Haentjens P, Delvaux G, Chayvialle J A, Willems G
Gastroenterology. 1986 Apr;90(4):939-45. doi: 10.1016/0016-5085(86)90871-1.
Rats were submitted, at random, to either a diverting colostomy alone or to antrectomy with a colostomy. After a 48-h fasting period, animals from each group were refed, whereas control animals were kept fasting. Animals were killed at 0, 6, 12, 18, and 24 h after the time of refeeding. In vitro labeling of colon mucosa with [3H]thymidine and autoradiography were performed to determine the proliferative parameters in the colonic crypts, and scintillation counts on mucosal scrapings were used for the estimation of mucosal deoxyribonucleic acid synthetic activity. Refeeding increased the labeling index (p less than 0.01), mitotic index (p less than 0.01), and mucosal deoxyribonucleic acid synthesis activity (p less than 0.01) in the proximal colon as well as in the defunctioned distal segment. Despite suppression of the postprandial rise in serum gastrin (p less than 0.01), antrectomy did not abolish the proliferative reaction in any colonic segment. These data confirm the existence of a potent stimulant of colonic cell proliferation that is released systematically after feeding. They indicate that gastrin is not the responsible stimulant and that another, yet unknown, physiological factor is involved.
大鼠被随机分为两组,一组仅行转流性结肠造口术,另一组行胃窦切除术并附加结肠造口术。在禁食48小时后,每组动物重新喂食,而对照动物则继续禁食。重新喂食后0、6、12、18和24小时处死动物。用[3H]胸腺嘧啶核苷对结肠黏膜进行体外标记并进行放射自显影,以确定结肠隐窝中的增殖参数,并用黏膜刮片的闪烁计数法估计黏膜脱氧核糖核酸合成活性。重新喂食增加了近端结肠以及失功能的远端节段的标记指数(p<0.01)、有丝分裂指数(p<0.01)和黏膜脱氧核糖核酸合成活性(p<0.01)。尽管餐后血清胃泌素升高受到抑制(p<0.01),但胃窦切除术并未消除任何结肠节段的增殖反应。这些数据证实了进食后系统性释放的一种强力结肠细胞增殖刺激物的存在。它们表明胃泌素不是负责的刺激物,而是涉及另一种未知的生理因素。