Ericsson P, Håkanson R, Rehfeld J F, Norlén P
Experimental and Clinical Pharmacology, Department of Laboratory Medicine, Lund University Hospital, S-221 85 Lund, Sweden.
Regul Pept. 2010 Apr 9;161(1-3):22-32. doi: 10.1016/j.regpep.2010.01.004. Epub 2010 Jan 18.
We used microdialysis to monitor local gastrin release in response to food, acid blockade and acute vagal excitation. For the first time, gastrin release has been monitored continuously in intact conscious rats in a physiologically relevant experimental setting in a fashion that minimizes confounding systemic effects. Microdialysis probes were placed in the submucosa on either side of the antrum, 3 days before the experiments. The concentration of gastrin in the antral submucosal compartment was about 20 times higher than in the microdialysate and estimated to be 5-10 times higher than in serum regardless of the prandial state. The rats were conscious during microdialysis except when subjected to electrical vagal stimulation. Acid blockade (omeprazole treatment of freely fed rats for 4 days), or bilateral sectioning of the abdominal vagal trunks (fasted, 3 days post-op.), raised the gastrin concentration in blood as well as microdialysate. The high gastrin concentration following omeprazole treatment was not affected by vagotomy. Vagal excitation stimulated the G cells: electrical vagal stimulation and pylorus ligation (fasted rats) raised the gastrin concentration transiently in both serum and microdialysate. Food intake induced a 2- to 3-fold increase in serum gastrin, while gastrin in antral microdialysate increased 10- to 15-fold. In unilaterally vagotomized rats (fasted, 3 days post-op.), food evoked a prompt peak gastrin release followed by a gradual decline on the intact side. On the vagotomized side of the antrum, the peak response seemed to be reduced while the microdialysate gastrin concentration remained elevated. Thus, unilateral vagotomy surprisingly raised the integrated gastrin response to food on the denervated side compared to the intact side, indicating that vagotomy suppresses an inhibitory as well as a stimulating effect on the G cells. While local infusion of atropine was without effect, infusion of the neuronal blocker tetrodotoxin (TTX) (which had no effect on basal gastrin) virtually abolished the food-evoked gastrin response and lowered the high microdialysate gastrin concentration in omeprazole-treated rats by 65%. We conclude that activated gastrin release, unlike basal gastrin release, is highly dependent on a neural input: 1) Vagal excitation has a transient stimulating effect on the G cells. The transient nature of the response suggests that the vagus has not only a prompt stimulatory but also a slow inhibitory effect on gastrin release. 2) Although vagal denervation did not affect the gastrin response to anacidity, the TTX experiments revealed that both food-evoked and anacidity-evoked gastrin release depends on neural input.
我们使用微透析技术来监测胃泌素对食物、酸阻断和急性迷走神经兴奋的局部释放情况。首次在完整清醒大鼠的生理相关实验环境中,以一种将混淆的全身效应降至最低的方式连续监测胃泌素释放。在实验前3天,将微透析探针置于胃窦两侧的黏膜下层。无论进食状态如何,胃窦黏膜下腔室中的胃泌素浓度比微透析液中的高约20倍,估计比血清中的高5 - 10倍。除了接受电迷走神经刺激时,大鼠在微透析过程中保持清醒。酸阻断(对自由进食大鼠用奥美拉唑治疗4天)或双侧切断腹部迷走神经干(禁食,术后3天),会使血液和微透析液中的胃泌素浓度升高。奥美拉唑治疗后胃泌素浓度升高不受迷走神经切断术的影响。迷走神经兴奋刺激G细胞:电迷走神经刺激和幽门结扎(禁食大鼠)会使血清和微透析液中的胃泌素浓度短暂升高。食物摄入会使血清胃泌素增加2至3倍,而胃窦微透析液中的胃泌素增加10至15倍。在单侧迷走神经切断的大鼠(禁食,术后3天)中,食物会引起完整侧胃泌素迅速释放峰值,随后逐渐下降。在胃窦迷走神经切断侧,峰值反应似乎降低,而微透析液中的胃泌素浓度仍保持升高。因此,与完整侧相比,单侧迷走神经切断术出人意料地增加了失神经侧对食物的胃泌素综合反应,表明迷走神经切断术抑制了对G细胞的抑制作用以及刺激作用。虽然局部注入阿托品无效,但注入神经元阻滞剂河豚毒素(TTX)(对基础胃泌素无影响)几乎消除了食物诱发的胃泌素反应,并使奥美拉唑治疗的大鼠微透析液中高浓度的胃泌素降低了65%。我们得出结论,与基础胃泌素释放不同,活化的胃泌素释放高度依赖神经输入:1)迷走神经兴奋对G细胞有短暂的刺激作用。反应的短暂性表明迷走神经不仅对胃泌素释放有迅速的刺激作用,而且有缓慢的抑制作用。2)虽然迷走神经去神经支配不影响胃泌素对无酸状态的反应,但TTX实验表明,食物诱发和无酸诱发的胃泌素释放均依赖神经输入。