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阿托品可抑制进食完整食物和迷走神经切断的犬的胃泌素释放。

Atropine suppresses gastrin release by food intact and vagotomized dogs.

作者信息

Hirschowitz B I, Gibson R, Molina E

出版信息

Gastroenterology. 1981 Nov;81(5):838-43.

PMID:7286565
Abstract

We have demonstrated that at doses lower than those used by others in dogs, atropine consistently inhibited food-stimulated gastrin release irrespective of vagal innervation of the stomach. Gastrin release induced by food placed directly into the stomach was studied in four gastric fistula dogs with intact vagi and in three other similar dogs with fundic vagotomy. The studies were repeated in dogs after conversion to truncal vagotomy. Fasting serum gastrin was lower in the intact dogs (33 +/- 1.7 pg/ml) than after fundic vagotomy (61 +/- 13 pg/ml) or truncal vagotomy (97 +/- 20 pg/ml). The same relationship held for absolute postprandial values. However, the integrated gastrin response to food over 2 h was similar in the three groups of dogs (intact 14 +/- 4.6, fundic vagotomy 10.3 +/- 4.3, truncal vagotomy 17.4 +/- 2.4 ng.min/ml). Regardless of the state of gastric vagal innervation atropine 20 microgram/kg . h reduced gastrin releases due to food by 66-76% (p less than 0.05) in all three groups. In small doubling doses (1-16 microgram/kg), atropine given i.v. at 15-min intervals, dose-responsively inhibited food-stimulated gastrin release in the four dogs with intact vagi. Assuming that the atropine effect was cumulative, kinetic analysis of the dose-response data gave a calculated maximum inhibition of 91% and an ID50 of 5.1 microgram/kg or 7.2 X 10-9 mol/kg. Findings of this study indicate a previously undescribed muscarinic cholinergic pathway leading to gastrin release by food.

摘要

我们已经证明,在比其他研究者用于犬的剂量更低的情况下,阿托品始终能抑制食物刺激的胃泌素释放,无论胃的迷走神经支配情况如何。在4只迷走神经完整的胃瘘犬和另外3只做了胃底迷走神经切断术的类似犬中,研究了直接将食物放入胃中所诱导的胃泌素释放。在犬转换为全迷走神经切断术后重复了这些研究。完整犬的空腹血清胃泌素(33±1.7 pg/ml)低于胃底迷走神经切断术后(61±13 pg/ml)或全迷走神经切断术后(97±20 pg/ml)。餐后绝对值也呈现相同的关系。然而,三组犬在2小时内对食物的胃泌素综合反应相似(完整犬14±4.6,胃底迷走神经切断术犬10.3±4.3,全迷走神经切断术犬17.4±2.4 ng·min/ml)。无论胃迷走神经支配状态如何,20微克/千克·小时的阿托品使三组中所有因食物引起的胃泌素释放减少66% - 76%(p<0.05)。在4只迷走神经完整的犬中,以小的翻倍剂量(1 - 16微克/千克)静脉注射阿托品,每隔15分钟给药一次,剂量依赖性地抑制了食物刺激的胃泌素释放。假设阿托品的作用是累积性的,对剂量反应数据进行动力学分析得出计算出的最大抑制率为91%,半数抑制剂量(ID50)为5.1微克/千克或7.2×10⁻⁹摩尔/千克。本研究结果表明存在一条先前未被描述的毒蕈碱胆碱能途径导致食物刺激胃泌素释放。

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