Konturek S J, Konturek J W, Lamers C B, Tasler J, Bilski J
Institute of Physiology, Academy of Medicine, Krakow, Poland.
Int J Pancreatol. 1987 Aug;2(4):223-35. doi: 10.1007/BF02788400.
The role of gut hormones, such as secretin and CCK, in the stimulation of pancreatic secretion by duodenal HCl or oleate and by meat feeding has been studied in conscious dogs before and after pretreatment with atropine and somatostatin. Plasma hormones were measured by specific and sensitive radioimmunoassays. Duodenal perfusion with HCl and oleate stimulated dose-dependently pancreatic HCO3 and protein secretion and raised plasma levels of secretin and CCK, respectively. Atropine reduced significantly both HCO3 and protein secretion but did not affect plasma secretin and CCK levels in these studies. Both exocrine pancreatic secretion and plasma secretin and CCK levels were suppressed by somatostatin. Meat feeding caused a marked pancreatic HCO3 and protein secretion accompanied by a significant increase in plasma secretin and CCK which seem to play an important role in the postprandial pancreatic stimulation. Both atropine and somatostatin reduced the pancreatic secretion induced by exogenous hormones but only somatostatin, but not atropine, significantly decreased plasma secretin and CCK responses to intestinal stimulants. We conclude that both atropine and somatostatin reduce the pancreatic responses to duodenal HCl or oleate or to meat feeding but only somatostatin is capable of suppressing the release of secretin and CCK.
在给清醒犬使用阿托品和生长抑素预处理前后,研究了肠促胰液素和缩胆囊素等肠激素在十二指肠盐酸或油酸以及进食肉类刺激胰腺分泌中的作用。通过特异性和灵敏的放射免疫分析法测定血浆激素。十二指肠灌注盐酸和油酸分别剂量依赖性地刺激胰腺碳酸氢盐和蛋白质分泌,并分别提高血浆中肠促胰液素和缩胆囊素的水平。在这些研究中,阿托品显著降低了碳酸氢盐和蛋白质分泌,但不影响血浆中肠促胰液素和缩胆囊素的水平。生长抑素抑制了胰腺外分泌以及血浆中肠促胰液素和缩胆囊素的水平。进食肉类引起显著的胰腺碳酸氢盐和蛋白质分泌,同时血浆中肠促胰液素和缩胆囊素显著增加,这似乎在餐后胰腺刺激中起重要作用。阿托品和生长抑素均降低了外源性激素诱导的胰腺分泌,但只有生长抑素而非阿托品显著降低了血浆中肠促胰液素和缩胆囊素对肠道刺激物的反应。我们得出结论,阿托品和生长抑素均降低了胰腺对十二指肠盐酸或油酸或进食肉类的反应,但只有生长抑素能够抑制肠促胰液素和缩胆囊素的释放。