Guzman S, Chayvialle J A, Banks W A, Rayford P L, Thompson J C
Surgery. 1979 Aug;86(2):329-36.
We investigated in dogs the effect of graded frequencies of electrical vagal stimulation (1.5, 3, 6, and 12 cps) on pancreatic exocrine secretion and on portal blood levels of gastrin, secretin, cholecystokinin (CCK), vasoactive intestinal peptide (VIP), and somatostatin (STS). Stimuli of all four frequencies, each with a duration of 5 minutes, were applied with a secretin background of 0.25 CU/kg-hr, and one stimulatory period of 12 cps was applied without a secretin background. With secretin, a significant, frequency-dependent increase of volume and of pancreatic protein secretion occurred from 3 to 12 cps. Gastrin values increased significantly at all frequencies. VIP and STS increased significantly with 3, 6, and 12 cps. Maximal responses for gastrin, VIP, and STS were observed with 6 cps. Peak values for gastrin and VIP were found during stimulation, whereas STS peaked after the end of the stimulatory period. The integrated responses of gastrin and STS showed significant correlation (P less than 0.01). The results suggest that vagally induced pancreatic response is only partially mediated by gastrin and perhaps VIP, and that endogenous gastrin may be one of the releasing factors for somatostatin. Plasma levels of CCK and secretin did not change after electrical stimulation, which provides direct evidence that their release is unlikely to be under vagal control, and that CCK does not mediate the protein secretion obtained after electrical stimulation of the vagus.
我们在犬类动物中研究了不同频率(1.5、3、6和12次/秒)的迷走神经电刺激对胰腺外分泌以及胃泌素、促胰液素、胆囊收缩素(CCK)、血管活性肠肽(VIP)和生长抑素(STS)门静脉血水平的影响。所有四种频率的刺激,每次持续5分钟,均在促胰液素背景为0.25 CU/kg·小时的情况下施加,并且在没有促胰液素背景的情况下施加了一次12次/秒的刺激期。在有促胰液素的情况下,从3到12次/秒,胰腺分泌量和蛋白质分泌量出现了显著的、频率依赖性的增加。胃泌素值在所有频率下均显著增加。VIP和STS在3、6和12次/秒时显著增加。胃泌素、VIP和STS的最大反应在6次/秒时观察到。胃泌素和VIP的峰值出现在刺激期间,而STS在刺激期结束后达到峰值。胃泌素和STS的综合反应显示出显著相关性(P小于0.01)。结果表明,迷走神经诱导的胰腺反应仅部分由胃泌素和可能的VIP介导,并且内源性胃泌素可能是生长抑素的释放因子之一。电刺激后CCK和促胰液素的血浆水平未发生变化,这提供了直接证据,表明它们的释放不太可能受迷走神经控制,并且CCK不介导迷走神经电刺激后获得的蛋白质分泌。