Konturek S J, Bielański W, Kwiecień N, Konturek J, Czarnobilski K
Institute of Physiology, Medical Academy, Kraków, Poland.
Pancreas. 1987;2(5):536-44. doi: 10.1097/00006676-198709000-00008.
To determine the role of endogenous pancreatic polypeptide (PP) as a physiological inhibitor of pancreatic secretion, normal rabbit serum (control) or rabbit PP-antiserum was administered intravenously to dogs with chronic esophageal, gastric, and pancreatic fistulas. In all dogs tested, sham-feeding and ordinary feed with a meat meal resulted in a marked rise in the plasma level of immunoreactive PP that coincided with an increase in the exocrine pancreatic secretion of HCO3- and protein. After intravenous administration of PP antiserum, endogenous plasma PP was almost completely bound by infused antibodies to PP, whereas no such binding was detected after infusion of normal rabbit serum. In contrast, plasma gastrin remained unchanged both under basal and stimulated conditions. Immunoneutralization of PP, released endogenously, failed significantly to affect gastric acid and pancreatic protein responses to sham-feeding and the pancreatic HCO3- and protein responses to feeding a meat meal in chronic pancreatic fistula dogs. However, the PP antiserum abolished, in part, the inhibitory effect of exogenous PP on pancreatic secretion stimulated by exogenous hormones. We conclude that endogenous PP is not a physiological inhibitor of exocrine pancreatic secretion, as has been suggested previously.
为了确定内源性胰多肽(PP)作为胰腺分泌生理抑制剂的作用,将正常兔血清(对照)或兔PP抗血清静脉注射到患有慢性食管、胃和胰瘘的犬体内。在所有受试犬中,假饲和给予含肉餐的普通饲料会导致免疫反应性PP的血浆水平显著升高,这与胰腺外分泌中HCO₃⁻和蛋白质分泌的增加相一致。静脉注射PP抗血清后,内源性血浆PP几乎完全被注入的PP抗体结合,而注入正常兔血清后未检测到这种结合。相比之下,基础和刺激条件下血浆胃泌素均保持不变。对慢性胰瘘犬内源性释放的PP进行免疫中和,未能显著影响假饲时胃酸和胰腺蛋白质反应以及进食肉餐时胰腺HCO₃⁻和蛋白质反应。然而,PP抗血清部分消除了外源性PP对由外源性激素刺激的胰腺分泌的抑制作用。我们得出结论,内源性PP并非如先前所认为的那样是胰腺外分泌的生理抑制剂。