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低血糖期间控制胃酸分泌的化学感受器的位置。

The location of the chemoreceptor controlling gastric acid secretion during hypoglycaemia.

作者信息

Colin-Jones D G, Himsworth R L

出版信息

J Physiol. 1970 Feb;206(2):397-409. doi: 10.1113/jphysiol.1970.sp009020.

Abstract
  1. The injection of 2-deoxy-D-glucose directly into the lateral hypothalamic area of rats, but not elsewhere, caused a prompt and sustained secretion of acid by the stomach at a rate comparable to that due to insulin hypoglycaemia.2. Acid secretion provoked by such injections, like that resulting from hypoglycaemia, could be stopped by raising the plasma glucose concentration by the intravenous infusion of glucose.3. Unilateral intrahypothalamic injection of 2-deoxy-D-glucose activated both vagi for, although cutting one vagus reduced the secretion, division of both was necessary to abolish it.4. Gastric acid secretion evoked by a systemic stimulus (insulin-induced hypoglycaemia or intravenous 3-O-methylglucose) could be prevented by inactivating the lateral hypothalamic area on each side with phenol or lignocaine.5. It is concluded that there exists in the lateral hypothalamic area a chemoreceptor, responsive to a lack of metabolizable glucose, which can initiate and sustain the vagally mediated secretion of acid by the stomach.
摘要
  1. 将2-脱氧-D-葡萄糖直接注射到大鼠下丘脑外侧区而非其他部位,会使胃迅速且持续地分泌胃酸,其分泌速率与胰岛素性低血糖引起的相当。

  2. 此类注射引发的胃酸分泌,与低血糖引发的一样,可通过静脉输注葡萄糖提高血浆葡萄糖浓度而停止。

  3. 单侧下丘脑内注射2-脱氧-D-葡萄糖会激活双侧迷走神经,因为切断一侧迷走神经会减少分泌,但必须切断双侧才能消除分泌。

  4. 通过用苯酚或利多卡因使双侧下丘脑外侧区失活,可防止全身性刺激(胰岛素诱导的低血糖或静脉注射3-O-甲基葡萄糖)引起的胃酸分泌。

  5. 得出结论,下丘脑外侧区存在一种化学感受器,对可代谢葡萄糖的缺乏有反应,它可启动并维持由迷走神经介导的胃分泌胃酸。

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本文引用的文献

1
ALTERATIONS IN GASTRIC SECRETION FOLLOWING HYPOTHALAMIC LESIONS PRODUCING HYPERPHAGIA.
Am J Physiol. 1965 Aug;209:319-23. doi: 10.1152/ajplegacy.1965.209.2.319.
2
Specific determination of blood glucose with o-toluidine.用邻甲苯胺法特异性测定血糖。
Clin Chim Acta. 1962 Jan;7:140-3. doi: 10.1016/0009-8981(62)90133-x.
3
Changes in feeding behavior after intracerebral injections in the rat.
Am J Physiol. 1963 Mar;204:483-7. doi: 10.1152/ajplegacy.1963.204.3.483.
8
Electrical stimulation of hypothalamus and gastric secretion in the albino rat.
Am J Physiol. 1966 Aug;211(2):403-6. doi: 10.1152/ajplegacy.1966.211.2.403.

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