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甲硫氨酸脑啡肽和吗啡对小肠肌电活动的影响。

Influence of methionine-enkephalin and morphine on myoelectric activity of small bowel.

作者信息

Konturek S J, Thor P, Król R, Dembiński A, Schally A V

出版信息

Am J Physiol. 1980 Apr;238(4):G384-9. doi: 10.1152/ajpgi.1980.238.4.G384.

DOI:10.1152/ajpgi.1980.238.4.G384
PMID:7377311
Abstract

Enkephalins, naturally occurring peptides with powerful opiatelike effects, have recently been detected throughout the tissues of the alimentary tract, but their role is unknown. This study was designed to compare the effects of methionine-enkephalin (met-enkephalin) and morphine on the myoelectrical pattern of the small bowel. Five conscious dogs were prepared with electrodes spaced 25 cm apart along the entire small intestine. Spike activity and slow waves were recorded with a Beckman Dynograph. Records were obtained in fasted conditions and following a meat meal or intravenous infusion of caerulein while animals received intravenous infusion of either met-enkephalin or morphine in various doses (range 10-160 microgram/kg . h). Met-enkephalin at a dose of 40 microgram/kg . h caused a significant decrease in spike activity and in the frequency of bursts of the interdigestive myoelectric complexes (IMC), whereas morphine almost doubled the frequency of the IMC. Met-enkephalin in dogs given food or infused with caerulein significantly decreased the fed-type spike activity of the small bowel, whereas morphine did not affect it. The effects of met-enkephalin and morphine on the intestinal myoelectrical pattern can be reversed by naloxone, an opioid antagonist, suggesting that they are mediated by separate opioid receptors.

摘要

脑啡肽是一种具有强大类阿片样作用的天然存在的肽,最近已在整个消化道组织中被检测到,但其作用尚不清楚。本研究旨在比较甲硫氨酸脑啡肽(蛋氨酸脑啡肽)和吗啡对小肠肌电活动模式的影响。对5只清醒的狗进行准备,沿整个小肠间隔25厘米放置电极。用贝克曼动态记录仪记录锋电位活动和慢波。在禁食条件下以及在给予肉餐或静脉注射蛙皮素后进行记录,同时动物以不同剂量(范围为10 - 160微克/千克·小时)静脉输注蛋氨酸脑啡肽或吗啡。剂量为40微克/千克·小时的蛋氨酸脑啡肽导致锋电位活动和消化间期肌电复合波(IMC)爆发频率显著降低,而吗啡使IMC频率几乎增加了一倍。给予食物或输注蛙皮素的狗体内的蛋氨酸脑啡肽显著降低了小肠的进食型锋电位活动,而吗啡对此没有影响。阿片受体拮抗剂纳洛酮可逆转蛋氨酸脑啡肽和吗啡对肠道肌电活动模式的影响,这表明它们是由不同的阿片受体介导的。

相似文献

1
Influence of methionine-enkephalin and morphine on myoelectric activity of small bowel.甲硫氨酸脑啡肽和吗啡对小肠肌电活动的影响。
Am J Physiol. 1980 Apr;238(4):G384-9. doi: 10.1152/ajpgi.1980.238.4.G384.
2
Effect of somatostatin on myoelectrical activity of small bowel.
Am J Physiol. 1978 Sep;235(3):E249-54. doi: 10.1152/ajpendo.1978.235.3.E249.
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[Effect of met-enkephalin and morphine on the motor and myoelectric activity of the stomach].[甲硫氨酸脑啡肽和吗啡对胃运动及肌电活动的影响]
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Characterization of leucine and methionine enkephalin and their interaction with morphine on the guinea pig ileal longitudinal muscle.亮氨酸脑啡肽和甲硫氨酸脑啡肽的特性及其与吗啡在豚鼠回肠纵肌上的相互作用。
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引用本文的文献

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Schmerz. 1993 Dec;7(4):314-21. doi: 10.1007/BF02529868.
2
Epidural administration of morphine facilitates time of appearance of first gastric interdigestive migrating complex in dogs with paralytic ileus after open abdominal surgery.硬膜外注射吗啡可促进开腹手术后麻痹性肠梗阻犬首次胃消化间期移行复合波出现的时间。
J Gastrointest Surg. 2007 May;11(5):648-54. doi: 10.1007/s11605-006-0065-z.
3
[Oral papaverine prevents morphine-induced constipation without interfering with analgesia achieved with oral morphine].
口服罂粟碱可预防吗啡引起的便秘,且不干扰口服吗啡所达到的镇痛效果。
Schmerz. 1996 Feb 15;10(1):27-35. doi: 10.1007/s004829600011.
4
Morphine and gastroduodenal motility.
Dig Dis Sci. 1999 Nov;44(11):2178-86. doi: 10.1023/a:1026684132254.
5
Differential regional effects of octreotide on human gastrointestinal motor function.奥曲肽对人体胃肠运动功能的不同区域效应。
Gut. 1995 May;36(5):743-8. doi: 10.1136/gut.36.5.743.
6
Effect of opiates on gastroduodenal motility following surgical operation.
Dig Dis Sci. 1981 Nov;26(11):989-92. doi: 10.1007/BF01314760.
7
Characterization of opiate-mediated responses of the feline ileum and ileocecal sphincter.猫回肠和回盲括约肌阿片介导反应的特征
J Clin Invest. 1982 Mar;69(3):507-15. doi: 10.1172/jci110476.
8
Effects of morphine and naloxone on esophageal motility and gastric emptying in man.吗啡和纳洛酮对人体食管动力和胃排空的影响。
Dig Dis Sci. 1986 Sep;31(9):936-42. doi: 10.1007/BF01303214.
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Postoperative ileus.术后肠梗阻
Dig Dis Sci. 1990 Jan;35(1):121-32. doi: 10.1007/BF01537233.