Mathisen O, Omland E
Dept. of Surgery B, National Hospital, University of Oslo, Norway.
Scand J Gastroenterol. 1990 Dec;25(12):1265-73. doi: 10.3109/00365529008998563.
To assess the effects of a small (0.5%) and a large dose (5%) of glycine and alanine and of hypertonic glucose on hepatic bile secretion, oxygen consumption, and hemodynamics, experiments were performed on anesthetized pigs. Only the large dose of amino acids exerted significant changes. Glycine, alanine, and glucose reduced bile acid-dependent bile secretion gradually, which was nearly halved from a control value of 0.32 +/- 0.04 ml/min. Oxygen consumption was thereby continuously stimulated during amino acid and glucose infusion and increased from 448 +/- 132 mumol/min before to 995 +/- 226 mumol/min after the infusion of glycine, alanine, and glucose. Hepatic arterial blood flow increased from 214 +/- 14 ml/min to 238 +/- 14 ml/min after glycine infusion, whereas portal venous blood flow decreased from 542 +/- 50 ml/min to 481 +/- 47 ml/min. Total hepatic blood flow remained unchanged. Alanine and glucose provoked no further changes in hepatic blood flow. Bile secretion is a sensitive marker of hepatic metabolism, whereas hepatic blood flow is not a dominant regulator of bile secretion. Stimulation of hepatic metabolism is not followed by changes in total hepatic blood flow.
为评估小剂量(0.5%)和大剂量(5%)的甘氨酸、丙氨酸以及高渗葡萄糖对肝胆汁分泌、氧消耗和血流动力学的影响,在麻醉猪身上进行了实验。只有大剂量的氨基酸产生了显著变化。甘氨酸、丙氨酸和葡萄糖逐渐降低了胆汁酸依赖性胆汁分泌,从对照值0.32±0.04毫升/分钟几乎减半。在输注氨基酸和葡萄糖期间,氧消耗因此持续受到刺激,在输注甘氨酸、丙氨酸和葡萄糖后,从输注前的448±132微摩尔/分钟增加到995±226微摩尔/分钟。输注甘氨酸后,肝动脉血流从214±14毫升/分钟增加到238±14毫升/分钟,而门静脉血流从542±50毫升/分钟减少到481±47毫升/分钟。肝总血流量保持不变。丙氨酸和葡萄糖未引起肝血流的进一步变化。胆汁分泌是肝脏代谢的敏感标志物,而肝血流不是胆汁分泌的主要调节因素。肝脏代谢的刺激并未伴随着肝总血流量的变化。