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生长抑素对胰腺内分泌的作用——犬胰十二指肠动脉内注入生长抑素的实验——(作者译)

[Effect of somatostatin on pancreatic endocrine--experiment by somatostatin infusion into the pancreaticoduodenal artery in dogs--(author's transl)].

作者信息

Nakabayashi H, Yoshimitsu K, Kishitani M, Ueda M, Kawato M

出版信息

Nihon Naibunpi Gakkai Zasshi. 1976 Mar 20;52(3):218-26. doi: 10.1507/endocrine1927.52.3_218.

Abstract

The direct inhibitory action of somatostatin (cyclized SRIF) on the pancreatic endocrine function was investigated by a technique using pancreaticoduodenal arteriovenous system in vivo. Somatostatin was infused for 20 minutes at a speed of 2.5 mug/minute into the superior pancreaticoduodenal vein and femoral artery were measured before and every 5 minutes throughout the experiment for 30 minutes. The results were compared with those obtained from the control experiment which was carried out in the same time schedule under infusion of physiologic saline solution instead of somatostatin. Next, the effect of somatostatin on the glucose-induced insulin release from the pancreas was also evaluated. The following findings were obtained. (1) Somatostatin infused at a speed of 2.5 mug/minute into the superior pancreaticoduodenal artery caused a statistically significant inhibition of plasma levels of IRI and IRG and also pancreatic output of these hormones. With the sessation of somatostatin infusion an abrupt rise of the hormones were seen. This "rebound" phenomenon was more pronounced in insulin secretion than in glucagon. No significant changes in the plasma glucose levels in either the pancreaticoduodenal vein or the femoral artery throughout the experiment were found. (2)During infusion of somatostatin at a speed of 1.25 mug/minute, insulin response to glucose injected into the pancreaticoduodenal artery in a small dose, as well as having no effect on the plasma glucose level in systemic circulation, was also significantly inhibited. From these findings obtained by direct experiment using the pancreaticoduodenal arterio-venous system, it was confirmed that somatostatin exhibits a direct inhibitory action on pancreas endocrine in a very low concentration in vivo, and it was suggested that this action might be partly due to a reduction in pancreatic circulation.

摘要

采用体内胰十二指肠动静脉系统技术,研究了生长抑素(环化生长抑素释放抑制因子)对胰腺内分泌功能的直接抑制作用。以2.5微克/分钟的速度向胰十二指肠上静脉内输注生长抑素20分钟,并在实验前及整个30分钟实验过程中每5分钟测量一次股动脉情况。将结果与在相同时间安排下输注生理盐水而非生长抑素的对照实验结果进行比较。接下来,还评估了生长抑素对胰腺葡萄糖诱导的胰岛素释放的影响。获得了以下研究结果。(1)以2.5微克/分钟的速度向胰十二指肠上动脉内输注生长抑素,可导致胰岛素免疫反应性(IRI)和胰高血糖素免疫反应性(IRG)的血浆水平以及这些激素的胰腺分泌量受到统计学显著抑制。停止输注生长抑素后,可见这些激素急剧升高。这种“反跳”现象在胰岛素分泌中比在胰高血糖素分泌中更明显。在整个实验过程中,胰十二指肠静脉或股动脉中的血浆葡萄糖水平均未发现显著变化。(2)以1.25微克/分钟的速度输注生长抑素时,小剂量注入胰十二指肠动脉的葡萄糖所引起的胰岛素反应,以及对体循环中血浆葡萄糖水平无影响的情况,也受到显著抑制。通过使用胰十二指肠动静脉系统的直接实验获得的这些结果证实,生长抑素在体内以极低浓度对胰腺内分泌具有直接抑制作用,并且提示该作用可能部分归因于胰腺循环的减少。

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