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胰腺对禁食的反应:成人与新生儿对比。

Response of the pancreas to fasting: adult versus neonates.

作者信息

Lee P C

出版信息

J Pediatr Gastroenterol Nutr. 1984;3 Suppl 1:S127-36. doi: 10.1097/00005176-198400031-00020.

Abstract

The results presented show striking differences in the response of the exocrine pancreas to fasting in suckling versus adult rats. In adult rats, fasting led to an increase in lipase to amylase ratio with a particularly sharp decrease in amylase concentrations, a generalized decrease in total protein, amylase, trypsinogen and lipase contents, and a decrease in responsiveness of the pancreatic acini to optimal and supraoptimal concentrations of secretagogues in vitro. In 15 day old pups, however, fasting led to an increase in total amylase, trypsin and lipase and a maintenance of the total protein content in their pancreases. Further, no decrease in responsiveness of their pancreatic acini to secretagogue stimulation is observed at the concentrations studied. The difference in the behavior of the exocrine pancreas during fasting can be partly explained by the changing pattern of their responses to hormonal stimulation, particularly that of corticosterone and cholecystokinin during various stages of development. Fasting led to an increase in corticosterone and presumable decrease in cholecystokinin. The pancreas of the suckling rat is very sensitive to the induction effect of corticosterone while that of the adult rats is relatively insensitive. Conversely, the pancreas of the adult rats is sensitive to the trophic effect of cholecystokinin while that of the suckling rat has the opposite reaction. The combination of these and other factors then resulted in an entirely different profile of the responses of the exocrine pancreas to fasting. Recent studies in our laboratory, and that of others, showed that an analogous situation also existed in the small intestine. Fasting of adult rats led to a general decrease in small intestinal enzymes including sucrase and maltase (29) but in suckling rats led to (30,31) increases of sucrase and maltase. Corticosterone again has been shown to be involved (30,31). Further, the small intestinal sucrase of the suckling rats responded to corticosterone by an increase in its level but the same hormone did not seem to control the sucrase concentrations in the small intestine of adult rats (32,33). Thus, both the small intestine and the pancreas responds very differently to fasting presumably mediated through a varying pattern of responses to selective hormonal stimulation, eg in this case, corticosterone. These results strongly suggest the importance of the interaction between environmental influences (fasting in this case) and the stage of development in determining the outcome of ontogenesis.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

研究结果表明,与成年大鼠相比,哺乳大鼠的外分泌胰腺对禁食的反应存在显著差异。在成年大鼠中,禁食导致脂肪酶与淀粉酶的比例增加,淀粉酶浓度显著下降,总蛋白、淀粉酶、胰蛋白酶原和脂肪酶含量普遍降低,并且胰腺腺泡在体外对最佳和超最佳浓度促分泌素的反应性降低。然而,在15日龄的幼崽中,禁食导致胰腺中总淀粉酶、胰蛋白酶和脂肪酶增加,总蛋白含量维持不变。此外,在所研究的浓度下,未观察到其胰腺腺泡对促分泌素刺激的反应性降低。禁食期间外分泌胰腺行为的差异部分可以通过其对激素刺激反应模式的变化来解释,特别是在发育的各个阶段对皮质酮和胆囊收缩素的反应。禁食导致皮质酮增加,胆囊收缩素可能减少。哺乳大鼠的胰腺对皮质酮的诱导作用非常敏感,而成年大鼠的胰腺则相对不敏感。相反,成年大鼠的胰腺对胆囊收缩素的营养作用敏感,而哺乳大鼠的胰腺则有相反的反应。这些因素以及其他因素的综合作用导致外分泌胰腺对禁食的反应模式完全不同。我们实验室和其他实验室最近的研究表明,小肠中也存在类似情况。成年大鼠禁食导致小肠酶(包括蔗糖酶和麦芽糖酶)普遍减少(29),但哺乳大鼠禁食导致(30,31)蔗糖酶和麦芽糖酶增加。皮质酮再次被证明与之有关(30,31)。此外,哺乳大鼠小肠中的蔗糖酶对皮质酮的反应是其水平升高,但同一激素似乎并不控制成年大鼠小肠中蔗糖酶的浓度((32,33)。因此,小肠和胰腺对禁食的反应非常不同,可能是通过对选择性激素刺激的不同反应模式介导的,例如在这种情况下是皮质酮。这些结果强烈表明,环境影响(在这种情况下是禁食)与发育阶段之间的相互作用在决定个体发育结果方面具有重要意义。(摘要截选至400字)

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