Knodell R G, Steele N M, Stanley L N
Gastroenterology Section, VA Medical Center, Minneapolis, Minnesota.
Dig Dis Sci. 1987 Nov;32(11):1290-6. doi: 10.1007/BF01296380.
While changes in gastric, pancreatic, and intestinal secretion in response to more recently identified gastrointestinal peptides have been characterized, there has been less investigation into effects of these hormones on hepatic bile production. The isolated perfused rat liver model has been used to examine effects of vasoactive intestinal peptide (VIP), somatostatin, bombesin, and thyrotropin-releasing hormone (TRH) on bile flow and bile acid transport. No changes were seen following bolus administration of bombesin (3 X 10(-8)-1.5 X 10(-6) M) or TRH (3 X 10(-7)-3 X 10(-6) M), while somatostatin (6 X 10(-6) M) produced a small decrease in bile flow without any change in bile acid output. VIP (3 X 10(-7) M) caused a highly significant increase in both volume of bile flow (0.85 +/- 0.8 to 1.11 +/- 0.09 microliter/min/g liver, P less than 0.001) and bile acid output (31.6 +/- 1.5 to 43.2 +/- 1.7 nmol/min/g liver, P less than 0.001). Elimination of Ca2+ from liver perfusate did not prevent VIP-induced increases in bile flow and bile acid output, and no synergistic effect of concomitant theophylline administration was observed. While effects of VIP on bile flow appear to be due to alterations in hepatic transport of bile acids, the exact mechanism(s) producing these changes remains to be elucidated.
尽管针对最近发现的胃肠肽所引起的胃、胰腺和肠道分泌变化已进行了特征描述,但对这些激素对肝脏胆汁生成的影响却研究较少。离体灌注大鼠肝脏模型已被用于研究血管活性肠肽(VIP)、生长抑素、蛙皮素和促甲状腺激素释放激素(TRH)对胆汁流量和胆汁酸转运的影响。推注蛙皮素(3×10⁻⁸ - 1.5×10⁻⁶ M)或TRH(3×10⁻⁷ - 3×10⁻⁶ M)后未见变化,而生长抑素(6×10⁻⁶ M)使胆汁流量略有下降,胆汁酸输出无变化。VIP(3×10⁻⁷ M)导致胆汁流量(从0.85±0.8增至1.11±0.09微升/分钟/克肝脏,P<0.001)和胆汁酸输出(从31.6±1.5增至43.2±1.7纳摩尔/分钟/克肝脏,P<0.001)均显著增加。从肝脏灌注液中去除Ca²⁺并不能阻止VIP诱导的胆汁流量和胆汁酸输出增加,且未观察到同时给予茶碱的协同作用。虽然VIP对胆汁流量的影响似乎是由于肝脏胆汁酸转运的改变,但产生这些变化的确切机制仍有待阐明。