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脂肪和高渗葡萄糖对犬胃液分泌的抑制作用:胃抑肽的作用

Inhibition of gastric secretion by fat and hypertonic glucose in the dog: role of gastric inhibitory peptide.

作者信息

Creutzfeldt W, Ebert R, Finke U, Konturek S J, Kwiecień N, Radecki T

出版信息

J Physiol. 1983 Jan;334:91-101. doi: 10.1113/jphysiol.1983.sp014482.

DOI:10.1113/jphysiol.1983.sp014482
PMID:6864570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1197302/
Abstract
  1. The gastric and intestinal phases of gastric secretion were selectively evoked by 'meals' of 5% liver extract or saline in five dogs provided with a special cannula that allowed complete separation of the stomach from the duodenum. 2. The gastric phase in response to liver extract administered into the stomach amounted to an increase in acid output equivalent to about 70% of the maximum output in response to histamine. There was also a significant rise in the concentration of gastrin but not of gastric inhibitory peptide (GIP) in the serum. 3. The addition of fat (2 or 4% corn oil) or glucose (20%) to this liver extract meal inhibited secretion of gastric acid by 50 and 30%, respectively, without affecting the concentration of gastrin or GIP in the serum. 4. The 5% liver extract in the duodenum stimulated an increase in gastric acid output amounting to about 40% of the maximum response to histamine. Serum gastrin and GIP levels were not affected. Additional fat (0.5-4.0%) or glucose (10-20%) reduced acid secretion under these conditions by between 50 and 80% without affecting serum gastrin concentrations. Significant increases in the concentration of GIP in the serum occurred in response to intraduodenal glucose (5%), and to fat at the highest dose used (4%). 5. Intraduodenal infusions of glucose (5-20%) significantly increased serum GIP levels. Gastric secretion in response to 5% liver extract in the stomach was significantly inhibited at the highest dose (10 or 20%) although gastrin release was unaffected. 6. These results show that intraduodenal fat and glucose both exhibit potent inhibitory effects on post-prandial gastric acid secretion but that there is no correlation between the changes in serum GIP concentration and the inhibition of gastric secretion under these conditions. 7. We conclude that GIP is unlikely to mediate fat-induced inhibition of gastric secretion, but it is still possible that it might be involved in the inhibition that occurs during intestinal perfusion with hypertonic glucose solutions.
摘要
  1. 在五只装有特殊插管的狗身上,通过给予5%肝提取物或生理盐水“餐食”,选择性地诱发胃分泌的胃肠期,该插管可使胃与十二指肠完全分离。2. 向胃内注入肝提取物后,胃期导致胃酸分泌增加,相当于组胺刺激下最大分泌量的约70%。血清中胃泌素浓度也显著升高,但胃抑制肽(GIP)浓度未升高。3. 在这种肝提取物餐食中添加脂肪(2%或4%玉米油)或葡萄糖(20%),分别使胃酸分泌抑制50%和30%,而不影响血清中胃泌素或GIP的浓度。4. 十二指肠内的5%肝提取物刺激胃酸分泌增加,相当于组胺最大反应的约40%。血清胃泌素和GIP水平未受影响。在此条件下,额外添加脂肪(0.5 - 4.0%)或葡萄糖(10 - 20%)可使胃酸分泌减少50%至80%,而不影响血清胃泌素浓度。十二指肠内注入葡萄糖(5%)和最高剂量的脂肪(4%)后,血清中GIP浓度显著升高。5. 十二指肠内注入葡萄糖(5 - 20%)显著提高血清GIP水平。胃内注入5%肝提取物后,最高剂量(10%或20%)时胃酸分泌显著受抑制,尽管胃泌素释放未受影响。6. 这些结果表明,十二指肠内脂肪和葡萄糖对餐后胃酸分泌均有强大的抑制作用,但在这些条件下,血清GIP浓度变化与胃酸分泌抑制之间无相关性。7. 我们得出结论,GIP不太可能介导脂肪诱导的胃酸分泌抑制,但它仍有可能参与高渗葡萄糖溶液肠灌注期间发生的抑制作用。

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本文引用的文献

1
Gastric inhibitory polypeptide (GIP) is not the primary mediator of the enterogastrone action of fat in the dog.胃抑制多肽(GIP)并非狗体内脂肪肠抑胃素作用的主要介质。
Gastroenterology. 1980 May;78(5 Pt 1):931-6.
2
Effect of perfusion of intestinal loops with acid, fat, or dextrose on gastric secretion.用酸、脂肪或葡萄糖灌注肠袢对胃液分泌的影响。
Gastroenterology. 1965 Nov;49(5):481-9.
3
Intestinal hormones as inhibitors of gastric secretion.肠道激素作为胃分泌的抑制剂。
Gastroenterology. 1971 Jan;60(1):120-44.
4
Radioimmunoassay for gastric inhibitory polypeptide.胃抑制性多肽的放射免疫测定法。
Gastroenterology. 1974 Mar;66(3):357-64.
5
Inhibition of histamine-, pentagastrin-, and insulin-stimulated canine gastric secretion by pure "gastric inhibitory polypeptide".纯“胃抑制多肽”对组胺、五肽胃泌素和胰岛素刺激的犬胃分泌的抑制作用。
Gastroenterology. 1972 Mar;62(3):393-400.
6
Influence of feeding and sham feeding upon serum gastrin and gastric acid secretion in control subjects and duodenal ulcer patients.进食和假进食对健康受试者及十二指肠溃疡患者血清胃泌素和胃酸分泌的影响。
Scand J Gastroenterol. 1974 Nov;9(8):703-10.
7
Effect of growth hormone release-inhibiting hormone on gastric secretion, mucosal blood flow, and serum gastrin.生长抑素对胃酸分泌、黏膜血流量及血清胃泌素的影响。
Gastroenterology. 1976 May;70(5 PT.1):737-41.
8
Identification and actions of gastric inhibitory polypeptide.
Recent Prog Horm Res. 1975;31:487-532. doi: 10.1016/b978-0-12-571131-9.50017-7.
9
Release of gastric inhibitory polypeptide (GIP) by intraduodenal acidification in rats and humans and abolishment of the incretin effect of acid by GIP-antiserum in rats.十二指肠内酸化对大鼠和人类胃抑制性多肽(GIP)释放的影响以及GIP抗血清对大鼠酸促胰岛素分泌作用的消除。
Gastroenterology. 1979 Mar;76(3):515-23.
10
Effect of pH of gastric and intestinal meals on gastric acid and plasma gastrin and secretin responses in the dog.
Am J Physiol. 1977 Dec;233(6):E537-43. doi: 10.1152/ajpendo.1977.233.6.E537.