Weigert N, Li Y Y, Schick R R, Coy D H, Classen M, Schusdziarra V
Department of Internal Medicine II, Technical University of Munich, Germany.
Regul Pept. 1997 Mar 12;69(1):33-40. doi: 10.1016/s0167-0115(97)02127-7.
In the rat the exact role of vagal fibers and the interaction between the extrinsic and intrinsic neural system in distention-induced gastrin release are still a matter of debate. Accordingly, the aim of the present study was to examine the contribution of afferent and efferent vagal fibers as well as intrinsic neurons on gastrin response to gastric distention. In anesthetized rats graded gastric distention by 5, 10 and 15 ml saline for 20 min caused a significant volume-dependent increase of plasma gastrin levels by 12+/-6 pg/ml (5 ml saline, n = 8, P =0.05), 26+/-7 pg/ml (10 ml saline, n = 10, P < 0.05) and 37+/-7 pg/ml (15 ml saline, n = 8, P < 0.01 ), respectively. To examine the role of the extrinsic vagal innervation, gastrin response to distention was studied in anesthetized rats after bilateral truncal vagotomy (n = 9) or selective afferent vagotomy following pretreatment with capsaicin (n = 6). Stimulation of gastrin release by 10 ml distention in sham-operated control rats was reversed to an inhibition after truncal vagotomy (26+/-7 vs. -11+/-4 pg/ml; P<0.05) and capsaicin-treatment (37+/-18 vs. -34+/-11 pg/ml; P<0.05). A contribution of cholinergic mechanisms to this vagovagal-mediated stimulation of distention-induced gastrin release was excluded, since atropine (100 microg/kg/h; n = 8) further augmented distention-stimulated gastrin release. Since bombesin/gastrin-releasing peptide (GRP)-neurons contribute to vagally stimulated gastrin secretion, we have examined gastrin response to distention in the presence of the specific bombesin-receptor antagonist D-Phe6-BN(6-13)OMe (400 microg/kg/h: n = 10). This bombesin-antagonist completely reduced distention-stimulated gastrin release in vivo. In contrast, distention of the isolated, extrinsically denervated stomach significantly decreased gastrin release by 13+/-5 pg/min (5 ml saline, n = 8, P < 0.05), 28+/-8 pg/min (10 ml saline, n = 11, P < 0.05) and 35+/-10 pg/min (15 ml saline, n = 8, P < 0.01), respectively, without changing the activity of bombesin/GRP-neurons. Distention-induced decrease of gastrin release was attenuated to 50 percent by atropine (10(-7) M: n = 10) or tetrodotoxin (TTX) (10(-6) M; n = 10), respectively. These data demonstrate, that in anesthetized rats distention-stimulated gastrin secretion depends on the activation of a vagovagal reflex and intrinsic bombesin/GRP-neurons. In contrast distention of the isolated rat stomach inhibits gastrin release in part via intrinsic cholinergic pathways and other as yet unknown mechanisms.
在大鼠中,迷走神经纤维的确切作用以及外在和内在神经系统在扩张诱导胃泌素释放中的相互作用仍存在争议。因此,本研究的目的是探讨传入和传出迷走神经纤维以及内在神经元对胃扩张引起的胃泌素反应的作用。在麻醉大鼠中,用5、10和15毫升生理盐水进行分级胃扩张20分钟,导致血浆胃泌素水平显著呈体积依赖性增加,分别为12±6皮克/毫升(5毫升生理盐水,n = 8,P = 0.05)、26±7皮克/毫升(10毫升生理盐水,n = 10,P < 0.05)和37±7皮克/毫升(15毫升生理盐水,n = 8,P < 0.01)。为了研究外在迷走神经支配的作用,在双侧迷走神经干切断术后(n = 9)或用辣椒素预处理后进行选择性传入迷走神经切断术(n = 6)的麻醉大鼠中研究胃扩张引起的胃泌素反应。在假手术对照大鼠中,10毫升扩张刺激胃泌素释放,而在迷走神经干切断术后(26±7对 -11±4皮克/毫升;P < 0.05)和辣椒素处理后(37±18对 -34±11皮克/毫升;P < 0.05)则转变为抑制。胆碱能机制对这种迷走神经介导的扩张诱导胃泌素释放刺激的作用被排除,因为阿托品(100微克/千克/小时;n = 8)进一步增强了扩张刺激的胃泌素释放。由于蛙皮素/胃泌素释放肽(GRP)神经元参与迷走神经刺激的胃泌素分泌,我们在存在特异性蛙皮素受体拮抗剂D - Phe6 - BN(6 - 13)OMe(400微克/千克/小时;n = 10)的情况下研究了胃扩张引起的胃泌素反应。这种蛙皮素拮抗剂在体内完全抑制了扩张刺激的胃泌素释放。相反,分离的、外在去神经的胃的扩张分别使胃泌素释放显著降低13±5皮克/分钟(5毫升生理盐水,n = 8,P < 0.05)、28±8皮克/分钟(10毫升生理盐水,n = 11,P < 0.05)和35±10皮克/分钟(15毫升生理盐水,n = 8,P < 0.01),而不改变蛙皮素/GRP神经元的活性。扩张诱导的胃泌素释放减少分别被阿托品(10⁻⁷ M;n = 10)或河豚毒素(TTX)(10⁻⁶ M;n = 10)减弱至50%。这些数据表明,在麻醉大鼠中,扩张刺激的胃泌素分泌取决于迷走神经反射和内在蛙皮素/GRP神经元的激活。相反,分离的大鼠胃的扩张部分通过内在胆碱能途径和其他尚不清楚的机制抑制胃泌素释放。