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人空肠内苯丙氨酸吸收对胰腺和胆囊功能的调节

Regulation of pancreatic and gallbladder function by absorption of intrajejunal phenylalanine in man.

作者信息

Holtermüller K H, Herzog P, Huhn B, Müller T, Naumann C, Castro M

出版信息

Klin Wochenschr. 1980 Mar 17;58(6):307-12. doi: 10.1007/BF01476573.

DOI:10.1007/BF01476573
PMID:7374100
Abstract

The effects of varying loads of intraduodenal phenylalanine on pancreatic and gallbladder function were investigated in 32 healthy volunteers using a triple lumen perfusion system. L-phenylalanine absorption rates in the proximal jejunum were measured simultaneously. Intraduodenal L-phenylalanine produced a dose related increase in pancreatic secretion reaching the maximum at the concentration of 100 mM. Bilirubin outputs too increased significantly but did not parallel enzyme secretion. In contrast to the effect of L-phenylalanine, D-phenylalanine 50 mM did not stimulate pancreatic enzyme secretion and gallbladder emptying. The absorption rates of L-phenylalanine increased with rising luminal concentrations. There was a significant correlation between pancreatic secretion and L-phenylalanine absorption rates. This relationship suggests that the release of cholecystokinin, a hormone stimulating pancreatic and biliary function is dependant of the absorption of nutrients like amino acids.

摘要

利用三腔灌注系统,在32名健康志愿者中研究了十二指肠内不同负荷的苯丙氨酸对胰腺和胆囊功能的影响。同时测量了空肠近端L-苯丙氨酸的吸收率。十二指肠内L-苯丙氨酸使胰腺分泌呈剂量相关增加,在浓度为100 mM时达到最大值。胆红素输出也显著增加,但与酶分泌不平行。与L-苯丙氨酸的作用相反,50 mM的D-苯丙氨酸不刺激胰腺酶分泌和胆囊排空。L-苯丙氨酸的吸收率随管腔浓度升高而增加。胰腺分泌与L-苯丙氨酸吸收率之间存在显著相关性。这种关系表明,刺激胰腺和胆汁功能的激素胆囊收缩素的释放依赖于氨基酸等营养物质的吸收。

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引用本文的文献

1
Bile acid and pancreatic trypsin outputs are parallel during intraduodenal infusion of essential amino acids.在十二指肠内输注必需氨基酸期间,胆汁酸和胰蛋白酶的分泌量是平行的。
Dig Dis Sci. 1983 Jan;28(1):27-32. doi: 10.1007/BF01393357.

本文引用的文献

1
Distribution and fate of pancreatic enzymes in small intestine of the rat.大鼠小肠中胰腺酶的分布与去向
Am J Physiol. 1962 Feb;202:285-8. doi: 10.1152/ajplegacy.1962.202.2.285.
2
An enzymatic spectrophotometric method for the determination of phenylalanine in blood.一种用于测定血液中苯丙氨酸的酶促分光光度法。
J Lab Clin Med. 1960 Mar;55:491-6.
3
Sodium and water absorption from the human small intestine. The accuracy of the perfusion method.人体小肠对钠和水的吸收。灌注法的准确性。
Gastroenterology. 1966 Dec;51(6):975-84.
4
Simultaneous measurements of total pancreatic, biliary, and gastric outputs in man using a perfusion technique.采用灌注技术同时测量人体胰腺、胆汁和胃的总分泌量。
Gastroenterology. 1970 Mar;58(3):321-8.
5
Pancreozymin bioassay in man based on pancreatic enzyme secretion: potency of specific amino acids and other digestive products.基于胰腺酶分泌的人胰酶泌素生物测定法:特定氨基酸和其他消化产物的效力
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Effect of jejunal amino acid perfusion and exogenous cholecystokinin on the exocrine pancreatic and biliary secretions in man.空肠氨基酸灌注和外源性胆囊收缩素对人体胰腺外分泌和胆汁分泌的影响。
Gastroenterology. 1971 Nov;61(5):686-92.
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Impaired cholecystokinin-pancreozymin secretion, intraluminal dilution, and maldigestion of fat in sprue.口炎性腹泻时胆囊收缩素-促胰酶素分泌受损、肠腔内稀释及脂肪消化不全。
Gastroenterology. 1972 Jul;63(1):25-32.
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Amino acid and peptide absorption in patients with coeliac disease and dermatitis herpetiformis.乳糜泻和疱疹样皮炎患者的氨基酸和肽吸收情况
Gut. 1974 Jan;15(1):1-8. doi: 10.1136/gut.15.1.1.
9
Interactions between intraluminal bile acids and digestive products on pancreatic and gallbladder function.管腔内胆汁酸与消化产物对胰腺和胆囊功能的相互作用。
J Clin Invest. 1973 Sep;52(9):2160-5. doi: 10.1172/JCI107400.
10
Intraluminal and postabsorptive effects of amino acids on pancreatic enzyme secretion.氨基酸对胰腺酶分泌的管腔内及吸收后效应。
J Lab Clin Med. 1973 Aug;82(2):241-8.