Tiscornia O M, Iovanna J, Tumilasci O, Perec C J, Cresta M A, Celener D, Dreiling D A
Laboratory of Pancreatic Functional Exploration, Hospital de Clinicas de Bs As, Argentina.
Mt Sinai J Med. 1990 Nov;57(6):353-61.
In nonalcoholic (NA) and alcohol-fed rats (AF), intravenous-ethanol-induced percentage changes in bile-pancreatic-secretion (BPS) were evaluated, with and without gastric juice diversion (GJD) and with and without BPS duodenal recirculation (DR). Even with GJD, ethanol elicited a slight increase in BPS. These changes were greater in AF animals even when performed without GJD. When intravenous ethanol was given under conditions of GJD and DR, there were marked differences between the NA and AF animals in the ethanol-elicited post-plateau percentage changes of BPS. NA animals evidenced no significant difference from controls. But in the AF rats, ethanol triggered a marked and significant increase of flow, protein concentration, and output that became progressively greater in successive collection periods. It is postulated that without DR, and the resulting lack of negative duodeno-pancreatic reflexes (DPR), there occurs a change in reactivity to intravenous ethanol of the hypothalamic-bulbar nuclei (HBN) and in the mechanisms that modulate the flow of cholinergic impulses through the intrapancreatic ganglia (IPG). The postulated consequence is predominance (slight in NA rats receiving intravenous ethanol, greater in AF rats) in discharge of positive impulses from HBN and flowing unimpeded through the IPG to the "pancreon" units. In the NA animal with DR, ethanol may enhance BPS values, but in the AF rats, impairment of the negative DPR elicited by chronic alcohol intoxication might, after an acute intravenous ethanol injection, favor the discharge of positive impulses from the HBN flowing unimpeded through the IPG. In the AF rats also, ethanol would activate the nonnicotinic receptors of the neurons of the "antral," "duodenal," and "celiac" autonomic brains.(ABSTRACT TRUNCATED AT 250 WORDS)
在非酒精性(NA)和酒精喂养的大鼠(AF)中,评估了静脉注射乙醇引起的胆汁 - 胰液分泌(BPS)的百分比变化,同时设置了有无胃液转流(GJD)以及有无BPS十二指肠再循环(DR)的情况。即使进行了GJD,乙醇仍会使BPS略有增加。这些变化在AF动物中更大,即使在未进行GJD时也是如此。当在GJD和DR条件下静脉注射乙醇时,NA和AF动物在乙醇引起的BPS高原后百分比变化方面存在显著差异。NA动物与对照组无显著差异。但在AF大鼠中,乙醇引发了流量、蛋白质浓度和输出的显著且持续增加,在连续采集期内逐渐增大。据推测,没有DR以及由此导致的十二指肠 - 胰腺负反射(DPR)缺失时,下丘脑 - 延髓核(HBN)对静脉注射乙醇的反应性以及调节胆碱能冲动通过胰腺内神经节(IPG)流动的机制会发生变化。推测的结果是HBN释放的正冲动占优势(接受静脉注射乙醇的NA大鼠中轻微,AF大鼠中更明显),并畅通无阻地通过IPG流向“胰腺”单位。在有DR的NA动物中,乙醇可能会提高BPS值,但在AF大鼠中,慢性酒精中毒引起的负DPR受损可能在急性静脉注射乙醇后,有利于HBN释放的正冲动畅通无阻地通过IPG。在AF大鼠中,乙醇还会激活“胃窦”、“十二指肠”和“腹腔”自主神经脑神经元的非烟碱受体。(摘要截断于250字)