Li P, Lee K Y, Chang T M, Chey W Y
Department of Medicine, Genesee Hospital, University of Rochester School of Medicine and Dentistry, New York 14607.
Am J Physiol. 1990 Dec;259(6 Pt 1):G960-5. doi: 10.1152/ajpgi.1990.259.6.G960.
We have investigated the role of two intestinal hormones, secretin and cholecystokinin (CCK), on the pancreatic exocrine secretion stimulated by sodium oleate in anesthetized rats. Each rat was prepared with a polyethylene tube in the proximal duodenum and ligation of the pylorus. To collect pancreatic juice, the common bile-pancreatic duct was cannulated near the duodenal wall while bile was diverted to the exterior. Intraduodenal infusion of sodium oleate at doses of 0.03, 0.06, 0.12, and 0.24 mmol/h resulted in significant increases in pancreatic secretion including fluid, bicarbonate, and protein output. The increases of the three parameters were dose dependent and were correlated well with the increases in plasma secretin and CCK concentrations. To further clarify their hormonal roles, we have repeated identical experiments under intravenous administration of a rabbit anti-secretin serum (0.1 ml) or CR 1409 (4 mg.kg-1.h-1), a CCK-receptor antagonist, or a combination of both the antiserum and CR 1409. The antiserum significantly suppressed volume flow and bicarbonate secretion with a minor inhibitory effect on protein secretion, whereas a normal rabbit serum did not. CR 1409 significantly suppressed all three parameters. The combined treatment with both the antiserum and CR 1409 almost completely abolished the pancreatic secretion. Atropine given intravenously significantly inhibited the protein output but did not influence volume flow or bicarbonate output in response to sodium oleate. We thus conclude that, in rats, fat-stimulated pancreatic secretion of volume flow and bicarbonate depends entirely on the circulating endogenous secretin and CCK but that the protein output appears to be under control of both hormonal and cholinergic controls.
我们研究了两种肠激素,即促胰液素和胆囊收缩素(CCK),在麻醉大鼠中对油酸钠刺激的胰腺外分泌的作用。每只大鼠在十二指肠近端插入一根聚乙烯管,并结扎幽门。为了收集胰液,在十二指肠壁附近将胆总管-胰管插管,同时将胆汁引流至体外。以0.03、0.06、0.12和0.24 mmol/h的剂量十二指肠内输注油酸钠,导致胰腺分泌显著增加,包括液体、碳酸氢盐和蛋白质输出。这三个参数的增加呈剂量依赖性,并且与血浆促胰液素和CCK浓度的增加密切相关。为了进一步阐明它们的激素作用,我们在静脉注射兔抗促胰液素血清(0.1 ml)或CCK受体拮抗剂CR 1409(4 mg·kg-1·h-1)或抗血清和CR 1409两者联合的情况下重复了相同的实验。抗血清显著抑制了体积流量和碳酸氢盐分泌,对蛋白质分泌有轻微抑制作用,而正常兔血清则没有。CR 1409显著抑制了所有三个参数。抗血清和CR 1409联合治疗几乎完全消除了胰腺分泌。静脉注射阿托品显著抑制了蛋白质输出,但不影响油酸钠刺激后的体积流量或碳酸氢盐输出。因此,我们得出结论,在大鼠中,脂肪刺激的胰腺体积流量和碳酸氢盐分泌完全依赖于循环中的内源性促胰液素和CCK,但蛋白质输出似乎受激素和胆碱能控制。