Ihse I, Lilja P, Lundquist I
Scand J Gastroenterol. 1979;14(7):873-80. doi: 10.3109/00365527909181419.
The effect of intraduodenally administered trypsin on pancreatic exocrine secretion was investigated in conscious rats surgically prepared with bile--pancreatic fistulae. Introduction of NaHCO3 into the duodenum did not influence pancreatic secretion. Reintroduction of bile--pancreatic juice into the duodenum, however, suppressed pancreatic protein output, mainly because of changes in protein concentration. Infusion of trypsin into the duodenum in the absence of intraluminal pancreatic juice significantly suppressed the secretory volume and pancreatic enzyme output; addition of trypsin inhibitor to the trypsin infusion resulted in an immediate increase of pancreatic secretion. Trypsin inhibitor per se, however, was without effect. Bile--pancreatic juice affected amylase, kipase, and trypsinogen output in a parallel fashion; after addition of trypsin inhibitor to the infusion the inhibitory effects on pancreatic enzyme output was reversed in a parallel manner. The results support the hypothesis that pancreatic exocrine secretion is regulated by a feedback mechanism exerted--at least partly--by intraluminal trypsin.
在通过手术制备了胆胰瘘的清醒大鼠中,研究了十二指肠内注射胰蛋白酶对胰腺外分泌的影响。向十二指肠内注入碳酸氢钠对胰腺分泌没有影响。然而,将胆胰液重新注入十二指肠会抑制胰腺蛋白质分泌量,主要是由于蛋白质浓度的变化。在管腔内不存在胰液的情况下向十二指肠内注入胰蛋白酶,会显著抑制分泌量和胰腺酶的分泌;在注入胰蛋白酶时添加胰蛋白酶抑制剂会使胰腺分泌立即增加。然而,胰蛋白酶抑制剂本身没有作用。胆胰液对淀粉酶、脂肪酶和胰蛋白酶原的分泌有类似的影响;在注入液中添加胰蛋白酶抑制剂后,对胰腺酶分泌的抑制作用也以类似的方式被逆转。这些结果支持了这样一种假说,即胰腺外分泌至少部分受管腔内胰蛋白酶发挥的反馈机制调节。