Kim C D, Lee K Y, Chang T M, Chey W Y
Department of Medicine, University of Rochester School of Medicine and Dentistry, New York, USA.
Pancreas. 1995 Mar;10(2):173-9. doi: 10.1097/00006676-199503000-00011.
We have investigated whether hormonally mediated negative feedback mechanisms regulate pancreatic exocrine secretion in guinea pigs. In anesthetized guinea pigs prepared with a tube in the proximal duodenum, pyloric ligation, and pancreatic duct cannulation with PE-10 tubing, diversion of pancreatic juice for as long as 4 h in fasting states failed to increase either pancreatic secretion or plasma levels of secretin or cholecystokinin (CCK). In the same animal preparation, intraduodenal (ID) infusion of sodium oleate (SO) resulted in significant increases in both pancreatic secretin and plasma levels of the two hormones that were significantly suppressed by ID infusion of pancreatic juice or a combination of trypsin and chymotrypsin. In another group of guinea pigs, this significant increase in pancreatic secretion was profoundly suppressed by a rabbit antisecretin serum (0.2 ml) or loxiglumide (10 mg.kg-1.h-1). Moreover, a combination of the antiserum and loxiglumide completely abolished the pancreatic secretion. The effect of atropine, 20 micrograms.kg-1.h-1 i.v., on SO-stimulated pancreatic secretion and hormone release was also studied. Atropine completely suppressed the pancreatic secretion of volume flow, bicarbonate, and protein stimulated by SO, whereas neither one of the two hormone levels was affected by intravenous atropine, indicating that atropine blocks the actions of both secretin and CCK on the pancreatic exocrine secretion. It is concluded that a negative feedback regulation of exocrine pancreatic secretion is operative in the intestinal phase of pancreatic secretion in guinea pigs and that this feedback mechanism is mediated by both secretin and CCK. Furthermore, in guinea pigs, cholinergic tone plays an important modulating role in the mechanism.
我们研究了激素介导的负反馈机制是否调节豚鼠胰腺外分泌。在用PE - 10导管在十二指肠近端插管、幽门结扎和胰腺导管插管制备的麻醉豚鼠中,在禁食状态下将胰液引流长达4小时未能增加胰腺分泌或血浆中促胰液素或胆囊收缩素(CCK)的水平。在相同的动物制备中,十二指肠内(ID)输注油酸钠(SO)导致胰腺促胰液素和血浆中这两种激素水平显著升高,而ID输注胰液或胰蛋白酶与糜蛋白酶的组合可显著抑制这种升高。在另一组豚鼠中,胰腺分泌的这种显著增加被兔抗促胰液素血清(0.2 ml)或洛谷酰胺(10 mg·kg⁻¹·h⁻¹)强烈抑制。此外,抗血清和洛谷酰胺的组合完全消除了胰腺分泌。还研究了静脉注射20 μg·kg⁻¹·h⁻¹阿托品对SO刺激的胰腺分泌和激素释放的影响。阿托品完全抑制了SO刺激的胰腺体积流量、碳酸氢盐和蛋白质的分泌,而静脉注射阿托品对这两种激素水平均无影响,表明阿托品阻断了促胰液素和CCK对胰腺外分泌的作用。得出的结论是,胰腺外分泌的负反馈调节在豚鼠胰腺分泌的肠期起作用,并且这种反馈机制由促胰液素和CCK共同介导。此外,在豚鼠中,胆碱能张力在该机制中起重要的调节作用。