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异丙肾上腺素对大鼠胃酸分泌的抑制作用。内源性组胺的作用。

Inhibitory effect of isoprenaline on gastric acid secretion in the rat. The role of endogenous histamine.

作者信息

Heylings J R, Redfern J S, Feldman M

机构信息

Department of Internal Medicine, Veterans Administration Medical Center, Dallas, Texas.

出版信息

Aliment Pharmacol Ther. 1988 Oct;2(5):419-28. doi: 10.1111/j.1365-2036.1988.tb00715.x.

Abstract

In dogs beta-adrenoreceptor agonists inhibit gastric acid secretion stimulated by exogenous gastrin to a much greater extent than acid secretion stimulated by exogenous histamine. One possible explanation for this observation is that endogenous histamine is important in gastrin-mediated acid secretion and that isoprenaline and related beta-adrenoreceptor agonists block gastric mucosal histamine release. This possibility was tested in the present study in gastric lumen-perfused anaesthetized rats. Intravenous infusion of isoprenaline (12 microgram kg-1 h-1) inhibited maximal, pentagastrin-stimulated acid output by 50-70% (P less than 0.01), but had no significant inhibitory effect on the maximal acid secretory response to histamine. In contrast to its inhibitory effect on gastrin-stimulated acid output, isoproterenol had no effect on gastric histamine output during pentagastrin infusion. We conclude that isoprenaline selectively inhibits gastrin-stimulated acid secretion in the rat, as in the dog, and by a mechanism other than inhibiting gastric histamine release.

摘要

在犬类中,β-肾上腺素能受体激动剂抑制外源性胃泌素刺激的胃酸分泌的程度,比抑制外源性组胺刺激的胃酸分泌的程度要大得多。对这一观察结果的一种可能解释是,内源性组胺在胃泌素介导的胃酸分泌中起重要作用,而异丙肾上腺素及相关的β-肾上腺素能受体激动剂可阻断胃黏膜组胺释放。本研究在胃腔灌注麻醉大鼠中对这一可能性进行了测试。静脉输注异丙肾上腺素(12微克/千克·小时)可使五肽胃泌素刺激的最大胃酸分泌量降低50%至70%(P<0.01),但对组胺刺激的最大胃酸分泌反应无显著抑制作用。与它对胃泌素刺激的胃酸分泌的抑制作用相反,异丙肾上腺素在五肽胃泌素输注期间对胃组胺分泌量没有影响。我们得出结论,异丙肾上腺素像在犬类中一样,通过抑制胃组胺释放以外的机制,选择性地抑制大鼠胃泌素刺激的胃酸分泌。

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