Hirano T, Manabe T, Tobe T
First Department of Surgery, Faculty of Medicine, Kyoto University.
Nihon Shokakibyo Gakkai Zasshi. 1990 Nov;87(11):2503-8.
To explore the changes in the exocrine pancreas and the possible stimulation by gut hormones of secretion of lysosomal enzyme into the pancreatic juice, we measured the caerulein-stimulated amylase output, the cathepsin B output into the pancreatic juice and the pancreatic tissue amylase and cathepsin B contents, as well as the distribution of cathepsin B in acinar cells in both the regenerating (4 days) and recovery (8 days) stages after about 70% hepatectomy in rats. The amylase output increased significantly after hepatectomy. Cathepsin B was secreted into the pancreatic juice after stimulation by caerulein in both the control and hepatectomized groups. Four days after hepatectomy, the cathepsin B output was significantly greater than that of the control group, and redistribution of cathepsin B in acinar cells was noted. These changes in cathepsin B disappeared in the recovery stage (8 days) after hepatectomy. In addition, the pancreatic amylase content was significantly higher than in the control group, but the pancreatic cathepsin B content did not change significantly. These results suggest that caerulein stimulated the secretion of lysosomal enzyme into the pancreatic juice in the same way as digestive enzymes and that lysosomal enzymes in the pancreatic juice play an important physiological role. Furthermore, these results indicate the increased synthesis and secretion of amylase in and from acinar cells as well as the fragility of acinar cells.
为了探究外分泌胰腺的变化以及肠道激素对溶酶体酶分泌到胰液中的可能刺激作用,我们测量了蛙皮素刺激后的淀粉酶输出量、胰液中组织蛋白酶B的输出量、胰腺组织中淀粉酶和组织蛋白酶B的含量,以及大鼠约70%肝切除术后再生期(4天)和恢复期(8天)腺泡细胞中组织蛋白酶B的分布。肝切除术后淀粉酶输出量显著增加。在对照组和肝切除组中,蛙皮素刺激后组织蛋白酶B均分泌到胰液中。肝切除术后4天,组织蛋白酶B的输出量显著高于对照组,且观察到腺泡细胞中组织蛋白酶B的重新分布。肝切除术后恢复期(8天),组织蛋白酶B的这些变化消失。此外,胰腺淀粉酶含量显著高于对照组,但胰腺组织蛋白酶B含量无明显变化。这些结果表明,蛙皮素以与消化酶相同的方式刺激溶酶体酶分泌到胰液中,且胰液中的溶酶体酶发挥着重要的生理作用。此外,这些结果表明腺泡细胞中淀粉酶的合成和分泌增加以及腺泡细胞的脆弱性。