Ferlito S, Fichera C
Minerva Med. 1980 Jun 16;71(24):1713-21.
Blood gastrin, sugar, insulin and glucagon were studied after a protein meal with or without 400 mg cymethidine per os in 7 normal subjects and 14 with anacidotic adult diabetes in a reasonable state of glycometabolic compensation. The association led to a significant enhancement of gastrin after 120' and 180', plus a rise in the total integrated gastrin response. Sugar and insulin were unaffected, while glucagon was distinclty, though not signifacantly, reduced. In a discussion of the results it is suggested that the rise in gastrin after cymethidine is not solely due to a pH-dependent negative feedback, since this should have led to an earlier (30', 60') rise, but also to the slight suppression of glucagon, which is physiologically endowed with the ability to inhibit secretion.
对7名正常受试者和14名处于糖代谢代偿合理状态的成年酸中毒糖尿病患者,在摄入含或不含400毫克西咪替丁的蛋白质餐后,研究了血液中的胃泌素、血糖、胰岛素和胰高血糖素。这种联合用药导致120分钟和180分钟后胃泌素显著增加,同时胃泌素总积分反应升高。血糖和胰岛素未受影响,而胰高血糖素虽未显著降低,但明显减少。在对结果的讨论中表明,西咪替丁后胃泌素升高并非仅由于pH依赖性负反馈,因为这应导致更早(30分钟、60分钟)升高,还由于胰高血糖素的轻微抑制,而胰高血糖素在生理上具有抑制分泌的能力。