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异丙肾上腺素对胰腺分泌的抑制作用特征。

Characteristics of inhibition of pancreatic secretion by isoproterenol.

作者信息

Kelly G A, Rose R C, Nahrwold D L

出版信息

Surgery. 1977 Nov;82(5):680-4.

PMID:918855
Abstract

The effect of isoproterenol on pancreatic secretion stimulated by the octapeptide of cholecystokinin (OP-CCK) was studied in dogs with gastric and pancreatic fistulas. Special precautions were taken to prevent entry of gastric acid into the duodenum and reflux of duodenal content into the stomach. OP-CCK increased volume and the outputs of bicarbonate and protein from the pancreas. Isoproterenol inhibited these pancreatic responses to OP-CCK, and the degree of inhibition was dose related. Propranolol blocked the inhibitory action of isoproterenol completely. Analysis of data by Michaelis-Menten kinetics revealed that there was competitive inhibition of protein output with noncompetitive inhibition of bicarbonate output. The experiments show that isoproterenol inhibits OP-CCK--stimulated pancreatic secretion by a beta-adrenergic mechanism. The kinetic analysis suggests that the intimate mechanisms involved in inhibition of protein and bicarbonate output by isoproterenol are different.

摘要

在有胃瘘和胰瘘的犬身上,研究了异丙肾上腺素对胆囊收缩素八肽(OP - CCK)刺激胰腺分泌的影响。采取了特殊预防措施以防止胃酸进入十二指肠以及十二指肠内容物反流至胃内。OP - CCK可增加胰腺的分泌量以及碳酸氢盐和蛋白质的分泌量。异丙肾上腺素抑制了胰腺对OP - CCK的这些反应,且抑制程度与剂量相关。普萘洛尔可完全阻断异丙肾上腺素的抑制作用。通过米氏动力学对数据进行分析表明,存在对蛋白质分泌的竞争性抑制以及对碳酸氢盐分泌的非竞争性抑制。实验表明,异丙肾上腺素通过β - 肾上腺素能机制抑制OP - CCK刺激的胰腺分泌。动力学分析提示,异丙肾上腺素抑制蛋白质和碳酸氢盐分泌所涉及的具体机制有所不同。

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