Chen D, Nylander A G, Norlén P, Håkanson R
Dept. of Pharmacology, University of Lund, Sweden.
Scand J Gastroenterol. 1996 Apr;31(4):404-10. doi: 10.3109/00365529609006418.
Gastrin is thought to stimulate growth of the pancreas via gastrin/cholecystokinin (CCK)-B-type receptors. The aim of the present study was to examine the trophic response of the pancreas to exogenous gastrin or to hypergastrinemia of endogenous origin and to hypogastrinemia with or without concomitant hyperCCKemia.
Hypergastrinemia was induced in male Sprague-Dawley rats by continuous infusion of human Leu15-gastrin-17 (5 nmol/kg/h, subcutaneously), by removal of the acid-producing part of the stomach (fundectomy), or by treatment with omeprazole (400 mumol/ kg/day, orally). Hypogastrinemia was induced by antrectomy or by gastrectomy. HyperCCKemia was induced by pancreaticobiliary diversion (PBD). The rats were killed 10 days or 8 weeks after the operations or treatments. The concentrations of circulating gastrin and CCK were measured by radioimmunoassay. The pancreatic weight and DNA content were determined.
Gastrin infusion, omeprazole treatment, and fundectomy greatly increased the serum gastrin concentration. The resulting levels were very similar in the three groups and probably represent the maximum attainable physiologic serum gastrin concentration. Whereas gastrin infusion or omeprazole treatment (hypergastrinemia) and antrectomy (hypogastrinemia) were without effect on the weight and DNA content of the pancreas, gastrectomy (hypogastrinemia) and fundectomy (hypergastrinemia) increased the weight and DNA content. PBD (hyperCCKemia) greatly increased the weight and DNA content of the pancreas. PBD plus fundectomy, PBD plus gastrectomy, PBD plus antrectomy, and PBD plus omeprazole increased the weight and DNA content of the pancreas, as did PBD alone.
CCK is a physiologically important trophic stimulus for the rat pancreas, but gastrin is not. The increase in pancreatic weight and DNA content after fundectomy and gastrectomy cannot be explained by means of either gastrin or CCK.
胃泌素被认为通过胃泌素/胆囊收缩素(CCK)-B型受体刺激胰腺生长。本研究的目的是研究胰腺对外源性胃泌素或内源性高胃泌素血症以及伴或不伴高CCK血症的低胃泌素血症的营养反应。
通过持续皮下输注人亮氨酸-15-胃泌素-17(5 nmol/kg/h)、切除胃的产酸部分(胃底切除术)或用奥美拉唑(400 μmol/kg/天,口服)处理,在雄性Sprague-Dawley大鼠中诱导高胃泌素血症。通过胃窦切除术或胃切除术诱导低胃泌素血症。通过胰胆管分流术(PBD)诱导高CCK血症。在手术或处理后10天或8周处死大鼠。通过放射免疫测定法测量循环胃泌素和CCK的浓度。测定胰腺重量和DNA含量。
输注胃泌素、用奥美拉唑处理和胃底切除术大大增加了血清胃泌素浓度。三组中的结果水平非常相似,可能代表了可达到的最大生理性血清胃泌素浓度。虽然输注胃泌素或用奥美拉唑处理(高胃泌素血症)和胃窦切除术(低胃泌素血症)对胰腺重量和DNA含量没有影响,但胃切除术(低胃泌素血症)和胃底切除术(高胃泌素血症)增加了胰腺重量和DNA含量。PBD(高CCK血症)大大增加了胰腺重量和DNA含量。PBD加胃底切除术、PBD加胃切除术、PBD加胃窦切除术和PBD加奥美拉唑增加了胰腺重量和DNA含量,单独的PBD也是如此。
CCK是大鼠胰腺生理上重要的营养刺激物,但胃泌素不是。胃底切除术和胃切除术后胰腺重量和DNA含量的增加不能用胃泌素或CCK来解释。