Beales I, Blaser M J, Srinivasan S, Calam J, Pérez-Pérez G I, Yamada T, Scheiman J, Post L, Del Valle J
Department of Medicine, Royal Postgraduate Medical School, London, England.
Gastroenterology. 1997 Aug;113(2):465-71. doi: 10.1053/gast.1997.v113.pm9247465.
BACKGROUND & AIMS: The pathophysiology of hypergastrinemia in Helicobacter pylori infection is undefined, but the infected antrum shows a marked inflammatory response with local production of cytokines. Hypergastrinemia and inflammatory infiltrate clear with successful eradication. The aim of this study was to examine whether the cytokines tumor necrosis factor alpha or interleukin 8 (IL-8), which are produced in the gastric mucosa of patients with H. pylori-induced peptic disease or H. pylori products, can stimulate gastrin release from isolated cultured canine G cells.
Canine G cells were isolated by collagenase digestion, enriched by centrifugal elutriation, incubated with cytokines, bacterial components, or both, and gastrin release was measured by radioimmunoassay.
IL-8 (1 and 10 nmol/L) stimulated gastrin release by 34% +/- 13% and 43% +/- 23% (P < 0.05) above basal, respectively. H. pylori sonicates, water extract preparations, and lipopolysaccharide had no stimulatory actions, but the sonicates from two of four strains potentiated the effects of IL-8, leading to maximal gastrin release of 230% +/- 130% and 232% +/- 33% above basal, respectively (P < 0.05).
IL-8 stimulated gastrin release from isolated G cells, and the effect was potentiated by H. pylori products. The interaction of cytokines and H. pylori may contribute to the hypergastrinemia seen in vivo.
幽门螺杆菌感染导致高胃泌素血症的病理生理学机制尚不清楚,但感染的胃窦显示出明显的炎症反应并伴有局部细胞因子产生。成功根除幽门螺杆菌后,高胃泌素血症和炎症浸润会消退。本研究的目的是检测肿瘤坏死因子α或白细胞介素8(IL-8)这两种细胞因子,它们在幽门螺杆菌诱导的消化性疾病患者的胃黏膜中产生或由幽门螺杆菌产物产生,是否能刺激分离培养的犬G细胞释放胃泌素。
通过胶原酶消化分离犬G细胞,经离心淘析富集,与细胞因子、细菌成分或两者共同孵育,并用放射免疫分析法测定胃泌素释放量。
IL-8(1和10 nmol/L)分别使胃泌素释放量比基础值增加34%±13%和43%±23%(P<0.05)。幽门螺杆菌超声裂解物、水提取物制剂和脂多糖无刺激作用,但四株菌株中有两株的超声裂解物增强了IL-8的作用,分别导致胃泌素释放量比基础值最大增加230%±130%和232%±33%(P<0.05)。
IL-8刺激分离的G细胞释放胃泌素,且幽门螺杆菌产物可增强该作用。细胞因子与幽门螺杆菌的相互作用可能导致体内出现高胃泌素血症。