Soll A H
J Clin Invest. 1978 Feb;61(2):381-9. doi: 10.1172/JCI108948.
Using oxygen uptake as an index of the physiological response of isolated parietal cells, the interactions between histamine and gastrin and between histamine and carbamylcholine and the effects of atropine and metiamide on these interactions have been studied. Parietal cells were isolated from canine fundic mucosa by sequential exposure of separated mucosa to collagenase and EDTA. In previous studies carbamylcholine, isobutyl methyl xanthine, gastrin, and histamine have each been shown to increase oxygen uptake by these cells. Isobutyl methyl xanthine greatly enhanced the histamine effect. Carbamylcholine was inhibited by atropine but not by metiamide, histamine was inhibited by metiamide but not by atropine, and gastrin was inhibited by neither, suggesting that each of these agents has a direct action on the parietal cell. In the present studies, potentiating interactions between histamine and carbamylcholine and between histamine and gastrin have been demonstrated. Against a histamine (0.1 and 1 muM) plus isobutyl methyl xanthine (0.1 mM) background, the dose for 50% response for gastrin was approximately 1 nM, and the maximal response was obtained at 0.1 muM. When added to these combinations of stimulants, metiamide and atropine retained their respective specificities against stimulation by histamine and carbamylcholine, in that responses were inhibited to the level that was seen when the component of the pair that was not inhibited was given alone. The observation that histamine plus gastrin and histamine plus carbamylcholine produced maximal responses that were greater than the maximal response to histamine alone further supports the hypothesis that these agents each have direct actions on parietal cells. These observations are not consistent with the hypothesis that histamine is the sole mediator for the effects of other secretagogues. Furthermore, the inhibitory effects of atropine and metiamide on the specific cholinergic and histaminic components of the interactions that occur between secretagogues provide a possible explanation for the apparent lack of specificity of these agents on in vivo acid secretion.
以氧摄取作为分离壁细胞生理反应的指标,研究了组胺与胃泌素之间、组胺与氨甲酰胆碱之间的相互作用,以及阿托品和甲硫米特对这些相互作用的影响。通过将分离的黏膜依次暴露于胶原酶和乙二胺四乙酸(EDTA),从犬胃底黏膜中分离出壁细胞。在先前的研究中,已证明氨甲酰胆碱、异丁基甲基黄嘌呤、胃泌素和组胺均可增加这些细胞的氧摄取。异丁基甲基黄嘌呤极大地增强了组胺的作用。氨甲酰胆碱被阿托品抑制,但不被甲硫米特抑制;组胺被甲硫米特抑制,但不被阿托品抑制;胃泌素则均不被二者抑制,这表明这些药物各自对壁细胞有直接作用。在本研究中,已证实组胺与氨甲酰胆碱之间以及组胺与胃泌素之间存在增强性相互作用。在组胺(0.1和1μM)加异丁基甲基黄嘌呤(0.1 mM)的背景下,胃泌素产生50%反应的剂量约为1 nM,在0.1μM时获得最大反应。当将甲硫米特和阿托品添加到这些刺激物组合中时,它们对组胺和氨甲酰胆碱刺激仍保持各自的特异性,即反应被抑制到单独给予未被抑制的那一对成分时所观察到的水平。组胺加胃泌素以及组胺加氨甲酰胆碱产生的最大反应大于单独组胺的最大反应,这一观察结果进一步支持了这些药物各自对壁细胞有直接作用的假说。这些观察结果与组胺是其他促分泌剂作用的唯一介质这一假说不一致。此外,阿托品和甲硫米特对促分泌剂之间相互作用中特定胆碱能和组胺能成分的抑制作用,为这些药物在体内胃酸分泌上明显缺乏特异性提供了一种可能的解释。