Kapuscinski M, Shulkes A
University of Melbourne Department of Surgery, Austin Hospital, Heidelberg, Victoria, Australia.
J Gastroenterol Hepatol. 1995 Jul-Aug;10(4):405-12. doi: 10.1111/j.1440-1746.1995.tb01592.x.
The activity of gastric parietal cells in terms of hydrochloric acid (HCl) secretion is regulated by the interaction of stimulatory substances (e.g. gastrin) and inhibitors (e.g. somatostatin) acting in an endocrine and paracrine mode, as well as luminal factors. In the present study the following parameters were measured: the synthesis (mRNA), storage (tissue peptide concentration) and secretion (plasma peptide concentration) of somatostatin and gastrin following short-term treatment of rats with pentagastrin (acid stimulant), secretin, omeprazole (reduces gastric acidity by inactivating gastric H/K ATPase) and the somatostatin analogue octreotide (reduces gastric acidity by inhibiting both the parietal cell and gastrin). The mRNA coding for H/K ATPase and carbonic anhydrase II (CA II), the two enzymes responsible for the generation of hydrogen ions from the parietal cell, were also quantitated. In response to octreotide, somatostatin peptide and mRNA levels in the fundus rose to 180 +/- 16% (P < 0.001) and 1073 +/- 356% (P < 0.05) of control, respectively. In contrast, octreotide caused a decrease in antral somatostatin peptide and its mRNA did not change significantly. No significant changes in synthesis, secretion or storage of gastrin were observed except for omeprazole induced hypergastrinaemia (580 +/- 76%, P < 0.001). H/K ATPase and CA II mRNA were largely unaffected except for an increase in CA II mRNA following octreotide and a decrease in H/K ATPase mRNA after pentagastrin. These data support the concept of the differential control of antral and fundic somatostatin synthesis and provide evidence for a regulatory loop by which somatostatin can influence its own synthesis.(ABSTRACT TRUNCATED AT 250 WORDS)
胃壁细胞分泌盐酸的活动受内分泌和旁分泌模式下的刺激物质(如胃泌素)和抑制剂(如生长抑素)以及腔内因素相互作用的调节。在本研究中,测量了以下参数:用五肽胃泌素(酸刺激物)、促胰液素、奥美拉唑(通过使胃H/K ATP酶失活降低胃酸)和生长抑素类似物奥曲肽(通过抑制壁细胞和胃泌素降低胃酸)对大鼠进行短期治疗后,生长抑素和胃泌素的合成(mRNA)、储存(组织肽浓度)和分泌(血浆肽浓度)。还对编码H/K ATP酶和碳酸酐酶II(CA II)的mRNA进行了定量,这两种酶负责从壁细胞产生氢离子。对奥曲肽的反应中,胃底生长抑素肽和mRNA水平分别升至对照的180±16%(P<0.001)和1073±356%(P<0.05)。相比之下,奥曲肽导致胃窦生长抑素肽减少,其mRNA无显著变化。除奥美拉唑诱导的高胃泌素血症(580±76%,P<0.001)外,未观察到胃泌素合成、分泌或储存的显著变化。除奥曲肽后CA II mRNA增加和五肽胃泌素后H/K ATP酶mRNA减少外,H/K ATP酶和CA II mRNA基本未受影响。这些数据支持胃窦和胃底生长抑素合成差异控制的概念,并为生长抑素可影响自身合成的调节环提供了证据。(摘要截断于250字)