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胃液分泌的化学刺激机制。

Chemical stimulatory mechanism in gastric secretion.

作者信息

Cieszkowski M, Konturek S J, Obtulowicz W, Tasler J

出版信息

J Physiol. 1975 Mar;246(1):143-57. doi: 10.1113/jphysiol.1975.sp010883.

DOI:10.1113/jphysiol.1975.sp010883
PMID:237120
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1309407/
Abstract
  1. The serum gastrin level, gastric mucosal blood flow and acid secretion from the canine Heidenhain pouch have been measured in response to the introduction of bovine serum albumin, pepsin-digested albumin, an amino acid mixture, liver extract and mannitol used as control. 2. Distention of the Heidenhain pouch with mannitol or albumnin at pH 5-0 produced a similar pressure-related increase of acid secretion reaching a peak of only 10 percent of the maximal response to histamine. Pepsin-digested albumin was capable of producing larger acid outputs than undigested albumin. The highest acid output, attaining about 80 percent of the maximal response to histamine, was obtained with liver extract both before and after exhaustive dialysis to remove all the amino acids and short peptide fragments. An amino acid mixture containing all essential amino acids was also found to stimulate acid secretion but a lesser degree than liver extract. 3. This concluded that it is not the intact protein but the products of its digestion, the polypeptides and free amino acids, which are potent chemical stimulants of acid secretion from the oxyntic gland area. Since the serum gastrin level was not changed during acid secretion induced by peptic digests bathing the oxyntic gland area, the mechanism of chemical stimulation appears to be gastrin-independent. 4. The response to chemical stimulation by peptic digests can be greatly potentiated by combining this with distention of the oxyntic gland area. Topical application of xylocaine or atropine causes a marked decrease of Heidenhain pouch response to peptic digests, suggesting a possible neural reflex component in the mechanism of chemical stimulation of the oxyntic gland area. 5. When the pH of the liver extract in the Heidenhain pouch was gradually decreased in sequential order from 5-0 to 1-0, this resulted in a pH-related decrease in acid secretion and in the mucosal blood flow falling to the basal level at pH 1-0. Exogenous secretion given in graded doses from 0-5 to 8-0 u./kg. hr caused a small but dose-related inhibition of acid response to liver extract accompanied by a decrease of mucosal blood flow but without any significant change in the serum gastrin level. 6. The results indicate that the chemical stimulation of the oxyntic gland area by peptic digests is capable of inducing acid secretion by a local, gastrin-independent, partially neural reflex mechanism; sensitive to pH, pressure and secretin.
摘要
  1. 已测定犬海登海因小胃对牛血清白蛋白、胃蛋白酶消化的白蛋白、氨基酸混合物、肝提取物以及用作对照的甘露醇的引入所产生的血清胃泌素水平、胃黏膜血流量和酸分泌。2. 用pH值为5.0的甘露醇或白蛋白扩张海登海因小胃,会产生类似的与压力相关的酸分泌增加,峰值仅达到对组胺最大反应的10%。胃蛋白酶消化的白蛋白比未消化的白蛋白能产生更大的酸分泌量。在用肝提取物进行彻底透析以去除所有氨基酸和短肽片段之前和之后,都能获得最高的酸分泌量,约达到对组胺最大反应的80%。还发现含有所有必需氨基酸的氨基酸混合物也能刺激酸分泌,但程度低于肝提取物。3. 由此得出结论,不是完整的蛋白质,而是其消化产物,即多肽和游离氨基酸,是胃底腺区酸分泌的有效化学刺激物。由于在胃底腺区浸泡胃蛋白酶消化物诱导酸分泌期间血清胃泌素水平没有变化,化学刺激的机制似乎与胃泌素无关。4. 将胃蛋白酶消化物与胃底腺区的扩张相结合,可大大增强对化学刺激的反应。局部应用利多卡因或阿托品会使海登海因小胃对胃蛋白酶消化物的反应明显降低,这表明胃底腺区化学刺激机制中可能存在神经反射成分。5. 当海登海因小胃中肝提取物的pH值按顺序从5.0逐渐降至1.0时,这导致酸分泌随pH值下降,且黏膜血流量在pH值为1.0时降至基础水平。以0.5至8.0单位/千克·小时的分级剂量给予外源性促胰液素,会对肝提取物的酸反应产生小但与剂量相关的抑制,同时伴有黏膜血流量减少,但血清胃泌素水平没有任何显著变化。6. 结果表明,胃蛋白酶消化物对胃底腺区的化学刺激能够通过局部、与胃泌素无关的部分神经反射机制诱导酸分泌;对pH值、压力和促胰液素敏感。

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Chemical stimulatory mechanism in gastric secretion.胃液分泌的化学刺激机制。
J Physiol. 1975 Mar;246(1):143-57. doi: 10.1113/jphysiol.1975.sp010883.
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3
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本文引用的文献

1
POTENTIATION BETWEEN URECHOLINE AND GASTRIN EXTRACT AND BETWEEN URECHOLINE AND HISTAMINE IN THE STIMULATIONS OF HEIDENHAIN POUCHES.在海登海因小胃刺激实验中,乌拉胆碱与胃泌素提取物之间以及乌拉胆碱与组胺之间的协同作用。
Gut. 1964 Feb;5(1):71-6. doi: 10.1136/gut.5.1.71.
2
Blood flow and secretion in the stomach.胃内的血流与分泌
Gastroenterology. 1967 Feb;52(2):414-20.
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Gastric secretion in relation to mucosal blood flow studied by a clearance technic.用清除技术研究胃分泌与粘膜血流的关系。
J Clin Invest. 1966 Jan;45(1):1-13. doi: 10.1172/JCI105313.
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Potentiation of gastric acid response in the dog.犬胃酸反应的增强作用。
Gastroenterology. 1969 Apr;56(4):687-92.
5
A new cannula for the study of pancreatic function.一种用于胰腺功能研究的新型套管。
J Appl Physiol. 1968 Aug;25(2):207-9. doi: 10.1152/jappl.1968.25.2.207.
6
Radioimmunoassay of gastrin.胃泌素的放射免疫测定
Gastroenterology. 1970 Jan;58(1):1-14.
7
Effect of secretin on circulating gastrin.促胰液素对循环胃泌素的影响。
Ann Surg. 1972 Sep;176(3):384-93. doi: 10.1097/00000658-197209000-00014.
8
Proof of a pyloro-oxyntic reflex for stimulation of acid secretion.刺激胃酸分泌的胃幽门-泌酸反射的证据。
Gastroenterology. 1974 Apr;66(4):526-32.
9
Inhibition by secretin of the gastric acid responses to meals and to pentagastrin in duodenal ulcer patients.十二指肠溃疡患者中,促胰液素对进餐及五肽胃泌素引起的胃酸反应的抑制作用。
Gut. 1973 Nov;14(11):842-6. doi: 10.1136/gut.14.11.842.
10
Gastric acid secretion rate and buffer content of the stomach after eating. Results in normal subjects and in patients with duodenal ulcer.进食后胃酸分泌率及胃缓冲物质含量。正常受试者及十二指肠溃疡患者的结果。
J Clin Invest. 1973 Mar;52(3):645-57. doi: 10.1172/JCI107226.