Konturek S J, Bilski J, Konturek P K, Cieszkowski M, Pawlik W
Institute of Physiology, Krakow, Poland.
Gastroenterology. 1993 Mar;104(3):896-902. doi: 10.1016/0016-5085(93)91028-g.
Endogenous nitric oxide has been implicated in the control of mesenteric circulation, but its role in the control of pancreatic blood flow and exocrine pancreatic secretion has not been studied.
Secretory studies were performed on conscious dogs with chronic pancreatic fistulas, and changes in pancreatic blood flow were measured by laser Doppler flowmetry in anesthetized animals.
Infusion of NG-nitro-L-arginine did not affect basal pancreatic protein secretion but suppressed an increase of this secretion induced by L-arginine but not that induced by glyceryl trinitrate. Sham-feeding, meal feeding, and infusion of secretin plus cholecystokinin induced pancreatic protein outputs reaching, respectively, 30%, 74%, and 50% of cerulein maximum in these dogs. Infusion of NG-nitro-L-arginine caused a profound inhibition of these secretions, whereas the addition of L-arginine reversed this inhibition in part. NG-nitro-L-arginine or L-arginine added to the incubation medium of isolated canine pancreatic acini did not affect basal or cholecystokinin-induced amylase release. In anesthetized dogs, infusion of NG-nitro-L-arginine caused a significant reduction in the pancreatic blood flow both while resting and following stimulation with secretin plus cholecystokinin but did not affect this flow in animals treated with glyceryl trinitrate. Addition of L-arginine attenuated the decrease in pancreatic blood flow and the increase in systemic blood pressure caused by NG-L-nitro-arginine.
Endogenous NO affects pancreatic secretion probably through the changes in the vascular bed.
内源性一氧化氮与肠系膜循环的调控有关,但其在胰腺血流调控和胰腺外分泌中的作用尚未得到研究。
对患有慢性胰瘘的清醒犬进行分泌研究,并通过激光多普勒血流仪测量麻醉动物的胰腺血流变化。
输注NG-硝基-L-精氨酸不影响基础胰腺蛋白分泌,但抑制了由L-精氨酸诱导的该分泌增加,而不影响由硝酸甘油诱导的分泌增加。在这些犬中,假饲、进食和输注促胰液素加胆囊收缩素分别诱导胰腺蛋白输出达到蛙皮素最大分泌量的30%、74%和50%。输注NG-硝基-L-精氨酸导致这些分泌受到显著抑制,而添加L-精氨酸部分逆转了这种抑制。添加到离体犬胰腺腺泡孵育培养基中的NG-硝基-L-精氨酸或L-精氨酸不影响基础或胆囊收缩素诱导的淀粉酶释放。在麻醉犬中,输注NG-硝基-L-精氨酸导致休息时和用促胰液素加胆囊收缩素刺激后胰腺血流显著减少,但不影响用硝酸甘油处理动物的血流。添加L-精氨酸减轻了由NG-L-硝基精氨酸引起的胰腺血流减少和全身血压升高。
内源性一氧化氮可能通过血管床的变化影响胰腺分泌。