Musch M W, Kachur J F, Miller R J, Field M, Stoff J S
J Clin Invest. 1983 May;71(5):1073-83. doi: 10.1172/jci110857.
Bradykinin (BK) increases short-circuit current (Isc) when added to the serosal side of rabbit or guinea pig ileum or rabbit colon. Significant effects on Isc are seen at concentrations as low as 10(-10) M. Anion substitution experiments and unidirectional 36Cl flux measurements indicate that this effect of BK on Isc is due to Cl secretion. The effect of BK on Isc can be partially blocked (60-70% inhibition) by cyclooxygenase inhibitors (indomethacin and/or naproxen) and completely blocked by the phospholipase inhibitor, mepacrine. The combined cyclooxygenase/lipoxygenase inhibitors BW 755 and eicosa-5,8,11,14-tetraynoic acid (ETYA) also completely block the effect of BK on Isc but the slow-reacting substance of anaphylaxis (SRS-A) antagonist FPL 55712 has no effect. None of the above inhibitors diminish the effect on Isc of other exogenously added secretory stimuli such as vasoactive intestinal peptide (VIP), theophylline, or prostaglandin E2 (PGE2). Prior desensitization of rabbit ileum to PGE2 blocks the effect on Isc of BK but not those of VIP or theophylline. Conversely, prior desensitization of rabbit ileum to BK greatly reduces the effect of PGE2 on Isc. BK also stimulates the synthesis of PGE2 in rabbit ileal and colonic mucosa and this effect can be blocked by prior addition of either indomethacin or mepacrine. These effects of BK are similar to those of exogenously added arachidonic acid (AA). AA also stimulates Cl secretion and increases PGE2 synthesis and its effect on Isc can be inhibited by prior desensitization to PGE2 or by prior addition of indomethacin. The above results indicate that BK stimulates active Cl secretion in both small and large intestine and suggest that this effect is due to the intracellular release of AA. Although the prostaglandins appear to be the major products of AA metabolism contributing to the secretory response, lipoxygenase products may also play a role.
缓激肽(BK)添加到兔或豚鼠回肠或兔结肠的浆膜侧时会增加短路电流(Isc)。在低至10⁻¹⁰ M的浓度下就能观察到对Isc的显著影响。阴离子替代实验和单向³⁶Cl通量测量表明,BK对Isc的这种影响是由于氯离子分泌。BK对Isc的影响可被环氧化酶抑制剂(吲哚美辛和/或萘普生)部分阻断(抑制60 - 70%),并被磷脂酶抑制剂美帕林完全阻断。环氧化酶/脂氧化酶联合抑制剂BW 755和二十碳 - 5,8,11,14 - 四炔酸(ETYA)也能完全阻断BK对Isc的影响,但过敏反应慢反应物质(SRS - A)拮抗剂FPL 55712则没有作用。上述抑制剂均不减弱其他外源性添加的分泌刺激物如血管活性肠肽(VIP)、茶碱或前列腺素E2(PGE2)对Isc的影响。预先使兔回肠对PGE2脱敏可阻断BK对Isc的影响,但不影响VIP或茶碱对Isc的影响。相反,预先使兔回肠对BK脱敏会大大降低PGE2对Isc的影响。BK还刺激兔回肠和结肠黏膜中PGE2的合成,且这一作用可被预先添加吲哚美辛或美帕林阻断。BK的这些作用与外源性添加花生四烯酸(AA)的作用相似。AA也刺激氯离子分泌并增加PGE2合成,其对Isc的影响可通过预先对PGE2脱敏或预先添加吲哚美辛来抑制。上述结果表明,BK刺激小肠和大肠中的氯离子主动分泌,并提示这种作用是由于细胞内花生四烯酸的释放。虽然前列腺素似乎是花生四烯酸代谢中导致分泌反应的主要产物,但脂氧化酶产物可能也起作用。