Koop H, Spill W, Schwarting H, Arnold R
Department of Medicine, Philipps-University, Marburg, Federal Republic of Germany.
Z Gastroenterol. 1988 Oct;26(10):643-7.
The effect of long-term administration of an antacid preparation on the gastric mucosa was investigated in rats, special attention was directed towards hypergastrinaemia and density of argyrophil cells. One ml of an Al (OH)3- and Mg (OH)2-containing antacid (in vitro neutralization capacity 28 mmol/die) or water was administered intragastrically 4 times daily. An additional group of rats remained untreated. Twelve hours after the final dose serum gastrin levels were significantly (p less than 0.001) elevated (113 +/- 28 pg/ml) compared to the control groups (33 +/- 1 and 22 +/- 2 pg/ml). Antral gastrin (G)-cell density was also increased after antacids by 58% whereas the somatostatin (D)-cell density and the somatostatin concentration in antral tissues were decreased. The number of fundic D- and argyrophil cells were not altered by antacid treatment. The number of parietal cell declined significantly in response to antacids. The foveolar gland region was almost doubled after antacids. It is concluded that in the rat 1. despite persistent hypergastrinaemia due to chronic antacid administration increases in argyrophil cell densities are not to be found; 2. long-term administration of antacids exert a trophic effect on the corpus mucosa predominantly by an increase of mucus neck cells.
在大鼠中研究了长期给予抗酸制剂对胃黏膜的影响,特别关注高胃泌素血症和嗜银细胞密度。每天4次经胃内给予1 ml含氢氧化铝和氢氧化镁的抗酸剂(体外中和能力为28 mmol/die)或水。另一组大鼠不进行处理。末次给药12小时后,与对照组(33±1和22±2 pg/ml)相比,血清胃泌素水平显著升高(p<0.001)(113±28 pg/ml)。给予抗酸剂后胃窦胃泌素(G)细胞密度也增加了58%,而胃窦组织中生长抑素(D)细胞密度和生长抑素浓度降低。抗酸剂处理未改变胃底D细胞和嗜银细胞的数量。壁细胞数量因抗酸剂而显著减少。抗酸剂作用后小凹腺区几乎增加了一倍。得出结论:在大鼠中,1. 尽管长期给予抗酸剂导致持续的高胃泌素血症,但未发现嗜银细胞密度增加;2. 长期给予抗酸剂主要通过增加黏液颈细胞对胃体黏膜产生营养作用。