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内源性阿片肽和胆囊收缩素对犬餐后幽门运动的中枢和外周控制

Central and peripheral control of postprandial pyloric motility by endogenous opiates and cholecystokinin in dogs.

作者信息

Lopez Y, Fioramonti J, Bueno L

机构信息

Department of Pharmacology, Institut National de la Recherche Agronomique, Toulouse, France.

出版信息

Gastroenterology. 1991 Nov;101(5):1249-55. doi: 10.1016/0016-5085(91)90074-u.

Abstract

The role of endogenous opiates and cholecystokinin (CCK) in the control of postprandial pyloric myoelectric activity was investigated in conscious dogs with chronically implanted intraparietal electrodes at the gastroduodenal junction. Meals consisted of either 20 g/kg of canned food (standard meal) or the same food supplemented with 0.5 mL/kg of arachis oil (fat meal). During the 6 hours after standard and fat meals, the number of pyloric spike bursts, 2-4 seconds in duration, was 61.8 +/- 15.8 and 49.9 +/- 12.7/15 minutes, respectively. Administered 15 minutes before a fat meal, naloxone (50 micrograms/kg IV) decreased the number of spike bursts by 31.4%, whereas methyl-levallorphan, a peripheral opiate antagonist, increased postprandial spike activity by 22.2% when administered IV (0.5 mg/kg) and decreased it when administered intracerobroventricularly at a dose of 10 micrograms/kg. These two antagonists administered in the same conditions before a standard meal had no effect on the postprandial spike activity. A 1-hour infusion of cholecystokinin octapeptide (CCK-8), 500 ng.kg-1.h-1 IV and 50 ng.kg-1.h-1 intracerebroventricularly, performed 1 hour after a standard meal induced a 19.6% and 15.8% decrease in the number of pyloric spike bursts, respectively. Both naloxone IV (50 micrograms/kg) and methyl-levallorphan intracerebroventricularly (10 micrograms/kg) administered before the infusion of CCK-8 reinforced this pyloric inhibition, which was antagonized by methyl-levallorphan IV (0.5 mg/kg). The CCK antagonist asperlicin, 200 micrograms/kg IV and 20 micrograms/kg intracerebroventricularly, administered before a fat meal increased pyloric spike bursts by 22.0% and 31.5%, respectively. These results indicate that after a fat meal, endogenous opiates exert a peripheral inhibitory and central stimulatory control of pyloric motility; they suggest the involvement of both peripheral and central release of CCK.

摘要

在胃十二指肠连接处植入慢性壁内电极的清醒犬中,研究了内源性阿片类物质和胆囊收缩素(CCK)在控制餐后幽门肌电活动中的作用。餐食包括20 g/kg罐装食物(标准餐)或添加了0.5 mL/kg花生油的相同食物(脂肪餐)。在标准餐和脂肪餐后的6小时内,持续2 - 4秒的幽门尖峰爆发次数分别为61.8±15.8次和49.9±12.7次/15分钟。在脂肪餐前15分钟静脉注射纳洛酮(50微克/千克)使尖峰爆发次数减少31.4%,而外周阿片拮抗剂甲基左啡诺,静脉注射(0.5毫克/千克)时使餐后尖峰活动增加22.2%,脑室内注射10微克/千克剂量时则使其减少。在标准餐前相同条件下注射这两种拮抗剂对餐后尖峰活动无影响。在标准餐后1小时,静脉注射500纳克·千克⁻¹·小时⁻¹和脑室内注射50纳克·千克⁻¹·小时⁻¹的八肽胆囊收缩素(CCK - 8)持续输注1小时,分别使幽门尖峰爆发次数减少19.6%和15.8%。在输注CCK - 8前静脉注射纳洛酮(50微克/千克)和脑室内注射甲基左啡诺(10微克/千克)均增强了这种幽门抑制作用,而静脉注射甲基左啡诺(0.5毫克/千克)则拮抗了这种作用。在脂肪餐前静脉注射200微克/千克和脑室内注射20微克/千克的CCK拮抗剂阿斯匹林分别使幽门尖峰爆发次数增加22.0%和31.5%。这些结果表明,脂肪餐后,内源性阿片类物质对幽门运动施加外周抑制和中枢刺激控制;提示CCK的外周和中枢释放均参与其中。

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