Miyata A, Okazaki K, Yamamoto Y
First Department of Internal Medicine, Kochi Medical School, Japan.
J Gastroenterol. 1995 Feb;30(1):1-7. doi: 10.1007/BF01211367.
To clarify the mechanism of gastrin release provoked by the reflux of bile juice into the stomach, we studied the effects of tetrodotoxin (0.08 mg/kg), atropine sulfate (0.5 mg/kg), truncal vagotomy, and chemical denervation of afferent sensory neurons with capsaicin (100 mg/kg) on gastrin release induced by bile salts in the rat (n = 6 per group). Sodium taurocholate and deoxycholate (> 2.5 mM) significantly increased the serum levels of gastrin. However, sodium tauroursodeoxycholate had no effect. The levels of serum gastrin before and 1 h after administration of 2.5 mM sodium taurocholate were 94.6 +/- 10.7 and 211.0 +/- 21.1 pg/ml, respectively. Tetrodotoxin and atropine sulfate completely inhibited this sodium taurocholate induced-gastrin increase, while truncal vagotomy was without effect. Capsaicin markedly reduced the increasing effects of sodium taurocholate. These findings suggested that the neuronal pathways involved in gastrin release are probably an intragastric local circuit originating from capsaicin-sensitive afferent sensory neurons and terminating in muscarinic receptors in the postsynaptic efferent cholinergic neuron system.
为阐明胆汁反流至胃中引起胃泌素释放的机制,我们研究了河豚毒素(0.08毫克/千克)、硫酸阿托品(0.5毫克/千克)、迷走神经干切断术以及用辣椒素(100毫克/千克)对传入感觉神经元进行化学去神经支配对大鼠胆汁盐诱导的胃泌素释放的影响(每组n = 6)。牛磺胆酸钠和脱氧胆酸钠(> 2.5毫摩尔)显著提高了胃泌素的血清水平。然而,牛磺熊去氧胆酸钠没有作用。给予2.5毫摩尔牛磺胆酸钠前和给药后1小时的血清胃泌素水平分别为94.6±10.7和211.0±21.1皮克/毫升。河豚毒素和硫酸阿托品完全抑制了这种牛磺胆酸钠诱导的胃泌素增加,而迷走神经干切断术则没有效果。辣椒素显著降低了牛磺胆酸钠的增加作用。这些发现表明,参与胃泌素释放的神经通路可能是一个胃内局部回路,起源于对辣椒素敏感的传入感觉神经元,终止于突触后传出胆碱能神经元系统中的毒蕈碱受体。