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大鼠幽门结扎后胃酸的反应:胃泌素或组胺是否参与其中?

Gastric acid response to pylorus ligation in rats: is gastrin or histamine involved?

作者信息

Alumets J, Ekelund M, Håkanson R, Hedenbro J, Rehfeld J F, Sundler F, Vallgren S

出版信息

J Physiol. 1982 Feb;323:145-56. doi: 10.1113/jphysiol.1982.sp014065.

Abstract
  1. Pylorus ligation stimulated the acid output in vagally intact rats. The serum gastrin concentration and the gastric mucosal histamine content were not affected. The gastric histidine decarboxylase activity was initially slightly elevated and then greatly reduced (12-20 hr after ligation).2. Pylorus ligation stimulated the acid output in chronically, but not in acutely, vagotomized rats. Chronic vagotomy raises the serum gastrin concentration, the gastric histamine content and histidine decarboxylase activity. The serum gastrin concentration was further raised by pylorus ligation. The histamine content was initially lowered but returned to preligation values after 20 hr. The histidine decarboxylase activity first decreased, but increased to very high levels 5-6 hr after ligation. Twelve hours after ligation it was lower than before ligation.3. Following pylorus ligation pentagastrin and histamine stimulated the acid output in vagally intact and in acutely vagotomized but not in chronically vagotomized rats. By contrast, pentagastrin raised the histidine decarboxylase activity in vagally intact and in chronically vagotomized, but not in acutely vagotomized rats.4. The two major populations of endocrine cells of the oxyntic gland area (ECL cells and A-like cells) are argyrophil, store histamine and are capable of taking up exogenous DOPA and of decarboxylating it to dopamine which is retained in the cytoplasm for several hours. As evidenced by light and fluorescence microscopy pylorus ligation did not affect their argyrophilia or their ability to produce and store dopamine.5. Pylorus ligation caused ultrastructural changes in the gastrin cells of the pyloric gland area and in the histamine-storing ECL and A-like cells of the oxyntic gland area. The two endocrine cell types in the oxyntic gland area were enlarged by pylorus ligation, more so after 16 hr than after 4 hr. The size of the gastrin cells seemed unaffected. In all three cell types pylorus ligation reduced the number of cytoplasmic granules. There was no increase in the Golgi area or in the endoplasmic reticulum in any of the endocrine cell types of the oxyntic gland area. It appears unlikely that the ultrastructural changes of the ECL and A-like cells reflect an increased rate of histamine mobilization.6. The acid response to pylorus ligation probably reflects neuronal reflex mechanisms exclusively. There is no evidence that gastrin or histamine released from gastric endocrine cells mediate the response.
摘要
  1. 幽门结扎刺激迷走神经完整大鼠的胃酸分泌。血清胃泌素浓度和胃黏膜组胺含量未受影响。胃组织中组氨酸脱羧酶活性最初略有升高,随后大幅降低(结扎后12 - 20小时)。

  2. 幽门结扎刺激慢性迷走神经切断大鼠的胃酸分泌,但不刺激急性迷走神经切断大鼠的胃酸分泌。慢性迷走神经切断会使血清胃泌素浓度、胃组胺含量和组氨酸脱羧酶活性升高。幽门结扎进一步升高血清胃泌素浓度。组胺含量最初降低,但20小时后恢复到结扎前水平。组氨酸脱羧酶活性先降低,但结扎后5 - 6小时升高到非常高的水平。结扎12小时后低于结扎前。

  3. 幽门结扎后,五肽胃泌素和组胺刺激迷走神经完整大鼠和急性迷走神经切断大鼠的胃酸分泌,但不刺激慢性迷走神经切断大鼠的胃酸分泌。相比之下,五肽胃泌素提高迷走神经完整大鼠和慢性迷走神经切断大鼠的组氨酸脱羧酶活性,但不提高急性迷走神经切断大鼠的组氨酸脱羧酶活性。

  4. 胃底腺区的两种主要内分泌细胞群体(肠嗜铬样细胞和A样细胞)嗜银,储存组胺,能够摄取外源性多巴并将其脱羧为多巴胺,多巴胺在细胞质中保留数小时。光镜和荧光显微镜检查表明,幽门结扎不影响它们的嗜银性或产生和储存多巴胺的能力。

  5. 幽门结扎导致幽门腺区胃泌素细胞以及胃底腺区储存组胺的肠嗜铬样细胞和A样细胞发生超微结构变化。胃底腺区的两种内分泌细胞类型因幽门结扎而增大,16小时后比4小时后更明显。胃泌素细胞的大小似乎未受影响。在所有三种细胞类型中,幽门结扎减少了细胞质颗粒的数量。胃底腺区任何一种内分泌细胞类型的高尔基体区域或内质网均未增加。肠嗜铬样细胞和A样细胞的超微结构变化似乎不太可能反映组胺动员速率的增加。

  6. 对幽门结扎的胃酸反应可能仅反映神经反射机制。没有证据表明胃内分泌细胞释放的胃泌素或组胺介导该反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c9a/1250349/aa4586a03d2a/jphysiol00686-0163-a.jpg

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