Jin H O, Lee K Y, Chang T M, Chey W Y, Dubois A
Division of Gastroenterology and Hepatology, University of Rochester School of Medicine and Dentistry, New York 14642.
Am J Physiol. 1994 Oct;267(4 Pt 1):G702-8. doi: 10.1152/ajpgi.1994.267.4.G702.
Secretin has been known to inhibit gastric acid secretion in several species. However, the physiological role of secretin on the postprandial acid output and gastric emptying in an intact stomach remains controversial. In the present study, we reinvestigated the role of secretin in physiological dose range and endogenous secretin on gastric acid secretion and emptying in the stomach without influencing intragastric luminal pH in dogs. In seven conscious dogs with gastric cannulas, a 4% amino acid meal was administered intragastrically, and three different doses of secretin and an antisecretin serum were infused intravenously in each dog on separate days. Gastric emptying and net acid output were measured using a dye dilution technique, and plasma secretin and gastrin were determined by specific radioimmunoassays. After the meal, gastric emptying was exponential: acid output peaked at 25 min, and plasma concentrations of gastrin and secretin peaked at 15 and 60 min, respectively. Intravenous infusion of secretin at 1.25, 2.5, and 5.0 pmol.kg-1.h-1 dose dependently increased plasma levels of the peptide and suppressed postprandial plasma gastrin response and gastric acid output and emptying of the meal. Immunoneutralization of circulating secretin with a rabbit antisecretin serum abolished the postprandial rise of plasma secretin and significantly increased plasma gastrin, and augmented gastric emptying as well as acid output. It is concluded that, in dogs, secretin plays a physiological role in the regulation of gastric emptying and acid output after a liquid amino acid meal and that these effects may be mediated in part by suppression of the release of gastrin.
已知促胰液素可抑制多种物种的胃酸分泌。然而,促胰液素在完整胃中对餐后酸分泌和胃排空的生理作用仍存在争议。在本研究中,我们重新研究了生理剂量范围的促胰液素和内源性促胰液素在不影响犬胃腔内pH值的情况下对胃酸分泌和胃排空的作用。在七只装有胃插管的清醒犬中,经胃内给予4%氨基酸餐,并在不同日期分别给每只犬静脉输注三种不同剂量的促胰液素和一种抗促胰液素血清。使用染料稀释技术测量胃排空和净酸分泌量,并通过特异性放射免疫测定法测定血浆促胰液素和胃泌素水平。进食后,胃排空呈指数下降:酸分泌量在25分钟时达到峰值,胃泌素和促胰液素的血浆浓度分别在15分钟和60分钟时达到峰值。以1.25、2.5和5.0 pmol·kg-1·h-1的剂量静脉输注促胰液素可使该肽的血浆水平呈剂量依赖性升高,并抑制餐后血浆胃泌素反应、胃酸分泌量和餐食的胃排空。用兔抗促胰液素血清对循环中的促胰液素进行免疫中和可消除餐后血浆促胰液素的升高,并显著增加血浆胃泌素,同时增强胃排空和酸分泌量。结论是,在犬中,促胰液素在液体氨基酸餐后胃排空和酸分泌的调节中发挥生理作用,并且这些作用可能部分通过抑制胃泌素的释放来介导。