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血管活性肠肽(VIP)与促胰液素对胃液分泌及黏膜血流影响的比较

Comparison of vasoactive intestinal peptide (VIP) and secretin in gastric secretion and mucosal blood flow.

作者信息

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

出版信息

Pflugers Arch. 1976 Jan 30;361(2):175-81. doi: 10.1007/BF00583463.

Abstract

VIP and secretin were compared in regard to their effects on gastric acid and pepsin secretion induced by pentagastrin histamine or a peptone meal as well as on gastric mucosal blood flow and meal induced serum gastrin level in conscious dogs provided with gastric fistulas and denervated fundic pouches. Both VIP and secretin caused a dose-related stimulation of basal pepsin outputs and inhibition of pentagastrin-induced acid secretion. VIP, like secretin, inhibited pentagastrin and meal-induced gastric acid secretion but in contrast to secretin it caused inhibition of acid response to histamine. Inhibition of acid secretion by VIP or secretin was accompanied by secondary reduction in gastric mucosal blood flow in tests with pentagastrin or histamine and by depression of the serum gastrin level in tests with a peptone meal. This study indicates that in comparison with secretin, VIP has a wider spectrum of inhibition of stimulated gastric secretion and may be considered as one of the enterogastrones released in the small intestine.

摘要

对装有胃瘘和去神经支配胃底小袋的清醒犬,比较了血管活性肠肽(VIP)和促胰液素对由五肽胃泌素、组胺或蛋白胨餐诱导的胃酸和胃蛋白酶分泌的影响,以及对胃黏膜血流和餐食诱导的血清胃泌素水平的影响。VIP和促胰液素均引起基础胃蛋白酶分泌量呈剂量相关的增加,并抑制五肽胃泌素诱导的胃酸分泌。与促胰液素一样,VIP抑制五肽胃泌素和餐食诱导的胃酸分泌,但与促胰液素不同的是,它抑制对组胺的酸反应。在五肽胃泌素或组胺试验中,VIP或促胰液素抑制胃酸分泌的同时,胃黏膜血流继发性减少;在蛋白胨餐试验中,血清胃泌素水平降低。本研究表明,与促胰液素相比,VIP对刺激的胃分泌具有更广泛的抑制谱,可被视为小肠释放的肠抑胃素之一。

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