Okumura T, Pappas T N, Taylor I L
Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Gastroenterology. 1995 May;108(5):1517-25. doi: 10.1016/0016-5085(95)90702-5.
BACKGROUND/AIMS: Pancreatic polypeptide (PP), a hormone released from the pancreas, inhibits pancreatic secretion in vivo but not in vitro, suggesting that the inhibitory action of PP on pancreatic secretion is indirect. Circulating PP in physiological concentrations binds to specific receptors in the dorsal vagal complex in the brainstem. Therefore, the hypothesis of this study was that PP acts centrally and inhibits pancreatic secretion by modulating vagal tone.
The effects of microinjection of PP into the dorsal motor nucleus on 2-deoxy-D-glucose-stimulated and cholecystokinin octapeptide (CCK-8)-stimulated pancreatic secretion were examined in urethane-anesthetized rats.
Microinjection of PP to the dorsal motor nucleus but not brainstem sites outside it inhibited 2-deoxy-D-glucose-stimulated pancreatic flow and protein output. CCK-8-stimulated pancreatic protein output was inhibited by PP in the dorsal motor nucleus in dose-dependent and site-specific manners. The inhibitory effect of PP on CCK-8-stimulated protein output was eliminated by vagotomy.
The results suggest that PP acts in the dorsal motor nucleus to modulate vagal tone on the pancreas, thereby inhibiting pancreatic secretion. This study shows for the first time that the dorsal motor nucleus is involved in central feedback inhibition of the exocrine pancreas.
背景/目的:胰多肽(PP)是一种由胰腺释放的激素,在体内可抑制胰腺分泌,但在体外则无此作用,这表明PP对胰腺分泌的抑制作用是间接的。生理浓度的循环PP与脑干背侧迷走神经复合体中的特定受体结合。因此,本研究的假设是,PP通过调节迷走神经张力在中枢发挥作用并抑制胰腺分泌。
在乌拉坦麻醉的大鼠中,研究了向迷走神经背核微量注射PP对2-脱氧-D-葡萄糖刺激和八肽胆囊收缩素(CCK-8)刺激的胰腺分泌的影响。
向迷走神经背核而非其外的脑干部位微量注射PP可抑制2-脱氧-D-葡萄糖刺激的胰液分泌和蛋白质分泌。PP在迷走神经背核以剂量依赖性和部位特异性方式抑制CCK-8刺激的胰腺蛋白质分泌。迷走神经切断术消除了PP对CCK-8刺激的蛋白质分泌的抑制作用。
结果表明,PP在迷走神经背核发挥作用,调节胰腺的迷走神经张力,从而抑制胰腺分泌。本研究首次表明,迷走神经背核参与外分泌胰腺的中枢反馈抑制。