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决定肝脏有机阴离子最大分泌速率的因素以及关于促胰液素肝脏作用位点的进一步证据。

Factors determining the maximal rate of organic anion secretion by the liver and further evidence on the hepatic site of action of the hormone secretin.

作者信息

O'Máille E R, Richards T G, Short A H

出版信息

J Physiol. 1966 Oct;186(2):424-38. doi: 10.1113/jphysiol.1966.sp008044.

DOI:10.1113/jphysiol.1966.sp008044
PMID:5972117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1395860/
Abstract
  1. Bromsulphthalein (BSP) was administered throughout the experiments at a constant rate well in excess of its excretory rate, to anaesthetized dogs in which the common bile duct had been cannulated. The maximal excretory rate of BSP into bile (BSP T(m)) obtained in this manner was greatly elevated by choleresis arising from the administration of bile salt (usually taurocholate) at constant rate.2. When bile flow rate was increased in stages by raising the taurocholate administration rate, successive increments in BSP excretion rate were obtained up to a limiting value of about 3 times the original T(m). Beyond this point further increases in taurocholate administration rate caused either no further enhancement of BSP T(m) or a decline in the extent of enhancement produced at a previous lower rate of infusion.3. When taurocholate maximal secretion was established first, the subsequent administration of BSP at progressively increasing rates led to reduction in the taurocholate secretion rate.4. Portal infusion of secretin at constant rate (usually 0.2 units/kg body wt. min) which caused substantial increases in bile flow rate, had no effect on BSP T(m). Increases of bile flow rate of the same order following constant taurocholate infusion produced marked elevation of the BSP T(m).5. These findings are discussed and the following conclusions reached:(a) The limiting factor in BSP maximal transfer is the concentration of BSP in bile; increased bile flow rate at the site of BSP excretion (canaliculi) produced by bile salt administration permits an increase in the original T(m) to occur without the limiting biliary concentration being exceeded.(b) There is excretory competition between BSP and bile salt but over a certain range of bile salt administration the facilitatory effects of increased bile flow rate outweigh the inhibitory effects due to competition.(c) Since secretin administration had no effect on BSP T(m), it is likely that the hydrocholeresis it produces originates downstream from the canaliculi, i.e. in the bile ductules or ducts; this supports previous evidence obtained in a different manner.
摘要
  1. 在整个实验过程中,以远超过其排泄速率的恒定速率向已插管胆总管的麻醉犬体内注射磺溴酞钠(BSP)。通过以恒定速率给予胆盐(通常为牛磺胆酸盐)引起胆汁分泌增加,以此方式获得的BSP进入胆汁的最大排泄速率(BSP T(m))大幅升高。

  2. 通过提高牛磺胆酸盐给药速率分阶段增加胆汁流速时,BSP排泄速率会连续增加,直至达到约为原始T(m) 3倍的极限值。超过这一点后,进一步提高牛磺胆酸盐给药速率不会使BSP T(m)进一步增强,或导致在先前较低输注速率下产生的增强程度下降。

  3. 当首先确定牛磺胆酸盐的最大分泌量时,随后以逐渐增加的速率给予BSP会导致牛磺胆酸盐分泌速率降低。

  4. 以恒定速率(通常为0.2单位/千克体重·分钟)门静脉输注促胰液素,这会使胆汁流速大幅增加,但对BSP T(m)没有影响。在持续输注牛磺胆酸盐后出现相同量级的胆汁流速增加会使BSP T(m)显著升高。

  5. 对这些发现进行了讨论并得出以下结论:

(a)BSP最大转运的限制因素是胆汁中BSP的浓度;通过给予胆盐在BSP排泄部位(胆小管)产生的胆汁流速增加,使得原始T(m)能够增加,而不会超过胆汁中的限制浓度。

(b)BSP与胆盐之间存在排泄竞争,但在一定范围内给予胆盐时,胆汁流速增加的促进作用超过了竞争导致的抑制作用。

(c)由于给予促胰液素对BSP T(m)没有影响,其产生的胆汁分泌增加可能起源于胆小管下游,即胆小管或胆管;这支持了以不同方式获得的先前证据。

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本文引用的文献

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On the preparation of secretin and pancreozymin.关于促胰液素和缩胆囊素的制备。
J Physiol. 1949 Dec;110(3-4):367-76. doi: 10.1113/jphysiol.1949.sp004445.
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The relationship between taurocholate secretion rate and bile production in the unanesthetized dog during cholinergic blockade and during secretin administration.未麻醉犬在胆碱能阻断期间及给予促胰液素期间牛磺胆酸盐分泌率与胆汁生成之间的关系。
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Biliary excretion of injected conjugated and unconjugated bilirubin by normal and Gunn rats.正常大鼠和冈恩大鼠对注射的结合胆红素和未结合胆红素的胆汁排泄。
Am J Physiol. 1961 May;200:1091-4. doi: 10.1152/ajplegacy.1961.200.5.1091.
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The activity of bile salts and certain detergents on the hepatic storage and protein-binding of sulphobromophthalein.胆汁盐和某些去污剂对磺溴酞钠肝脏储存及蛋白质结合的作用
Q J Exp Physiol Cogn Med Sci. 1960 Jul;45:275-83. doi: 10.1113/expphysiol.1960.sp001472.
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Biliary transport and hepatic storage of sulfobromophthalein sodium in the unanesthetized dog, in normal man, and in patients with hepatic disease.未麻醉犬、正常人及肝病患者中磺溴酞钠的胆汁转运和肝脏储存
J Clin Invest. 1960 Jul;39(7):1131-44. doi: 10.1172/JCI104128.
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