Taborsky G J, Ensinck J W
J Clin Invest. 1984 Jan;73(1):216-23. doi: 10.1172/JCI111194.
These studies were performed to assess the contribution of the pancreas to the somatostatin-like immunoreactivity (SLI) circulating in arterial and portal venous plasma. Basal SLI concentrations in arterial, pancreatic venous, and portal venous plasma were 95 +/- 9, 277 +/- 32, and 130 +/- 12 pg/ml, (means +/- SEM), respectively. Measurement of pancreatic and portal venous blood flow (5 +/- 1 vs. 365 +/- 46 ml/min) and hematocrit allowed calculation of net, base-line SLI output from the right lobe of the pancreas (521 +/- 104 pg/min) and from the gastrointestinal tract (8,088 +/- 1,487 pg/min), which suggested that the contribution of the pancreas to circulating SLI was minor when the D cells were not stimulated. To stimulate the secretion of SLI from both pancreatic and nonpancreatic sources, isoproterenol, a beta-adrenergic agonist, was infused intravenously for 1 h into six anesthetized dogs. Arterial SLI increased by 52 +/- 9 pg/ml; superior pancreatico-duodenal venous SLI increased by 380 +/- 95 pg/ml; portal venous SLI increased by 134 +/- 14 pg/ml. Pancreatic venous blood flow remained unchanged at 5 +/- 1 ml/min, but portal venous blood flow increased to 522 +/- 62 ml/min. SLI output from the right lobe of the pancreas increased by 684 +/- 227 pg/min and that from the gastrointestinal tract increased by 23,911 +/- 3,197 pg/min, again suggesting that the pancreas was a minor source of circulating SLI even when the D cells were stimulated. We conclude that the measurement of arterial-venous SLI concentrations, in the absence of measurements of organ blood flow, can give a false impression of the organ's contributions of circulating SLI. To verify that the contribution of the pancreas was negligible, six dogs received an acute pancreatectomy and then an intravenous infusion of isoproterenol at the same rate. In these dogs, both the base-line level of SLI in arterial plasma (109 +/- 12 pg/ml) and the increment during isoproterenol (56 +/- 8 pg/ml) were similar to those of normal dogs. Likewise, in pancreatectomized dogs both the base-line level of SLI in portal venous plasma (129 +/- 16 pg/ml) and the increment during isoproterenol (174 +/- 34 pg/ml) were similar to those of normal dogs. We conclude that, in normal dogs, the pancreas makes a negligible contribution to the basal and stimulated level of SLI in arterial and portal venous plasma and therefore that these levels should not be used as an index of secretory activity of the pancreatic D cells.
进行这些研究是为了评估胰腺对动脉血和门静脉血浆中循环的类生长抑素免疫反应性(SLI)的贡献。动脉血、胰静脉血和门静脉血浆中的基础SLI浓度分别为95±9、277±32和130±12 pg/ml(均值±标准误)。通过测量胰静脉和门静脉血流量(5±1对365±46 ml/min)以及血细胞比容,可计算出胰腺右叶的净基础SLI输出量(521±104 pg/min)和胃肠道的净基础SLI输出量(8088±1487 pg/min),这表明在D细胞未受刺激时,胰腺对循环SLI的贡献较小。为了刺激胰腺和非胰腺来源分泌SLI,将β - 肾上腺素能激动剂异丙肾上腺素静脉注射给6只麻醉犬,持续1小时。动脉血中的SLI增加了52±9 pg/ml;胰十二指肠上静脉中的SLI增加了380±95 pg/ml;门静脉中的SLI增加了134±14 pg/ml。胰静脉血流量保持不变,为5±1 ml/min,但门静脉血流量增加到522±62 ml/min。胰腺右叶的SLI输出量增加了684±227 pg/min,胃肠道的SLI输出量增加了23911±3197 pg/min,这再次表明即使D细胞受到刺激,胰腺仍是循环SLI的次要来源。我们得出结论,在未测量器官血流量的情况下,测量动脉血与静脉血中的SLI浓度可能会对器官对循环SLI的贡献产生错误印象。为了验证胰腺的贡献可忽略不计,6只犬接受了急性胰腺切除术,然后以相同速率静脉注射异丙肾上腺素。在这些犬中,动脉血浆中SLI的基础水平(109±12 pg/ml)和异丙肾上腺素注射期间的增量(56±8 pg/ml)与正常犬相似。同样,在胰腺切除的犬中,门静脉血浆中SLI的基础水平(129±16 pg/ml)和异丙肾上腺素注射期间的增量(174±34 pg/ml)也与正常犬相似。我们得出结论,在正常犬中,胰腺对动脉血和门静脉血浆中基础和刺激状态下的SLI水平贡献可忽略不计,因此这些水平不应作为胰腺D细胞分泌活性的指标。