Brenna E, Zahlsen K, Mårvik R, Nilsen T, Nilsen O G, Waldum H L
Institute of Cancer Research, University Hospital, Trondheim, Norway.
Life Sci. 1993;53(1):21-9. doi: 10.1016/0024-3205(93)90607-5.
Smoking has an unfavourable effect on peptic ulcer disease. The pathophysiological mechanisms underlying this effect are not known. The enterochromaffin like (ECL) cell is the cellular source of histamine participating in the regulation of acid secretion. The ECL cell is under functional and trophic control of gastrin and the vagus nerves. Nicotine may affect acid secretion through vagal pathways. Furthermore, nicotine may also stimulate neuroendocrine cells. The present study examined if chronic nicotine administration could stimulate the function and growth of the ECL cell. Rats inhaled nicotine vapour at a concentration of approximately 6.2 mumol/m3, 20 hours/day, 5 days/week for 11 weeks. Steady state plasma nicotine concentration was 461.8 (137.5 (SD)) nmol/l. The ECL cell density, histamine content and histidine decarboxylase activity of the oxynitic mucosa were similar to the controls. We also examined the effect of acute nicotine stimulation on the acid output and histamine release from the totally isolated vascularly perfused rat stomach. Nicotine did not stimulate acid secretion or histamine release. Thus no evidence could be provided to support the hypothesis that nicotine exerts its negative effects on peptic ulcer disease by stimulating the ECL cell.
吸烟对消化性溃疡疾病有不利影响。这种影响背后的病理生理机制尚不清楚。肠嗜铬样(ECL)细胞是参与胃酸分泌调节的组胺的细胞来源。ECL细胞受胃泌素和迷走神经的功能及营养控制。尼古丁可能通过迷走神经途径影响胃酸分泌。此外,尼古丁还可能刺激神经内分泌细胞。本研究探讨了长期给予尼古丁是否会刺激ECL细胞的功能和生长。大鼠吸入浓度约为6.2 μmol/m³的尼古丁蒸气,每天20小时,每周5天,持续11周。稳态血浆尼古丁浓度为461.8(137.5(标准差))nmol/L。氧化黏膜的ECL细胞密度、组胺含量和组氨酸脱羧酶活性与对照组相似。我们还研究了急性尼古丁刺激对完全分离的经血管灌注大鼠胃的胃酸分泌和组胺释放的影响。尼古丁未刺激胃酸分泌或组胺释放。因此,无法提供证据支持尼古丁通过刺激ECL细胞对消化性溃疡疾病产生负面影响这一假说。