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肠道神经系统在脱氧胆酸钠和蓖麻油酸钠诱导的肠道分泌中的作用。

Involvement of the enteric nervous system in the intestinal secretion induced by sodium deoxycholate and sodium ricinoleate.

作者信息

Karlström L, Cassuto J, Jodal M, Lundgren O

出版信息

Scand J Gastroenterol. 1986 Apr;21(3):331-40. doi: 10.3109/00365528609003083.

Abstract

Rat small intestine was continuously perfused for up to 3 h with two different concentrations of sodium deoxycholate (4 and 8 mM) or with sodium ricinoleate (6 mM). The 4-mM bile salt solution produced a secretion that developed to a maximal rate within 3 h, whereas the maximal rate was reached within 1 h with the 8-mM bile salt solution. Hexamethonium, a ganglionic blocker, and lidocaine, a local anesthetic, always reduced the net fluid secretion to approximately zero irrespective of the rate of bile-salt-induced secretion, the concentration of the bile salt, or the perfusion time. Fluid secretion induced by sodium ricinoleate was, like the bile-salt-induced secretion, markedly inhibited by hexamethonium and lidocaine but not by atropine. It is concluded that the rate of secretion induced by the bile salt is related to the monomer concentration of free bile salt molecules in close proximity to or within the intestinal epithelium. The intestinal fluid secretion is mainly due to stimulation of an active secretory process via an activation of enteric nerves. Sodium ricinoleate evokes secretion via similar nervous reflex mechanisms.

摘要

用两种不同浓度的脱氧胆酸钠(4 mM和8 mM)或蓖麻油酸钠(6 mM)对大鼠小肠进行长达3小时的连续灌注。4 mM的胆盐溶液产生的分泌在3小时内达到最大速率,而8 mM的胆盐溶液在1小时内达到最大速率。神经节阻滞剂六甲铵和局部麻醉剂利多卡因,无论胆盐诱导的分泌速率、胆盐浓度或灌注时间如何,总是将净液体分泌减少到接近零。蓖麻油酸钠诱导的液体分泌与胆盐诱导的分泌一样,被六甲铵和利多卡因显著抑制,但不受阿托品抑制。得出的结论是,胆盐诱导的分泌速率与紧邻肠上皮或肠上皮内游离胆盐分子的单体浓度有关。肠液分泌主要是由于通过激活肠神经刺激了一个活跃的分泌过程。蓖麻油酸钠通过类似的神经反射机制引起分泌。

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