Noda A, Okumura I, Ibuki E, Hotta S, Nomoto K, Miyamoto E, Takeuchi K, Watanabe T
Third Department of Internal Medicine, Aichi Medical University, Japan.
Gastroenterol Jpn. 1990 Oct;25(5):613-8. doi: 10.1007/BF02779362.
The effect of the weak organic acid of dimethadione (DMO) on secretin-stimulated pancreatic secretion was studied with repeated oral administration of trimethadione (TMO), the precursor of DMO, to dogs at a dose of 10 to 160mg/kg/day for a period of 14 days. The bicarbonate concentration in pancreatic juice at a steady state decreased significantly, reflecting a close correlation with the dose of TMO and DMO concentrations in plasma and pancreatic juice. The maximal decrement from the control of cases of no TMO administration was 18.8 mEq/l (12.1% of the control level). The chloride concentration in pancreatic juice showed a reciprocal relation to the bicarbonate concentration. The sum of both anion concentration was constant, irrespective of the dose of TMO. The average carbon dioxide tension of pancreatic juice in all doses of TMO was lower than that of the control, but differences were not statistically significant. The pH, flow rate, sodium and potassium concentrations in pancreatic juice at a steady state did not differ significantly in relation to the dose of TMO. These findings suggest that repeated oral administration of TMO cause a significant decrease in bicarbonate concentration in pancreatic juice, resulting probably from the buffer action of bicarbonate on protons provided from the undissociated form of DMO.
通过以10至160mg/kg/天的剂量对犬重复口服三甲双酮(TMO),即二甲双酮(DMO)的前体,持续14天,研究了二甲双酮(DMO)这种弱有机酸对促胰液素刺激的胰腺分泌的影响。稳态时胰液中的碳酸氢盐浓度显著降低,这反映出其与血浆和胰液中TMO的剂量及DMO浓度密切相关。未给予TMO的对照组病例的最大降幅为18.8mEq/l(为对照水平的12.1%)。胰液中的氯化物浓度与碳酸氢盐浓度呈反比关系。无论TMO剂量如何,两种阴离子浓度之和恒定。所有TMO剂量组的胰液平均二氧化碳张力均低于对照组,但差异无统计学意义。稳态时胰液的pH值、流速、钠和钾浓度与TMO剂量无显著差异。这些发现表明,重复口服TMO会导致胰液中碳酸氢盐浓度显著降低,这可能是由于碳酸氢盐对未离解形式的DMO提供的质子的缓冲作用所致。