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犬交感神经刺激与胰腺去甲肾上腺素输注的比较:2). 对生长抑素和胰多肽基础释放的影响。

Sympathetic nerve stimulation versus pancreatic norepinephrine infusion in the dog: 2). Effects on basal release of somatostatin and pancreatic polypeptide.

作者信息

Ahrén B, Veith R C, Paquette T L, Taborsky G J

出版信息

Endocrinology. 1987 Jul;121(1):332-9. doi: 10.1210/endo-121-1-332.

Abstract

We compared the effects of sympathetic nerve stimulation to that of pancreatic norepinephrine (NE) infusion on pancreatic somatostatin-like immunoreactivity (SLI) and pancreatic polypeptide (PP) secretion in the halothane-anesthetized dog. During electrical stimulation (8 Hz, 1 msc, 10 mA, n = 6) of the sympathetic nerves surrounding the pancreatic artery, the pancreatic SLI output decreased from 827 +/- 340 fmol/min to 231 +/- 47 fmol/min (delta = -596 +/- 217 fmol/min, P less than 0.05) after 5 min, and PP output decreased from 11,972 +/- 374 pg/min to 5,518 +/- 774 pg/min (delta = -6,454 +/- 1,932 pg/min, P less than 0.02) after 3 min of stimulation. Arterial SLI or PP levels did not change. Sympathetic nerve stimulation also decreased pancreatic blood flow and increased pancreatic venous NE levels. To determine whether the NE, released locally during sympathetic nerve stimulation, is responsible for this inhibition of pancreatic SLI and PP outputs, exogenous NE was infused into the pancreatic artery at three different dose levels. The low dose of 12 ng/min (n = 6) increased pancreatic venous NE levels like sympathetic nerve stimulation. The medium dose of 120 ng/min (n = 6) reproduced the nerve stimulation-induced decrease of pancreatic blood flow. The high dose of 1,200 ng/min (n = 6) markedly exceeded both. It was found that neither the low nor the medium infusion rates of NE significantly affected pancreatic SLI or PP output. In contrast, infusion of NE at the very high dose level of 1,200 ng/min decreased pancreatic SLI output from 850 +/- 165 fmol/min to 318 +/- 59 fmol/min after 5 min of infusion (delta = -532 +/- 143 fmol/min, P less than 0.01) and decreased PP secretion from 22,777 +/- 7,082 pg/min to 12,764 +/- 6,100 pg/min after 3 min of infusion (delta = -10,013 +/- 2,399 pg/min, P less than 0.01). During this high dose rate NE infusion, both the increment of pancreatic venous SPV levels of NE and the decrement of pancreatic blood flow markedly exceeded the effects produced by sympathetic nerve stimulation. We conclude from this study in dogs: that selective electrical stimulation of the sympathetic nerves entering the pancreas decreases blood flow and inhibits pancreatic SLI and PP secretion, that NE infused into the pancreatic artery at moderate rates reproduces the decrease in blood flow yet does not reproduce the inhibition of pancreatic SLI and PP secretion, and that extremely high concentrations of NE, which markedly restrict pancreatic blood flow, decrease both pancreatic SLI and PP outputs.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

我们比较了交感神经刺激与胰腺内注入去甲肾上腺素(NE)对氟烷麻醉犬胰腺生长抑素样免疫反应性(SLI)及胰多肽(PP)分泌的影响。在对环绕胰腺动脉的交感神经进行电刺激(8赫兹,1毫秒,10毫安,n = 6)时,胰腺SLI输出量在5分钟后从827±340飞摩尔/分钟降至231±47飞摩尔/分钟(差值=-596±217飞摩尔/分钟,P<0.05),PP输出量在刺激3分钟后从11,972±374皮克/分钟降至5,518±774皮克/分钟(差值=-6,454±1,932皮克/分钟,P<0.02)。动脉SLI或PP水平未发生变化。交感神经刺激还使胰腺血流量减少,并使胰腺静脉NE水平升高。为确定交感神经刺激时局部释放的NE是否是胰腺SLI和PP输出受抑制的原因,将外源性NE以三种不同剂量水平注入胰腺动脉。低剂量12纳克/分钟(n = 6)使胰腺静脉NE水平升高,类似于交感神经刺激。中剂量120纳克/分钟(n = 6)重现了神经刺激引起的胰腺血流量减少。高剂量1,200纳克/分钟(n = 6)则显著超过了前两者。结果发现,低剂量和中剂量的NE输注均未显著影响胰腺SLI或PP输出。相反,以1,200纳克/分钟的高剂量水平输注NE时,输注5分钟后胰腺SLI输出量从850±165飞摩尔/分钟降至318±59飞摩尔/分钟(差值=-532±143飞摩尔/分钟,P<0.01),输注3分钟后PP分泌量从22,777±7,082皮克/分钟降至12,764±6,100皮克/分钟(差值=-10,013±2,399皮克/分钟,P<0.01)。在这种高剂量率NE输注过程中,胰腺静脉NE水平的升高及胰腺血流量的减少均显著超过交感神经刺激所产生的效应。我们从对犬的这项研究中得出结论:选择性电刺激进入胰腺的交感神经会减少血流量并抑制胰腺SLI和PP分泌;以中等速率注入胰腺动脉的NE可重现血流量的减少,但不会重现对胰腺SLI和PP分泌的抑制;极高浓度的NE会显著限制胰腺血流量,同时降低胰腺SLI和PP输出量。(摘要截选至400字)

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