Oguchi Y, Dressel T D, Borner J W, Miller J, Goodale R L
Department of Surgery, University of Minnesota Medical School, Minneapolis.
Pancreas. 1989;4(4):423-8. doi: 10.1097/00006676-198908000-00005.
There are two tissue-fixed cholinesterases in dog pancreas: acetylcholinesterase and butyrylcholinesterase. In the present experiments, an organophosphate that only inhibits butyrylcholinesterase (isopropylpyrophosphoramide, or iso-OMPA) was compared with echothiophate and a nonorganophosphate compound, physostigmine. The latter two agents inhibit both cholinesterases. Fresh canine pancreas from anesthetized dogs was minced into fragments and suspended in Eagle's solution gassed with 100% O2. Amylase release was measured by the Phadebas method. In 2-h dose-response studies, there was a fivefold increase in sensitivity to acetylcholine when fragments were preincubated 1 h with iso-OMPA. There was a 1,000-fold increase in sensitivity when fragments were preincubated for 1 h in echothiophate. Basal amylase release in incubates with echothiophate were also increased. In dose-response studies with CCK-8, iso-OMPA was without effect, but echothiophate treatment resulted in a greater total response to CCK-8. There was a corresponding increase in basal output with echothiophate alone. Physostigmine also potentiates the response to CCK-8. Cumulative responses up to 3 h with half-maximal acetylcholine or half-maximal CCK-8 doses showed enhanced total output in fragments preincubated with echothiophate (p less than 0.05). The enhancement effect was atropine-sensitive to hexamethonium ganglionic blockade. In calcium-free medium, the enhancement with echothiophate was greatly reduced but still present. Inhibitors of both cholinesterases in the pancreas cause a greater total amylase release to sub-maximal doses of acetylcholine and CCK-8 than agents that only inhibit butyrylcholinesterase. Though our data do not provide direct proof, the results could be explained by a greater accumulation of endogenous acetylcholine when both cholinesterases are inhibited.
乙酰胆碱酯酶和丁酰胆碱酯酶。在本实验中,将仅抑制丁酰胆碱酯酶的有机磷酸酯(异丙基焦磷酰胺,或异-OMPA)与依可碘酯和一种非有机磷酸酯化合物毒扁豆碱进行了比较。后两种药物抑制两种胆碱酯酶。将麻醉犬的新鲜胰腺切成小块,悬浮于用100%氧气通气的伊格尔溶液中。用Phadebas法测定淀粉酶释放量。在2小时的剂量反应研究中,当组织块与异-OMPA预孵育1小时后,对乙酰胆碱的敏感性增加了5倍。当组织块在依可碘酯中预孵育1小时后,敏感性增加了1000倍。用依可碘酯孵育时的基础淀粉酶释放量也增加了。在用CCK-8进行的剂量反应研究中,异-OMPA无作用,但依可碘酯处理导致对CCK-8的总反应更大。单独使用依可碘酯时基础输出量相应增加。毒扁豆碱也增强对CCK-8的反应。用半数最大乙酰胆碱或半数最大CCK-8剂量进行长达3小时的累积反应显示,用依可碘酯预孵育的组织块中总输出量增加(p小于0.05)。增强作用对阿托品敏感,对六甲铵神经节阻滞不敏感。在无钙培养基中,依可碘酯的增强作用大大降低但仍然存在。胰腺中两种胆碱酯酶的抑制剂比仅抑制丁酰胆碱酯酶的药物导致对亚最大剂量乙酰胆碱和CCK-8的总淀粉酶释放量更大。虽然我们的数据没有提供直接证据,但结果可以用两种胆碱酯酶都被抑制时内源性乙酰胆碱的更大积累来解释。