Hirano T
First Department of Surgery, Faculty of Medicine, Kyoto University, Japan.
Nihon Geka Hokan. 1994 Jan 1;63(1):21-35.
To examine the possible secretion of lysosomal enzymes into the pancreatic juice in rats stimulated with pancreatic secretagogues under both physiological and pathological conditions, we investigated the changes in the secretion of cathepsin B, as a lysosomal enzyme, into pancreatic juice with stimulation of 5 different doses (0.1, 0.2, 0.5, 1.0, and 1.5 micrograms/kg.hr) of caerulein. Control rats had only pancreatic duct cannulation. In other rats, the pancreatic duct was obstructed for 3 hours and secretin was infused (0.2 CU/kg.hr). Caerulein stimulated the secretion of cathepsin B into the pancreatic juice in a dose-dependent manner, as in amylase secretion, and caerulein in higher doses (1.0 and 1.5 microgram/kg.hr) inhibited cathepsin B output as it did amylase output. There was a significantly high positive correlation between cathepsin B output and amylase output after stimulation with caerulein. The secretion of several other lysosomal enzymes was also stimulated by caerulein. Blockage of the pancreatic duct for 3 hours caused a significant but moderate rise in serum amylase levels. Redistribution of cathepsin B activity in the pancreatic subcellular fractions was noted with an increase in the amount of cathepsin B recovered from zymogen-rich pellets after 15 min of centrifugation at 1300 x g. These changes after temporary pancreatic duct obstruction are very similar to those previously noted during the early stage of diet-and caerulein-induced experimental pancreatitis and suggest colocalization of lysosomal enzymes and digestive enzymes. In addition, in duct obstructed rats, the secretion of cathepsin B and other lysosomal enzymes stimulated by caerulein was significantly greater than in animals with free-flowing pancreatic juice. These results indicate that lysosomal enzymes are secreted into pancreatic juice after stimulation by gut hormones in the same manner as classical pancreatic digestive enzymes such as amylase. Moreover, lysosomal enzymes which colocalize with zymogen granules in rats with short-term pancreatic duct obstruction are also secreted into pancreatic juice together with digestive enzymes after stimulation with gut hormones. These findings suggest that lysosomal enzymes are present in zymogen granules under normal conditions and that they may play pathophysiological roles in pancreatic juice. They also contribute to an understanding of the pathogenesis of pancreatitis, since cathepsin B can activate trypsinogen.
为了研究在生理和病理条件下,用促胰液素刺激大鼠时溶酶体酶是否可能分泌到胰液中,我们用5种不同剂量(0.1、0.2、0.5、1.0和1.5微克/千克·小时)的蛙皮素进行刺激,研究了溶酶体酶组织蛋白酶B分泌到胰液中的变化。对照大鼠仅进行胰管插管。在其他大鼠中,胰管阻塞3小时后输注促胰液素(0.2 CU/千克·小时)。与淀粉酶分泌一样,蛙皮素以剂量依赖的方式刺激组织蛋白酶B分泌到胰液中,高剂量(1.0和1.5微克/千克·小时)的蛙皮素抑制组织蛋白酶B的分泌,就像它抑制淀粉酶分泌一样。蛙皮素刺激后,组织蛋白酶B分泌量与淀粉酶分泌量之间存在显著的高度正相关。蛙皮素还刺激了其他几种溶酶体酶的分泌。胰管阻塞3小时导致血清淀粉酶水平显著但适度升高。在1300×g离心15分钟后,从富含酶原的沉淀中回收的组织蛋白酶B量增加,胰亚细胞组分中组织蛋白酶B活性发生重新分布。胰管暂时阻塞后的这些变化与之前在饮食和蛙皮素诱导的实验性胰腺炎早期观察到的变化非常相似,提示溶酶体酶和消化酶共定位。此外,在胰管阻塞的大鼠中,蛙皮素刺激的组织蛋白酶B和其他溶酶体酶的分泌显著高于胰液通畅的动物。这些结果表明,溶酶体酶在肠道激素刺激后以与淀粉酶等经典胰消化酶相同的方式分泌到胰液中。此外,在短期胰管阻塞的大鼠中,与酶原颗粒共定位的溶酶体酶在肠道激素刺激后也与消化酶一起分泌到胰液中。这些发现提示溶酶体酶在正常情况下存在于酶原颗粒中,并且它们可能在胰液中发挥病理生理作用。它们也有助于理解胰腺炎的发病机制,因为组织蛋白酶B可以激活胰蛋白酶原。