Mariano E C, Beloni A, Landor J H
Ann Surg. 1978 Aug;188(2):181-5. doi: 10.1097/00000658-197808000-00010.
The intestinal phase of gastric secretion has been thought to be due to the release of a hormone from the gut mucosa, and several properties have been attributed to this as-yet unidentified hormone. An amino acid solution, known to stimulate gastric secretion, was tested to see if it possesses several of these properties, i.e., inactivation by the liver, and the ability to augment the maximum responses to pentagastrin and histamine. In six dogs with Heidenhain pouches the gastric secretory responses to peripheral and portal intravenous administration of a solution of mixed L-amino acids were measured. The mean peak response of three such separate peripheral infusions in each dog was 370 microEq/30 minutes while the peak response to intraportal infusion was only 45 microEq/30 minutes (p < .05). In three dogs with Heidenhain pouches the intravenous administration of amino acids together with pentagastrin resulted in significant augmentation of the peak response to pentagastrin alone (p < .025). Similarly, administration of amino acids with histamine resulted in augmentation of the peak response to histamine alone (p < .05). Because amino acids mimic the actions of the "intestinal phase hormone" in these respects it is suggested that they may account, at least in part, for the intestinal phase of gastric secretion. In addition, amino acids absorbed during protein digestion may contribute to the gastric hypersecretion which is regularly seen with portosystemic shunts.
胃分泌的肠期被认为是由于肠道黏膜释放一种激素所致,并且已经赋予了这种尚未明确的激素多种特性。一种已知能刺激胃分泌的氨基酸溶液,被测试是否具有这些特性中的几种,即被肝脏灭活,以及增强对五肽胃泌素和组胺最大反应的能力。在六只装有海登海因小胃的狗身上,测量了对混合L -氨基酸溶液外周静脉和门静脉注射的胃分泌反应。每只狗的三次这种单独外周输注的平均峰值反应为370微当量/30分钟,而门静脉输注的峰值反应仅为45微当量/30分钟(p <.05)。在三只装有海登海因小胃的狗中,氨基酸与五肽胃泌素静脉联合给药导致对单独五肽胃泌素的峰值反应显著增强(p <.025)。同样,氨基酸与组胺联合给药导致对单独组胺的峰值反应增强(p <.05)。因为氨基酸在这些方面模拟了“肠期激素”的作用,所以提示它们可能至少部分地解释了胃分泌的肠期。此外,蛋白质消化过程中吸收的氨基酸可能导致胃分泌过多,这在门体分流时经常可见。