Shirazi S S, Schulze-Delrieu K
Arch Int Pharmacodyn Ther. 1984 Oct;271(2):282-92.
Most drugs stimulate tonic and phasic muscular activity of the gastroduodenal junction to similar degrees except for histamine which enhances purely phasic contractions. The present study examined whether this selective histamine effect is due to a preferential action of histamine on the proximal muscle loop of the pylorus (PPL) which, unlike the distal loop (DPL), generates mostly phasic contractions. Strips were cut so as to represent the mechanical activity of muscle from the antrum, the PPL and the DPL of the cat stomach. All strips responded to acetylcholine with a combination of tonic and phasic activity. Histamine increased the frequency and the amplitude of phasic contractions in most strips from the antrum and the PPL; it increased the tonic contraction of a few DPL strips. In all types of strips, maximal histamine effects were only a fraction of the effects occurring with acetylcholine. Exposure to histamine produced no mechanical response in one fifth of the antral strips and in more than one third of the strips from both the PPL and the DPL. Histamine tachyphylaxis was marked, and sometimes irreversible. Histamine also led to phasic interruptions of flow across the isolated gastroduodenal junction without altering baseline flow. The present study demonstrates that histamine acts preferentially on those parts of the gastroduodenal junction that generate phasic rather than tonic muscular activity.
除组胺外,大多数药物对胃十二指肠连接处的紧张性和时相性肌肉活动的刺激程度相似,组胺仅增强时相性收缩。本研究探讨了这种组胺的选择性作用是否归因于组胺对幽门近端肌袢(PPL)的优先作用,与远端肌袢(DPL)不同,PPL主要产生时相性收缩。切取猫胃窦、PPL和DPL的肌条,以代表这些部位肌肉的机械活动。所有肌条对乙酰胆碱的反应均表现为紧张性和时相性活动。组胺增加了大多数胃窦和PPL肌条的时相性收缩频率和幅度;它增加了少数DPL肌条的紧张性收缩。在所有类型的肌条中,组胺的最大作用仅为乙酰胆碱作用的一小部分。五分之一的胃窦肌条以及超过三分之一的PPL和DPL肌条对组胺无机械反应。组胺快速耐受性明显,有时是不可逆的。组胺还导致孤立的胃十二指肠连接处的流量出现时相性中断,但不改变基线流量。本研究表明,组胺优先作用于胃十二指肠连接处产生时相性而非紧张性肌肉活动的部位。