Niebel W, Singer M V, Hanssen L E, Goebell H
Scand J Gastroenterol. 1983 Sep;18(6):803-8. doi: 10.3109/00365528309182098.
In conscious dogs with gastric and pancreatic Thomas fistulas we studied the effect of atropine (50 micrograms kg-1 intravenously) on pancreatic bicarbonate output and plasma concentrations of immunoreactive secretin in response to intraduodenal bolus injections of HCl (0.75 mmol), L-tryptophan (1 mmol), and sodium oleate (1 mmol). The 10-min integrated bicarbonate response to HCl was 1.7 times greater than the response to oleate and 2.8 times greater than that to tryptophan. Atropine significantly (p less than 0.05) depressed the 10-min integrated bicarbonate response to HCl, oleate, and tryptophan by 67%, 79%, and 61%, respectively. HCl and oleate, but not tryptophan, significantly increased plasma secretin concentrations over basal levels. Atropine did not significantly alter basal plasma concentrations of secretin or the 10-min integrated plasma secretin response to HCl and oleate. We conclude that 1) intraduodenal tryptophan stimulates pancreatic bicarbonate secretion by an atropine-sensitive mechanism, release of secretin not being involved, and 2) in the presence of atropine the depressed pancreatic bicarbonate response to HCl and oleate is not due to decreased release of endogenous secretin.
在具有胃和胰腺托马斯瘘管的清醒犬中,我们研究了阿托品(静脉注射50微克/千克)对胰液碳酸氢盐分泌量以及对十二指肠内推注盐酸(0.75毫摩尔)、L-色氨酸(1毫摩尔)和油酸钠(1毫摩尔)反应时免疫反应性促胰液素血浆浓度的影响。对盐酸的10分钟综合碳酸氢盐反应比对油酸钠的反应大1.7倍,比对色氨酸的反应大2.8倍。阿托品显著(p小于0.05)抑制了对盐酸、油酸钠和色氨酸的10分钟综合碳酸氢盐反应,分别降低了67%、79%和61%。盐酸和油酸钠,但色氨酸未显著升高血浆促胰液素浓度超过基础水平。阿托品并未显著改变促胰液素的基础血浆浓度或对盐酸和油酸钠的10分钟综合血浆促胰液素反应。我们得出结论:1)十二指肠内色氨酸通过一种对阿托品敏感的机制刺激胰液碳酸氢盐分泌,不涉及促胰液素的释放;2)在阿托品存在的情况下,胰液对盐酸和油酸钠的碳酸氢盐反应降低并非由于内源性促胰液素释放减少。