Konturek S J, Tasler J, Konturek J W, Cieszkowski M, Szewczyk K, Hładij M, Anderson P S
Institute of Physiology, Academy of Medicine, Krakow, Poland.
Gut. 1989 Jan;30(1):110-7. doi: 10.1136/gut.30.1.110.
Postprandial pancreatic secretion results from the interaction of neural and hormonal factors but their contribution to the net postprandial secretion is unknown. Recent description of highly specific and potent cholecystokinin (CCK) receptor antagonists allows the determination of the physiological role of CCK in the postprandial pancreatic secretion. In six dogs with chronic pancreatic fistulae, the blockade of CCK receptors by non-peptidal agent (L-364,718) caused little change in basal pancreatic secretion, but decreased significantly (p less than 0.05) by about 60% the pancreatic protein response to meat feeding and virtually abolished the pancreatic responses to CCK-8 and bombesin. The pancreatic protein responses to pentagastrin, reaching about 37% of CCK maximum, was also significantly reduced but this effect was less pronounced than that observed in tests with CCK-8 or bombesin stimulation. In contrast, cholinergically stimulated pancreatic secretion, reaching about 40% of CCK maximum, was unaffected by L-364,718. Cholecystokinin antagonism also failed to affect the postprandial and bombesin induced increments in plasma CCK and gastrin concentrations, but significantly reduced the PP responses to CCK-8 bombesin and meat feeding possibly as a result of the removal of the CCK mediated release of PP. We conclude that CCK plays a crucial role in the mediation of the postprandial and bombesin induced pancreatic secretion and in the PP release.
餐后胰腺分泌是神经和激素因素相互作用的结果,但其对餐后净分泌的贡献尚不清楚。高特异性和强效胆囊收缩素(CCK)受体拮抗剂的最新描述使得确定CCK在餐后胰腺分泌中的生理作用成为可能。在六只患有慢性胰瘘的狗中,非肽类药物(L-364,718)对CCK受体的阻断对基础胰腺分泌几乎没有影响,但使胰腺对肉类进食的蛋白质反应显著降低(p<0.05)约60%,并几乎消除了胰腺对CCK-8和蛙皮素的反应。胰腺对五肽胃泌素的蛋白质反应达到CCK最大值的约37%,也显著降低,但这种作用不如在CCK-8或蛙皮素刺激试验中观察到的明显。相比之下,胆碱能刺激的胰腺分泌达到CCK最大值的约40%,不受L-364,718的影响。CCK拮抗作用也未能影响餐后和蛙皮素诱导的血浆CCK和胃泌素浓度的升高,但显著降低了对CCK-8、蛙皮素和肉类进食的胰腺蛋白反应,这可能是由于去除了CCK介导的胰腺蛋白释放所致。我们得出结论,CCK在介导餐后和蛙皮素诱导的胰腺分泌以及胰腺蛋白释放中起关键作用。