Montagnini A L, Kubrusly M S, Coelho A M, Molan N A, da Cunha J E, Machado M C, Pinotti H W
Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1995 Sep-Oct;50(5):272-5.
Gastric chloride acid plays an important role in pancreatic enzyme synthesis and secretion, mediated by cholecystokinin released in the duodenum. This study was designed to evaluate the influence of gastric acid suppression by omeprazole on pancreatic enzyme content. Eighteen male Wistar rats (180-220 g) were divided in two groups: I--control and II--omeprazole. Animals received by intraduodenal catheter 3 doses of 0.5 ml saline solution (NaCl 0.9%)--Group I or 5 mumol/Kg of omeprazole solution--Group II at 24 h intervals. All animals, after an overnight fasting period, were killed 3 h after the last dose. Serum amylase and pancreatic tissue content of protein, trypsinogen, elastase, lipase and phospholipase A2 were determinated. Omeprazole treated animals (group II) showed statistically significant lower levels of serum amylase and pancreatic trypsinogen content (P < 0.05). We believe that this effect is related with acid secretion suppression by omeprazole and that it may be mediated by cholecystokinin.
胃盐酸在胰腺酶的合成和分泌中起重要作用,由十二指肠释放的胆囊收缩素介导。本研究旨在评估奥美拉唑抑制胃酸对胰腺酶含量的影响。将18只雄性Wistar大鼠(180 - 220克)分为两组:I组为对照组,II组为奥美拉唑组。动物通过十二指肠导管每隔24小时接受3剂0.5毫升生理盐水(0.9%氯化钠)——I组,或5微摩尔/千克的奥美拉唑溶液——II组。所有动物在禁食过夜后,在最后一剂后3小时处死。测定血清淀粉酶以及胰腺组织中蛋白质、胰蛋白酶原、弹性蛋白酶、脂肪酶和磷脂酶A2的含量。接受奥美拉唑治疗的动物(II组)血清淀粉酶和胰腺胰蛋白酶原含量在统计学上显著降低(P < 0.05)。我们认为这种效应与奥美拉唑抑制胃酸分泌有关,并且可能由胆囊收缩素介导。