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胃抑制多肽与十二指肠内或静脉内脂肪对迷走神经支配和去神经支配犬胃胃酸分泌的比较。

Comparison of gastric inhibitory polypeptide and intraduodenal or intravenous fat on gastric acid secretion from vagally innervated and denervated canine stomach.

作者信息

Konturek S J, Konturek J, Cieszkowski M, Ebert R, Creutzfeldt W

出版信息

Dig Dis Sci. 1986 Jan;31(1):49-56. doi: 10.1007/BF01347909.

Abstract

Gastric inhibitory polypeptide (GIP), given to dogs in graded doses (range 0.25-2 micrograms/kg/hr) against a constant background stimulation with pentagastrin (4 micrograms/kg/hr), failed to affect the acid secretion at all doses used except the largest one (2 micrograms/kg/hr) which significantly reduced the acid secretion only from the vagally denervated portion of the stomach (Heidenhain pouch, HP) while raising plasma GIP two to three times above the levels reached with duodenal fat. GIP infused in a constant dose (1 microgram/kg/hr) significantly reduced the HP responses to lower (0.5-2 micrograms/kg/hr) but not to higher (4-16 micrograms/kg/hr) doses of pentagastrin, the kinetics of this inhibition being of competitive type. GIP was ineffective against a constant near maximal stimulation with pentagastrin (4 micrograms/kg/hr), histamine (40 micrograms/kg/hr), or liver extract meal, whereas fat (10 g), given intraduodenally or intravenously, was a powerful inhibitor of acid responses to these stimulants both from the innervated and denervated stomach. Plasma GIP reached similar levels with exogenous GIP and duodenal fat but remained unchanged with intravenous infusion of fat.

摘要

给予犬逐渐增加剂量(范围为0.25 - 2微克/千克/小时)的胃抑制多肽(GIP),同时用五肽胃泌素(4微克/千克/小时)进行持续背景刺激,结果发现,除最大剂量(2微克/千克/小时)外,所用的所有剂量均未影响胃酸分泌。最大剂量仅使胃的迷走神经切断部分(海登海因小胃,HP)的胃酸分泌显著减少,同时使血浆GIP水平比十二指肠脂肪刺激时达到的水平升高两到三倍。以恒定剂量(1微克/千克/小时)输注GIP可显著降低HP对较低剂量(0.5 - 2微克/千克/小时)但不影响对较高剂量(4 - 16微克/千克/小时)五肽胃泌素的反应,这种抑制作用的动力学属于竞争性类型。GIP对五肽胃泌素(4微克/千克/小时)、组胺(40微克/千克/小时)或肝提取物粉的持续近最大刺激无效,而十二指肠内或静脉内给予脂肪(10克)则是对来自神经支配和去神经支配胃的这些刺激物的胃酸反应的强力抑制剂。外源性GIP和十二指肠脂肪刺激后血浆GIP达到相似水平,但静脉输注脂肪时血浆GIP保持不变。

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