Konturek S J, Tasler J, Bilski J, Konturek J, Bielański W
Digestion. 1986;34(3):207-15. doi: 10.1159/000199331.
In conscious dogs with chronic pancreatic fistulas, duodenal perfusion with HCl (16 mmol/h) stimulated pancreatic HCO-3 secretion to a similar degree as exogenous secretin (2 U/kg X h), while meat feeding (500 g) and duodenal perfusion with oleate (16 mmol/h) increased this secretion to about 58 and 43% of the highest response to secretin. Plasma secretin increments with duodenal HCl, feeding and duodenal oleate amounted to about 45, 13 and 8% of that achieved with secretin, producing the highest HCO-3 response. Perfusion of the in situ intestine with HCl at gradually increasing rates produced HCO-3 responses similar to those induced by exogenous secretin in graded doses, but the increments in plasma secretin with duodenal HCl were only about half those obtained with exogenous secretin, producing an equal rate of HCO-3 secretion. HCl perfusion of isolated Thiry loops made of the duodenojejunal portion also stimulated the HCO-3 secretion in a dose-dependent way, but raised plasma secretin only to about half that attained with secretin, producing a similar secretory rate. HCl in the proximal duodenal and distal jejunal loop slightly stimulated the HCO-3 secretion without affecting plasma secretin, and that in the ileal loop was without any effect on the pancreatic or plasma secretin. This study provides evidence that (a) endogenous secretin is released by feeding and duodenal perfusion with HCl and oleate, but only HCl appears to release sufficient amounts of secretin to drive the HCO-3 secretion, and (b) the release of secretin is confined mainly to the distal duodenum and proximal jejunum.
在患有慢性胰瘘的清醒犬中,用盐酸(16 mmol/h)十二指肠灌注刺激胰腺HCO₃⁻分泌的程度与外源性促胰液素(2 U/kg×h)相似,而喂食肉类(500 g)和用油酸(16 mmol/h)十二指肠灌注使这种分泌增加到促胰液素最高反应的约58%和43%。十二指肠灌注盐酸、喂食和十二指肠灌注油酸时血浆促胰液素的增加量分别约为促胰液素所致增加量的45%、13%和8%,此时产生最高的HCO₃⁻反应。以逐渐增加的速率用盐酸灌注原位肠产生的HCO₃⁻反应与分级给予外源性促胰液素所诱导的反应相似,但十二指肠灌注盐酸时血浆促胰液素的增加量仅约为外源性促胰液素所致增加量的一半,却产生相同的HCO₃⁻分泌速率。用十二指肠空肠段制成的离体Thiry袢灌注盐酸也以剂量依赖的方式刺激HCO₃⁻分泌,但血浆促胰液素升高仅至促胰液素所致升高的约一半,产生相似的分泌速率。十二指肠近端和空肠远端袢中的盐酸轻微刺激HCO₃⁻分泌而不影响血浆促胰液素,而回肠袢中的盐酸对胰腺或血浆促胰液素无任何影响。本研究提供的证据表明:(a)喂食以及十二指肠灌注盐酸和油酸可释放内源性促胰液素,但只有盐酸似乎能释放足够量的促胰液素以驱动HCO₃⁻分泌;(b)促胰液素的释放主要局限于十二指肠远端和空肠近端。