut.32.9.994.
The wet weight of the stomach, small intestine, caecum, and colon were significantly reduced (p less than 0.001) in intravenously fed rats compared with orally fed controls. Human epidermal growth factor (urogastrone) reversed this atrophy. Detailed analysis of the small intestine showed a similar effect on intestinal crypt cell population, mitoses per crypt, and protein content. Brush border gamma glutamyltransferase and alpha glucosidase activities were reduced by up to 50% throughout the small intestine of the animals fed intravenously. The specific activities (mU/mg protein) were unchanged, as a concomitant decrease in the tissue weight and protein content also occurred. Intestinal brush border enzyme activities in the rats treated with urogastrone-epidermal growth factor were restored to those seen in the orally fed rats except for alpha glucosidase activity in the proximal gut. In addition, the specific activity of gamma glutamyltransferase was highly significantly increased (p less than 0.01) in all regions of the small intestine. Thus, although urogastrone administration prevents the decrease in brush border enzyme activity seen after the removal of luminal nutrition, the response seems to differ depending on the intestinal location, with the specific activities of some enzymes being higher than those seen in orally fed rats. Urogastrone-epidermal growth factor can thus significantly increase the functional ability of the intestine in addition to its trophic effects.
与经口喂养的对照组相比,静脉喂养大鼠的胃、小肠、盲肠和结肠湿重显著降低(p<0.001)。人表皮生长因子(尿抑胃素)可逆转这种萎缩。对小肠的详细分析表明,其对肠隐窝细胞数量、每个隐窝的有丝分裂以及蛋白质含量有类似影响。在静脉喂养的动物整个小肠中,刷状缘γ-谷氨酰转移酶和α-葡萄糖苷酶活性降低了多达50%。由于组织重量和蛋白质含量也随之降低,比活性(mU/mg蛋白质)未发生变化。用尿抑胃素-表皮生长因子治疗的大鼠,除近端肠道的α-葡萄糖苷酶活性外,小肠刷状缘酶活性恢复到经口喂养大鼠的水平。此外,小肠所有区域的γ-谷氨酰转移酶比活性均显著升高(p<0.01)。因此,尽管给予尿抑胃素可防止在去除腔内营养后出现的刷状缘酶活性降低,但根据肠道位置不同反应似乎有所差异,一些酶的比活性高于经口喂养大鼠。因此,尿抑胃素-表皮生长因子除了具有营养作用外,还可显著提高肠道的功能能力。