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哺乳动物十二指肠在体内的表面上皮碳酸氢根离子转运

Surface epithelial HCO3(-) transport by mammalian duodenum in vivo.

作者信息

Flemström G, Garner A, Nylander O, Hurst B C, Heylings J R

出版信息

Am J Physiol. 1982 Nov;243(5):G348-58. doi: 10.1152/ajpgi.1982.243.5.G348.

Abstract

Duodenal surface epithelial transport of HCO3(-) was measured by direct titration in anesthetized animals. Alkalinization of the lumen occurred in all species, although basal rates varied considerably: rats (approximately 10), cats (approximately 15), pigs (approximately 25), dogs (approximately 25), guinea pigs (approximately 40), and rabbits (approximately 170 mueq.cm-1.h-1). In cats duodenum transported HCO3(-) at a greater basal rate than jejunum (approximately 5 mueq.cm-2.h-1) and developed a higher transmucosal electrical potential difference (PD, lumen negative). Luminal application of 10 mM HCl for 5 min produced a sustained increase in the rate of duodenal HCO3(-) transport that was accompanied by a rise in appearance of E-like prostaglandin immunoreactivity in the lumen and a decrease in DNA release. In cats pretreated with indomethacin (10 mg/kg iv), acid caused only a transient increase in HCO3(-) transport. Exogenous prostaglandin E2 (1-12 microM, luminal) increased basal HCO3(-) transport in cats, rats, and dogs but had no effect on this transport in guinea pigs and rabbits. However, prostaglandin E2 increased HCO3(-) transport and PD in guinea pigs pretreated with inhibitors of tissue cyclooxygenase activity (indomethacin or aspirin) or gastric H+ secretion (cimetidine). Thus the continuous exposure of the duodenum of herbivores to HCl discharged from the stomach may itself stimulate HCO3(-) transport via an increase in endogenous prostaglandin levels and render exogenous prostaglandins ineffective. Secretin (1-15 CU/kg iv) was without effect in both cats and guinea pigs. In guinea pigs, intravenous glucagon (120-360 micrograms.kg-1.h-1) or gastric inhibitory peptide (5 micrograms/kg) both increased HCO3(-) transport but not PD. Hence, prostaglandin-stimulated and hormone-stimulated mechanisms of HCO3(-) transport probably occur in mammalian duodenum as found previously in the isolated amphibian duodenum. The results suggest that epithelial HCO3(-) transport is a major mechanism of acid disposal, and thus mucosal protection, in mammalian duodenum under the control of hormones and endogenous prostaglandins.

摘要

通过直接滴定法在麻醉动物中测量十二指肠表面上皮对HCO3(-)的转运。尽管基础速率差异很大,但所有物种的肠腔均出现碱化现象:大鼠(约10)、猫(约15)、猪(约25)、狗(约25)、豚鼠(约40)和兔子(约170μeq·cm-1·h-1)。在猫中,十二指肠以比空肠更高的基础速率转运HCO3(-)(约5μeq·cm-2·h-1),并产生更高的跨粘膜电位差(PD,肠腔为负)。向肠腔应用10 mM HCl 5分钟可使十二指肠HCO3(-)转运速率持续增加,同时肠腔中E类前列腺素免疫反应性出现增加,DNA释放减少。在用吲哚美辛(10 mg/kg静脉注射)预处理的猫中,酸仅引起HCO3(-)转运的短暂增加。外源性前列腺素E2(1-12μM,肠腔给药)可增加猫、大鼠和狗的基础HCO3(-)转运,但对豚鼠和兔子的这种转运无影响。然而,前列腺素E2可增加用组织环氧化酶活性抑制剂(吲哚美辛或阿司匹林)或胃H+分泌抑制剂(西咪替丁)预处理的豚鼠的HCO3(-)转运和PD。因此,食草动物十二指肠持续暴露于从胃中排出的HCl本身可能通过内源性前列腺素水平的增加刺激HCO3(-)转运,并使外源性前列腺素无效。促胰液素(1-15 CU/kg静脉注射)对猫和豚鼠均无影响。在豚鼠中,静脉注射胰高血糖素(120-360μg·kg-1·h-1)或胃抑肽(5μg/kg)均可增加HCO3(-)转运,但不影响PD。因此,前列腺素刺激和激素刺激的HCO3(-)转运机制可能如先前在分离的两栖类十二指肠中所发现的那样存在于哺乳动物十二指肠中。结果表明,上皮HCO3(-)转运是哺乳动物十二指肠中酸处理以及因此的粘膜保护的主要机制,受激素和内源性前列腺素的控制。

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