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阿司匹林可抑制清醒大鼠中促分泌剂刺激的和餐后胰腺外分泌。

Aspirin inhibits secretagogue-stimulated and postprandial pancreatic exocrine secretion in conscious rats.

作者信息

Li P, Zhou L, Levine R A, Chey W Y

机构信息

Department of Medicine, School of Medicine and Dentistry, University of Rochester, New York.

出版信息

Pancreas. 1995 Jan;10(1):85-92. doi: 10.1097/00006676-199501000-00012.

Abstract

The effect of salicylate and nonsalicylate antiinflammatory drugs and prostaglandins (PGs) on pancreatic exocrine secretion are controversial. We studied the effect of aspirin (ASA) on secretin- and cholecystokinin (CCK)- or meal-stimulated pancreatic secretion. The interrelation between ASA, PG, and pancreatic exocrine secretion was also investigated. Conscious rats with chronic duodenal, pancreatic, and biliary cannulas received secretin (5 pmol/kg/h, i.v.) and CCK (56 pmol/kg/h) or a meal with administration of cimetidine (20 mg/kg/h, i.v.), ASA (1.2, 12, or 60 mumol/h, i.v.), Salicylic acid (SA) (1.2, 12, or 60 mumol/h, i.v.), prostaglandin E2 (PGE2) (10 micrograms/kg/h), or indomethacin (2 mg/kg) was given, respectively. Pancreatic flow volume, bicarbonate, and protein were determined every 15 min. An inhibitor, 1-(5-isoquinolinylsulfonyl)-2-methylpiperazine (H-7) (36 micrograms/kg/h) and an activator, phorbol ester (12-O-tetradecanoyl-phorbol 13-acetate, TPA) (100 ng/kg/h) were used for evaluation of the role of protein kinase C on basal and secretagogue-stimulated pancreatic secretion. ASA, but not SA inhibited the secretin- and CCK-stimulated pancreatic secretion including volume, bicarbonate, and protein in a dose-dependent manner without affecting basal pancreatic secretion. ASA and indomethacin suppressed meal-stimulated pancreatic secretion up to 83.8%. PGE2 significantly inhibited the secretin- and CCK-stimulated pancreatic secretion which was further suppressed by the concomitant ASA infusion. Modulation of protein kinase C failed to affect pancreatic secretion. The data indicate that ASA inhibits both secretin- and CCK-stimulated pancreatic secretion by a mechanism independent of prostaglandin biosynthesis inhibition.

摘要

水杨酸盐和非水杨酸盐类抗炎药以及前列腺素(PGs)对胰腺外分泌的影响存在争议。我们研究了阿司匹林(ASA)对促胰液素和胆囊收缩素(CCK)或进食刺激的胰腺分泌的影响。同时还研究了ASA、PG与胰腺外分泌之间的相互关系。给患有慢性十二指肠、胰腺和胆管插管的清醒大鼠静脉注射促胰液素(5 pmol/kg/h)和CCK(56 pmol/kg/h),或给予进食并静脉注射西咪替丁(20 mg/kg/h)、ASA(1.2、12或60 μmol/h)、水杨酸(SA)(1.2、12或60 μmol/h)、前列腺素E2(PGE2)(10 μg/kg/h)或吲哚美辛(2 mg/kg)。每15分钟测定一次胰腺流出量、碳酸氢盐和蛋白质。使用抑制剂1-(5-异喹啉磺酰基)-2-甲基哌嗪(H-7)(36 μg/kg/h)和激活剂佛波酯(12-O-十四酰佛波醇13-乙酸酯,TPA)(100 ng/kg/h)来评估蛋白激酶C在基础和促分泌剂刺激的胰腺分泌中的作用。ASA而非SA以剂量依赖的方式抑制促胰液素和CCK刺激的胰腺分泌,包括分泌量、碳酸氢盐和蛋白质,而不影响基础胰腺分泌。ASA和吲哚美辛将进食刺激的胰腺分泌抑制高达83.8%。PGE2显著抑制促胰液素和CCK刺激的胰腺分泌,同时输注ASA可进一步抑制该分泌。蛋白激酶C的调节未能影响胰腺分泌。数据表明,ASA通过一种独立于前列腺素生物合成抑制的机制抑制促胰液素和CCK刺激的胰腺分泌。

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