Lundell L, Bishop A E, Bloom S R, Carlsson K, Mattsson H, Polak J M, Ryberg B
Department of Surgery, Sahlgren's Hospital, University of Gothenburg, Sweden.
Regul Pept. 1988 Oct;23(1):77-87. doi: 10.1016/0167-0115(88)90423-5.
Female rats were subjected to operations aimed at reducing the amount of oxyntic gland mucosa draining its acid secretion to the antrum. The rats were provided either with Heidenhain or Pavlov pouches reducing the oxyntic mucosa draining its secretion to the antrum by about 50% or subjected to various degrees (75, 90 and 100%) of fundectomy. Ten weeks following surgery, plasma levels of gastrin and somatostatin were assayed. At the same time, antral mucosal content of gastrin and somatostatin was determined as well as the mucosal density of these hormone-producing cells. There was a relationship between the amount of acid-secreting mucosa removed and the ensuring plasma concentration of gastrin. Thus, a stepwise increase in plasma gastrin was found with the highest levels obtained in rats subjected to 90 or 100% fundectomy. The somatostatin concentration in plasma was reduced only in rats subjected to fundectomy with the most sustained decrease in animals in which all oxyntic gland mucosa had been removed. There was also a relationship between the amount of acid-secreting mucosa removed and the gastrin content of the antral mucosa. An inverse relationship seemed to exist between antral gastrin and somatostatin concentrations. However, a significant decrease in somatostatin concentration of the antral mucosa was seen only in rats subjected to a fundectomy. The number of gastrin cells in the antral mucosa was increased in fundectomized rats only, with the largest density seen in rats deprived of all oxyntic mucosa. A corresponding decrease in the number of somatostatin cells was noticed. Our results would suggest an apparent functional relationship between antral gastrin and somatostatin cells, where the antral acid load (or pH) appears to be the major factor of physiological significance.
对雌性大鼠进行手术,旨在减少向胃窦排放胃酸的泌酸腺黏膜量。给大鼠植入海登海因(Heidenhain)袋或巴甫洛夫(Pavlov)袋,使向胃窦排放分泌物的泌酸黏膜减少约50%,或者对大鼠进行不同程度(75%、90%和100%)的胃底切除术。术后10周,检测胃泌素和生长抑素的血浆水平。同时,测定胃窦黏膜中胃泌素和生长抑素的含量以及这些激素产生细胞的黏膜密度。切除的泌酸黏膜量与随后胃泌素的血浆浓度之间存在关联。因此,发现血浆胃泌素呈逐步升高,在接受90%或100%胃底切除术的大鼠中水平最高。仅在接受胃底切除术的大鼠中血浆生长抑素浓度降低,在所有泌酸腺黏膜均被切除的动物中降低最为持续。切除的泌酸黏膜量与胃窦黏膜中的胃泌素含量之间也存在关联。胃窦胃泌素和生长抑素浓度之间似乎存在负相关。然而,仅在接受胃底切除术的大鼠中观察到胃窦黏膜生长抑素浓度显著降低。仅在接受胃底切除术的大鼠中胃窦黏膜中的胃泌素细胞数量增加,在所有泌酸黏膜均被剥夺的大鼠中密度最大。同时观察到生长抑素细胞数量相应减少。我们的结果表明胃窦胃泌素和生长抑素细胞之间存在明显的功能关系,其中胃窦酸负荷(或pH值)似乎是具有生理意义的主要因素。