Lawton D E, Reynolds G W, Hodgkinson S M, Pomroy W E, Simpson H V
Department of Physiology and Anatomy, Massey University, Palmerston North, New Zealand.
Int J Parasitol. 1996 Oct;26(10):1063-74.
Infection of sheep with adult or larval O. circumcincta increased serum pepsinogen and gastrin and abomasal pH. The upper limits of the normal range, calculated from over 1000 samples collected from parasite-naive sheep, were set at 2 standard deviations above the mean; these were for serum pepsinogen, 454 mU tyrosine l-1; serum gastrin, 64 pM and abomasal pH, 3.26. Five infection regimes were used: sheep previously exposed to field parasitism were infected with 30,000 larvae intraruminally (Group A), while parasite-naive sheep were administered either 50,000 larvae intraruminally (Group B), 150,000 larvae intraruminally followed by a trickle infection of 10,000 larvae thrice weekly from days 21 to 45 (Group C), 150,000 exsheathed larvae via an abomasal cannula (Group D) or 15,000 adult worms via an abomasal cannula (Group E). Whereas the presence of adult worms rapidly increased serum pepsinogen (after 8 h) and abomasal pH and serum gastrin (after about 19 h), the early infective larval stages, regardless of the infection regime, had minimal effects until the abrupt rise in all parameters 5-6 days after infection. Abomasal pH returned to near normal levels when the infections became patent and was not re-elevated by a subsequent trickle infection, whereas serum gastrin and pepsinogen remained high. The initial hypergastrinaemia was coincident with the increased abomasal pH, but was preceded by the increase in serum pepsinogen. In several sheep, serum pepsinogen increased very little during the parasitism, although there were typical effects on abomasal pH and serum gastrin. Serum gastrin was depressed when the abomasal pH exceeded about 5.5. It is suggested that an inhibitor of gastrin release is generated by proliferating abomasal microbes under these conditions and that this is a limitation to the use of elevated serum gastrin in the diagnosis of parasitism in individual sheep.
绵羊感染成年或幼虫期的环形奥斯特线虫会导致血清胃蛋白酶原、胃泌素升高以及皱胃pH值升高。根据从未感染寄生虫的绵羊采集的1000多个样本计算得出的正常范围上限设定为高于平均值2个标准差;血清胃蛋白酶原的上限为454 mU酪氨酸l-1;血清胃泌素为64 pM,皱胃pH值为3.26。采用了五种感染方案:先前暴露于野外寄生虫感染的绵羊经瘤胃内接种30,000条幼虫(A组),而未感染寄生虫的绵羊分别经瘤胃内接种50,000条幼虫(B组)、瘤胃内接种150,000条幼虫,然后从第21天至第45天每周三次进行10,000条幼虫的微量感染(C组)、通过皱胃插管接种150,000条脱鞘幼虫(D组)或通过皱胃插管接种15,000条成虫(E组)。虽然成虫的存在会迅速使血清胃蛋白酶原(8小时后)、皱胃pH值和血清胃泌素(约19小时后)升高,但早期感染性幼虫阶段,无论感染方案如何,在感染后5 - 6天所有参数突然升高之前影响极小。当感染出现时,皱胃pH值恢复到接近正常水平,随后的微量感染并未使其再次升高,而血清胃泌素和胃蛋白酶原仍保持在较高水平。最初的高胃泌素血症与皱胃pH值升高同时出现,但在血清胃蛋白酶原升高之前。在几只绵羊中,寄生虫感染期间血清胃蛋白酶原升高很少,尽管对皱胃pH值和血清胃泌素产生了典型影响。当皱胃pH值超过约5.5时,血清胃泌素会降低。有人认为,在这些条件下,增殖的皱胃微生物会产生一种胃泌素释放抑制剂,这限制了将血清胃泌素升高用于个体绵羊寄生虫感染的诊断。