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狗体内胰腺和胃的生长抑素释放对胃内和十二指肠内营养物质及盐酸的反应。

Pancreatic and gastric somatostatin release in response to intragastric and intraduodenal nutrients and HCl in the dog.

作者信息

Schusdziarra V, Harris V, Conlon J M, Arimura A, Unger R

出版信息

J Clin Invest. 1978 Sep;62(3):509-18. doi: 10.1172/JCI109154.

Abstract

The effects of the instillation of glucose, fat, casein hydrolysate, and HCl into the gastrointestinal tract upon plasma levels of somatostatin-like immunoreactivity (SLI) in the venous effluent of the pancreas, fundus and antrum of the stomach, and in the inferior vena cava (IVC) were determined in normal laparotomized dogs. Fasting SLI levels in the effluent plasma from these sites were significantly greater than IVC levels. The intragastric administration of glucose elicited a prompt and significant rise in SLI levels in pancreatic, fundic and antral venous plasma, and in IVC plasma; intraduodenal glucose elicited smaller increments. After intragastric fat, a smaller, more gradual increase in the pancreatic and fundic effluents was observed, whereas the rise in antral SLI was minute, and IVC SLI did not rise significantly. Intraduodenal fat elicited a prompt increase in the pancreatic and antral vein SLI levels, and a small but significant increase in fundic and IVC plasma which suggests faster release of enteric factors that influence SLI secretion in the pancreas and antrum. Intragastric casein hydrolysate elicited a prompt increase in SLI in both the pancreatic and fundic veins, the latter being marked, but the antral SLI response was small; IVC SLI rose significantly within 15 min. Intragastric HCl provoked a prompt and marked rise in pancreaticoduodenal and antral vein SLI but no increase in fundic vein SLI; IVC SLI levels rose significantly within 20 min. Intraduodenal HCl elicited an even more prompt and marked pancreatic SLI response, and SLI rose significantly in both the fundic and antral venous effluents; IVC SLI also rose more promptly. In dogs with a gastric fistula that prevented intraduodenal entry of HCl, intragastric HCl elicited only a very small and transient rise in pancreaticoduodenal vein SLI, markedly stimulated the antral SLI response, but completely suppressed fundic venous SLI levels. The results indicate that all three nutrients stimulate SLI release from the pancreas and stomach. The greater SLI response to intragastric, as opposed to intraduodenal, glucose suggests that unidentified local factors are of importance. The responses to the intraduodenal instillation of HCl and fat suggest a role of enteric hormones in the release of SLI from the pancreas and fundus and antrum of the stomach. Additionally, there is evidence of direct effects of HCl upon gastric SLI release.

摘要

在正常开腹犬中,测定了向胃肠道内注入葡萄糖、脂肪、酪蛋白水解物和盐酸后,胰腺、胃底和胃窦静脉流出液以及下腔静脉中生长抑素样免疫活性物质(SLI)的血浆水平变化。这些部位流出液血浆中的空腹SLI水平显著高于下腔静脉中的水平。胃内给予葡萄糖可使胰腺、胃底和胃窦静脉血浆以及下腔静脉血浆中的SLI水平迅速且显著升高;十二指肠内给予葡萄糖引起的升高幅度较小。胃内给予脂肪后,观察到胰腺和胃底流出液中SLI有较小且更缓慢的升高,而胃窦SLI的升高幅度微小,下腔静脉SLI无显著升高。十二指肠内给予脂肪可使胰腺和胃窦静脉的SLI水平迅速升高,胃底和下腔静脉血浆中有小幅但显著的升高,这表明影响胰腺和胃窦SLI分泌的肠因子释放更快。胃内给予酪蛋白水解物可使胰腺和胃底静脉中的SLI迅速升高,后者更为明显,但胃窦SLI反应较小;下腔静脉SLI在15分钟内显著升高。胃内给予盐酸可使胰十二指肠和胃窦静脉的SLI迅速且显著升高,但胃底静脉SLI无升高;下腔静脉SLI水平在20分钟内显著升高。十二指肠内给予盐酸引起的胰腺SLI反应更为迅速且显著,胃底和胃窦静脉流出液中的SLI均显著升高;下腔静脉SLI升高也更迅速。在有胃瘘阻止盐酸进入十二指肠的犬中,胃内给予盐酸仅使胰十二指肠静脉SLI有非常小且短暂的升高,显著刺激胃窦SLI反应,但完全抑制胃底静脉SLI水平。结果表明,所有三种营养素均刺激胰腺和胃释放SLI。与十二指肠内给予葡萄糖相比,胃内给予葡萄糖时SLI反应更大,这表明未知的局部因素很重要。十二指肠内给予盐酸和脂肪的反应表明肠激素在胰腺、胃底和胃窦释放SLI中起作用。此外,有证据表明盐酸对胃SLI释放有直接影响。

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