Koizumi F, Ohkawa A, Kawamura T, Ishimori A, Sasaki I, Kameyama J
Diabetologia. 1986 Apr;29(4):238-43. doi: 10.1007/BF00454883.
The effects of exogenous and endogenous secretin with or without intravenous glucose infusion upon islet hormone secretion were studied in four conscious mongrel dogs fitted with a duodenal fistula. Intravenous infusion of secretin for 1 h at doses of 0.5 and 4 U/kg raised plasma secretin concentrations to physiological and pharmacological levels respectively, without affecting plasma insulin and pancreatic polypeptide concentrations. In contrast, bolus injections of secretin at high concentrations produced significant increases of plasma insulin at 0.5 U/kg and 4 U/kg and of pancreatic polypeptide at 4 U/kg. Plasma glucagon did not change during intravenous infusion of low dose secretin (0.5 U X kg-1 X h-1), but decreased during infusion of 4 U X kg-1 X h-1 or bolus injection of secretin (0.5 U/kg). Intravenous infusion of glucose together with secretin (0.5 U/kg and 4 U/kg) did not affect plasma insulin, glucagon, or pancreatic polypeptide levels significantly compared with the changes caused by glucose infusion alone. Intraduodenal instillation of HCl, which produced plasma secretin concentrations similar to those evoked by intravenous infusion of secretin (4 U X kg-1 X h-1), led to a rise in plasma pancreatic polypeptide. It is concluded that the stimulatory effects of secretin on insulin and pancreatic polypeptide and the inhibitory effect on glucagon are pharmacological, and that increase of plasma pancreatic polypeptide after intraduodenal infusion of HCl is not mediated by endogenous secretin.
在四只装有十二指肠瘘的清醒杂种犬中,研究了外源性和内源性促胰液素在有无静脉输注葡萄糖情况下对胰岛激素分泌的影响。以0.5和4 U/kg的剂量静脉输注促胰液素1小时,可分别将血浆促胰液素浓度提高到生理水平和药理水平,而不影响血浆胰岛素和胰多肽浓度。相比之下,高浓度推注促胰液素可使血浆胰岛素在0.5 U/kg和4 U/kg时显著增加,胰多肽在4 U/kg时显著增加。低剂量促胰液素(0.5 U·kg⁻¹·h⁻¹)静脉输注期间血浆胰高血糖素未发生变化,但在4 U·kg⁻¹·h⁻¹输注或促胰液素推注(0.5 U/kg)期间降低。与单独葡萄糖输注引起的变化相比,葡萄糖与促胰液素(0.5 U/kg和4 U/kg)一起静脉输注对血浆胰岛素、胰高血糖素或胰多肽水平无显著影响。十二指肠内滴注盐酸,其产生的血浆促胰液素浓度与静脉输注促胰液素(4 U·kg⁻¹·h⁻¹)引起的浓度相似,导致血浆胰多肽升高。结论是,促胰液素对胰岛素和胰多肽的刺激作用以及对胰高血糖素的抑制作用是药理作用,十二指肠内输注盐酸后血浆胰多肽的增加不是由内源性促胰液素介导的。