Zdon M J, Levine B A, Quigley M A
University of Health Sciences, Chicago Medical School, Veterans Administration Medical Center, Ill. 60064.
Surgery. 1990 Oct;108(4):763-7; discussion 767-8.
In a previous investigation we demonstrated that after vagotomy there is a decreased ability of parietal cells to use intracellular cyclic adenosine monophosphate (cAMP). Prostaglandins are present in gastric mucosa and have been demonstrated to be inhibitors of in vivo and in vitro acid secretion through a cAMP-mediated mechanism. In the present study we have examined in vitro acid secretion and prostaglandin E2 levels in rabbits 8 weeks after vagotomy and pyloroplasty compared with control animals to investigate the possible role of prostaglandins in postvagotomy-impaired cAMP use. In vitro acid secretion was assessed in isolated gastric glands by 14C-labeled aminopyrine uptake and prostaglandin E2-generating capacity measured by high-pressure liquid chromatography. After vagotomy, there was a decrease in basal aminopyrine uptake (p less than 0.05), as well as that simulated by histamine and 8-bromo-cAMP (p less than 0.007). No differences were observed in prostaglandin E2 levels in either gastric glands or intact fundic mucosa (p greater than 0.5). These data suggest that impaired cAMP use observed in parietal cells after vagotomy is not the result of alterations in gastric prostaglandin levels.
在先前的一项研究中,我们证明了迷走神经切断术后壁细胞利用细胞内环磷酸腺苷(cAMP)的能力下降。前列腺素存在于胃黏膜中,并且已被证明是通过cAMP介导的机制在体内和体外抑制胃酸分泌的物质。在本研究中,我们检测了迷走神经切断术和幽门成形术后8周的兔子的体外胃酸分泌和前列腺素E2水平,并与对照动物进行比较,以研究前列腺素在迷走神经切断术后cAMP利用受损中可能发挥的作用。通过14C标记的氨基比林摄取来评估分离的胃腺中的体外胃酸分泌,并通过高压液相色谱法测量前列腺素E2的生成能力。迷走神经切断术后,基础氨基比林摄取减少(p<0.05),以及组胺和8-溴-cAMP模拟的摄取减少(p<0.007)。在胃腺或完整的胃底黏膜中,前列腺素E2水平均未观察到差异(p>0.5)。这些数据表明,迷走神经切断术后壁细胞中观察到的cAMP利用受损不是胃前列腺素水平改变的结果。