Miyasaka K, Kitani K
Dig Dis Sci. 1986 Sep;31(9):978-86. doi: 10.1007/BF01303219.
We previously reported that intraduodenally infused ursodeoxycholate produced hypersecretion of pancreas in bicarbonate and fluid secretion in the rabbit (Digestive Diseases and Sciences, 28:942, 1983). Since trypsin inhibitor stimulates pancreatic secretion in the rat whose pancreatic exocrine secretion is regulated by a luminal feedback mechanism, in the present study we examined the stimulatory effect of ursodeoxycholate in comparison to Trasylol in unanesthetized rats with both the presence and the absence of returning bile-pancreatic juice. Under the condition in which bile-pancreatic juice were continuously returned to the intestine, the intraduodenally infused ursodeoxycholate produced significant increases in juice flow and bicarbonate and protein outputs, while Trasylol significantly increased protein output only. After an 8- to 10-hr period of bile-pancreatic juice diversion, Trasylol no longer affected pancreatic secretion, whereas ursodeoxycholate still stimulated the bicarbonate output significantly. Trypsin activities in the proximal half of the small intestine were not decreased by the infusion of UDCA. The mechanism of stimulatory effect of ursodeoxycholate on pancreatic secretion is independent of luminal feedback regulation and appears to differ from that of trypsin inhibitor.
我们先前报道过,十二指肠内注入熊去氧胆酸可使家兔胰腺碳酸氢盐和液体分泌过多(《消化系统疾病与科学》,28:942,1983)。由于胰蛋白酶抑制剂可刺激大鼠的胰腺分泌,而大鼠的胰腺外分泌是由腔内反馈机制调节的,因此在本研究中,我们在有无胆汁胰液回流的情况下,比较了熊去氧胆酸与抑肽酶对未麻醉大鼠的刺激作用。在胆汁胰液持续回流至肠道的情况下,十二指肠内注入熊去氧胆酸可使胰液流量、碳酸氢盐和蛋白质分泌量显著增加,而抑肽酶仅显著增加蛋白质分泌量。在胆汁胰液转流8至10小时后,抑肽酶不再影响胰腺分泌,而熊去氧胆酸仍能显著刺激碳酸氢盐分泌。十二指肠近端小肠的胰蛋白酶活性并未因注入熊去氧胆酸而降低。熊去氧胆酸对胰腺分泌的刺激作用机制独立于腔内反馈调节,且似乎与胰蛋白酶抑制剂的作用机制不同。