Mehta N, Veliath S, Thombre D P
Department of Physiology, Jawaharlal Institute of Post-Graduate Medical Education and Research, Pondicherry.
Indian J Physiol Pharmacol. 1993 Jan;37(1):30-4.
Disturbances in gastric secretions are commonly associated with diabetes mellitus and are usually attributed to autonomic neuropathy. Systematic documentation of the effects of experimental diabetes on parietal cell functions are not available. This study has been designed to evaluate the acid secretory status of the parietal cells in streptozotocin (STZ) induced rat model of diabetes mellitus by assessing the effect of bilateral gastric vagotomy and histamine administration on them. Results show that bilateral gastric vagotomy in the control rats as well as in experimental diabetes lowers the acid secreting capacity of the parietal cells. In the diabetic rats, however, vagotomy does not further decrease the gastric acid secretion. Histamine stimulation augments the acid secretory response in the controls but this rise is substantially prevented in the diabetic state. Histamine challenge following vagotomy in normal controls elicits a sharp rise in gastric acid secretion though not to the same extent as seen in rats with intact vagi. In the diabetic rats however, histamine fails to augment acid secretion after vagotomy. Diabetes is thus seen to severely impair the acid secretory response of the parietal cells and their responsiveness to histamine.
胃分泌紊乱通常与糖尿病相关,且通常归因于自主神经病变。目前尚无关于实验性糖尿病对壁细胞功能影响的系统性记录。本研究旨在通过评估双侧胃迷走神经切断术和组胺给药对链脲佐菌素(STZ)诱导的糖尿病大鼠模型中壁细胞酸分泌状态的影响来进行评估。结果显示,对照大鼠以及实验性糖尿病大鼠中的双侧胃迷走神经切断术均降低了壁细胞的酸分泌能力。然而,在糖尿病大鼠中,迷走神经切断术并未进一步降低胃酸分泌。组胺刺激增强了对照大鼠中的酸分泌反应,但在糖尿病状态下这种增加被显著抑制。正常对照大鼠迷走神经切断术后给予组胺激发可引起胃酸分泌急剧增加,尽管程度不如完整迷走神经的大鼠。然而,在糖尿病大鼠中,迷走神经切断术后组胺未能增加酸分泌。因此可见糖尿病严重损害了壁细胞的酸分泌反应及其对组胺的反应性。