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腔内生长抑素对清醒大鼠胰腺酶分泌的调节:作用机制

Regulation of pancreatic enzyme secretion in conscious rats by intraluminal somatostatin: mechanism of action.

作者信息

Sarfati P, Morisset J

机构信息

Centre de Recherche sur les Mécanismes de Sécrétion, Université de Sherbrooke, Québec, Canada.

出版信息

Endocrinology. 1989 May;124(5):2406-14. doi: 10.1210/endo-124-5-2406.

Abstract

These studies were undertaken to characterize 1) the immunoreactive somatostatin (SS) forms found in the gastrointestinal lumen and 2) to assess the possible role of luminal SS on pancreatic exocrine function. Results indicate that different forms of SS are secreted into the rat gastric and duodenal lumen in proportions corresponding to their gastric and duodenal contents. Inhibition of diversion-stimulated pancreatic exocrine secretion by intraduodenal infusion of SS (SS-ID) is dose dependent with a maximal effective dose of 24 micrograms/kg-1h-1 for volume and 48 micrograms/kg-1h-1 for protein output. Infusion of supramaximal doses result in a loss of the inhibitory effect of SS-ID on both volume and protein outputs. Comparison between inhibition of pancreatic secretion by iv SS (SS-IV) and SS-ID indicates that SS-ID is about 20 times less potent than SS-IV in its inhibition of stimulated pancreatic exocrine secretion. Intraileal (SS-IL) infusion of SS at 48 micrograms/kg-1h-1 did not inhibit stimulated pancreatic secretion but was rather stimulatory possibly through the inhibition of putative ileal inhibitors. Likewise, passive immunization against circulating SS did not affect the inhibitory effects of SS-ID on pancreatic secretion. These data indicate that SS is secreted into the rat gastrointestinal lumen and that its infusion into the duodenal lumen inhibits stimulated pancreatic secretion in a dose-dependent fashion. The observation that SS-IL did not inhibit pancreatic secretion and that passive immunization against circulating SS did not affect the inhibitory effect of SS-ID suggest that the action of SS-ID on stimulated exocrine pancreatic secretion is probably indirect and may involve a duodenal signal, possibly an inhibition of endogenous release of cholecystokinin and/or secretin.

摘要

进行这些研究的目的是

1)鉴定在胃肠道腔中发现的免疫反应性生长抑素(SS)形式;2)评估腔内SS对胰腺外分泌功能的可能作用。结果表明,不同形式的SS以与其胃和十二指肠内容物相对应的比例分泌到大鼠胃和十二指肠腔中。十二指肠内注入SS(SS-ID)对引流刺激的胰腺外分泌的抑制作用呈剂量依赖性,对体积的最大有效剂量为24微克/千克-1小时-1,对蛋白质分泌量的最大有效剂量为48微克/千克-1小时-1。注入超最大剂量会导致SS-ID对体积和蛋白质分泌量的抑制作用丧失。静脉注射SS(SS-IV)和SS-ID对胰腺分泌的抑制作用比较表明,在抑制刺激的胰腺外分泌方面,SS-ID的效力比SS-IV低约20倍。以48微克/千克-1小时-1的剂量回肠内注入SS(SS-IL)不会抑制刺激的胰腺分泌,反而可能通过抑制假定的回肠抑制剂而具有刺激作用。同样,针对循环SS的被动免疫不会影响SS-ID对胰腺分泌的抑制作用。这些数据表明,SS分泌到大鼠胃肠道腔中,并且将其注入十二指肠腔会以剂量依赖性方式抑制刺激的胰腺分泌。SS-IL不抑制胰腺分泌以及针对循环SS的被动免疫不影响SS-ID的抑制作用这一观察结果表明,SS-ID对刺激的胰腺外分泌的作用可能是间接的,可能涉及十二指肠信号,可能是抑制胆囊收缩素和/或促胰液素的内源性释放。

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