Konturek S J, Konturek J W, Domschke S, Domschke W, Varga L, Halter F
Hepatogastroenterology. 1986 Aug;33(4):170-5.
Duodenal acidification is known to inhibit gastric H+ secretion while stimulating pancreatic HCO-3 secretion, but the mechanisms of these effects have not been fully explained. This study was designed to determine the role of endogenous and exogenous secretin in gastric inhibition and pancreatic stimulation by an acidified liver extract (LE) meal in conscious dogs prepared with chronic gastric and pancreatic fistulas pretreated with normal serum (control) or anti-secretin serum. In control tests, plasma gastrin and gastric H+ secretion showed a marked rise with LE meals at pH ranging from 7.0 to 4.0, but significantly declined at pH 3.0 and 2.0. Plasma secretin and pancreatic secretion started to rise with LE meals at pHs below 4.5, and both reached peaks at pH 2.0. Exogenous secretin infused at graded doses suppressed plasma gastrin and gastric H+ responses to LE meals at doses of 1.0 and 2.0 U/kg-h, but increased, dose-dependently, plasma secretin and pancreatic HCO-3 starting with a dose of 0.03 U/kg-h. Following the administration of anti-secretin serum, the effects of exogenous secretin on plasma gastrin and secretin levels as well as on gastric and pancreatic secretion were almost completely abolished. The increase in plasma secretin and pancreatic HCO-3 responses to LE meals at pH below 4.5 were also abolished by anti-secretin serum, but the suppression of plasma gastrin level and the inhibition of gastric H+ responses to LE meals at lower pH (3.0 and 2.0) remained virtually unchanged.(ABSTRACT TRUNCATED AT 250 WORDS)
已知十二指肠酸化可抑制胃H⁺分泌,同时刺激胰腺HCO₃⁻分泌,但这些效应的机制尚未完全阐明。本研究旨在确定内源性和外源性促胰液素在酸化肝提取物(LE)餐对胃的抑制作用和对胰腺的刺激作用中的作用,实验对象为经正常血清(对照)或抗促胰液素血清预处理的、制备有慢性胃瘘和胰腺瘘的清醒犬。在对照试验中,当LE餐的pH值在7.0至4.0范围内时,血浆胃泌素和胃H⁺分泌显著升高,但在pH值为3.0和2.0时显著下降。血浆促胰液素和胰腺分泌在pH值低于4.5时开始随LE餐升高,并在pH值为2.0时均达到峰值。以分级剂量输注的外源性促胰液素在剂量为1.0和2.0 U/kg-h时抑制血浆胃泌素和胃对LE餐的H⁺反应,但从剂量为0.03 U/kg-h开始,剂量依赖性地增加血浆促胰液素和胰腺HCO₃⁻。给予抗促胰液素血清后,外源性促胰液素对血浆胃泌素和促胰液素水平以及对胃和胰腺分泌的作用几乎完全消除。抗促胰液素血清也消除了pH值低于4.5时血浆促胰液素和胰腺HCO₃⁻对LE餐反应的增加,但在较低pH值(3.0和2.0)时血浆胃泌素水平的抑制和胃对LE餐的H⁺反应的抑制几乎保持不变。(摘要截短于250字)