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胃和十二指肠碳酸氢根离子的体外转运:激素和局部递质的作用

Gastric and duodenal HCO3- transport in vitro: effects of hormones and local transmitters.

作者信息

Flemström G, Heylings J R, Garner A

出版信息

Am J Physiol. 1982 Feb;242(2):G100-10. doi: 10.1152/ajpgi.1982.242.2.G100.

Abstract

Luminal application of acid was recently shown to stimulate surface epithelial HCO3(-) transport in stomach and duodenum. Effects of some potential transmitters of this response were therefore studied in amphibian gastric fundic and proximal duodenal mucosa in vitro. Duodenal HCO3- transport, which could be titrated directly, was stimulated by dibutyryl cAMP (DBcAMP, 10(-6) M), the phosphodiesterase inhibitor 3-isobutyl-1-methylxanthine (10(-6) M), noradrenaline (10(-6) M), pancreatic glucagon (10(-8) M), and gastric inhibitory peptide (GIP, 10(-10) M). Stimulation by glucagon, but not by prostaglandin E2 (PGE2, 10(-6) M), required Cl- in the luminal solution and was prevented by furosemide (10(-3) M). This suggests that glucagon may affect HCO3(-)-Cl- exchange at the luminal membrane while transport stimulated by prostaglandins may be electrogenic. Stimulatory effects of glucagon and PGE2 were also additive. Gastric HCO3- transport, studied in tissues after inhibition of H+ secretion by histamine H2-antagonists, clearly differed from duodenum in that noradrenaline and GIP were inhibitory and DBcAMP was without effect. Stimulation of gastric HCO3- transport was observed with glucagon (10(-8) M), natural cholecystokinin (CCK, 10(-8) M), and CCK octapeptide (10(-7) M), CCK preparations had no effect in the duodenum. Although tested over a wide range of concentrations, no effect on either duodenal or gastric HCO3- transport was observed with histamine, pentagastrin, tetragastrin, urogastrone, ACTH, bombesin, motilin, secretin, serotonin, somatostatin, substance P, or vasoactive intestinal peptide.

摘要

最近研究表明,向管腔内施加酸可刺激胃和十二指肠表面上皮的HCO3(-)转运。因此,我们在体外对两栖类胃底和十二指肠近端黏膜中这种反应的一些潜在递质的作用进行了研究。可直接滴定的十二指肠HCO3-转运受到二丁酰环磷腺苷(DBcAMP,10(-6)M)、磷酸二酯酶抑制剂3-异丁基-1-甲基黄嘌呤(10(-6)M)、去甲肾上腺素(10(-6)M)、胰高血糖素(10(-8)M)和胃抑肽(GIP,10(-10)M)的刺激。胰高血糖素的刺激作用(但前列腺素E2(PGE2,10(-6)M)无此作用)需要管腔溶液中有Cl-,并可被呋塞米(10(-3)M)阻断。这表明胰高血糖素可能影响管腔膜上的HCO3(-)-Cl-交换,而前列腺素刺激的转运可能是电生性的。胰高血糖素和PGE2的刺激作用也是相加的。在用组胺H2拮抗剂抑制H+分泌后的组织中研究胃HCO3-转运,结果显示其与十二指肠明显不同,去甲肾上腺素和GIP具有抑制作用,而DBcAMP则无作用。用胰高血糖素(10(-8)M)、天然胆囊收缩素(CCK,10(-8)M)和CCK八肽(10(-7)M)可观察到胃HCO3-转运受到刺激,CCK制剂对十二指肠无作用。尽管在很宽的浓度范围内进行了测试,但组胺、五肽胃泌素、四肽胃泌素、尿抑胃素、促肾上腺皮质激素、蛙皮素、胃动素、促胰液素、5-羟色胺、生长抑素、P物质或血管活性肠肽对十二指肠或胃的HCO3-转运均无影响。

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