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进餐肠期胰腺和胃中生长抑素样免疫反应物质的释放。

Pancreatic and gastric release of somatostatinlike immunoreactivity during intestinal phase of a meal.

作者信息

Schusdziarra V, Rouiller D, Pietri A, Harris V, Zyznar E, Conlon J M, Unger R H

出版信息

Am J Physiol. 1979 Dec;237(6):E555-60. doi: 10.1152/ajpendo.1979.237.6.E555.

Abstract

The present study was designed to examine pancreatic and gastric D-cell function during the intestinal phase of a liver meal. The intraduodenal instillation of a 20% liver meal (5 ml/min) elicited a significant rise in the plasma levels of somatostatinlike immunoreactivity (SLI) in the pancreatic vein and inferior vena cava, together with the rise in glucagon and insulin levels. The rise in pancreatic vein SLI was not reduced after truncal vagotomy or during atropine infusion. In the stomach, the intestinal liver meal elicited a significant rise in antral but not fundic vein SLI levels. The rise in antral vein SLI was augmented after truncal vagotomy and abolished during atropine infusion, as was the rise in inferior vena caval SLI. In contrast to the protein meal, intravenous infusion of an amino acid mixture elicited a rise in pancreatic vein SLI but not antral or fundic vein SLI. It is concluded that during the intestinal phase of a protein meal, pancreatic and antral but not fundic SLI release is stimulated. The effects of truncal vagotomy and atropine infusion on these responses suggest a close interaction between the vagus and muscarinic cholinergic mechanisms and the D cells of the stomach and pancreas.

摘要

本研究旨在检测进食肝脏后肠期胰腺和胃D细胞的功能。十二指肠内滴注20%肝脏匀浆(5毫升/分钟)可使胰静脉和下腔静脉中生长抑素样免疫反应性物质(SLI)的血浆水平显著升高,同时胰高血糖素和胰岛素水平也升高。切断迷走神经干后或输注阿托品期间,胰静脉SLI的升高并未减弱。在胃中,肠内注入肝脏匀浆可使胃窦静脉而非胃底静脉的SLI水平显著升高。切断迷走神经干后,胃窦静脉SLI的升高增强,而输注阿托品期间则消失,下腔静脉SLI的升高情况也是如此。与蛋白质餐不同,静脉输注氨基酸混合物可使胰静脉SLI升高,但不会使胃窦或胃底静脉SLI升高。研究得出结论,在蛋白质餐的肠期,胰腺和胃窦而非胃底的SLI释放受到刺激。切断迷走神经干和输注阿托品对这些反应的影响表明,迷走神经和毒蕈碱胆碱能机制与胃和胰腺的D细胞之间存在密切相互作用。

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