Schapiro H, Ludewig R M
Am J Gastroenterol. 1978 Sep;70(3):274-81.
Glucagon can depress normal animal and human pancreatic exocrine secretions and modify experimentally-induced pancreatitis in animals. It has yet to be demonstrated that glucagon has any efficacy in the treatment of the diseased pancreas in man. Glucagon might act on the exocrine pancreas by 1. reducing pancreatic blood flow, 2. decreasing gastric secretion, 3. lowering serum calcium levels by the release of calcitonin, 4. acting to inhibit the secretin mechanism, 5. causing a hyperglycemia and 6. degranulating pancreatic acinar cells. While a reduction in pancreatic blood flow, an inhibition of the secretin mechanism and a hyperglycemia seemed to have been ruled out as possible mechanisms of action, there is too little available data to effectively speculate on the mechanism(s) of action of glucagon on the exocrine pancreas.
胰高血糖素可抑制正常动物和人类的胰腺外分泌,并改善动物实验性诱导的胰腺炎。尚未证实胰高血糖素对人类患病胰腺有任何治疗效果。胰高血糖素可能通过以下方式作用于外分泌胰腺:1. 减少胰腺血流;2. 减少胃液分泌;3. 通过释放降钙素降低血清钙水平;4. 抑制促胰液素机制;5. 导致高血糖;6. 使胰腺腺泡细胞脱颗粒。虽然减少胰腺血流、抑制促胰液素机制和高血糖似乎已被排除为可能的作用机制,但现有数据太少,无法有效推测胰高血糖素对外分泌胰腺的作用机制。