Mercer D W, Cross J M, Castaneda A A, Gunter J A
Department of Surgery, University of Texas-Houston Medical School 77030, USA.
Surgery. 1998 Nov;124(5):864-70.
Bombesin and dopamine prevent gastric injury by an unknown mechanism. Sensory neurons and endogenous prostaglandins play an important role in gastric mucosal defense. This study was designed to assess the role of these two local defense mechanisms in bombesin and dopamine-induced gastroprotection, as well as mild irritant-induced adaptive cytoprotection.
Conscious, fasted rats were given either capsaicin (125 mg/kg subcutaneously) to ablate sensory neurons or indomethacin (5 mg/kg intraperitoneally) to inhibit prostaglandin synthesis, 2 weeks and 30 minutes, respectively, before administration of bombesin (100 micrograms/kg subcutaneously), the dopamine precursor L-DOPA (25 mg/kg intraperitoneally), or the mild irritant 25% ethanol (1 mL orogastric). A 1-mL orogastric bolus of acidified ethanol (150 mmol/L HCl/50% ethanol) was given 30 minutes after pretreatment with these peptides and 15 minutes after administration of the mild irritant. Rats were killed 5 minutes later and the total area of macroscopic gastric injury quantified.
Ablation of sensory neurons with capsaicin negated the protective actions of bombesin but failed to reverse gastroprotection by L-DOPA or 25% ethanol. Cyclooxygenase inhibition with indomethacin partially reversed bombesin and mild irritant-induced gastroprotection but did not diminish the protective actions of L-DOPA.
Bombesin requires intact sensory neurons to exert its protective actions through a mechanism mediated, at least in part, by endogenous prostaglandins. Adaptive cytoprotection by the mild irritant 25% ethanol requires the presence of endogenous prostaglandins but not sensory neurons. L-DOPA-induced gastroprotection is independent of both local defense mechanisms.
蛙皮素和多巴胺通过未知机制预防胃损伤。感觉神经元和内源性前列腺素在胃黏膜防御中起重要作用。本研究旨在评估这两种局部防御机制在蛙皮素和多巴胺诱导的胃保护作用以及轻度刺激物诱导的适应性细胞保护作用中的作用。
清醒禁食大鼠分别在给予蛙皮素(100微克/千克皮下注射)、多巴胺前体L-多巴(25毫克/千克腹腔注射)或轻度刺激物25%乙醇(1毫升经口胃内给药)前2周和30分钟,给予辣椒素(125毫克/千克皮下注射)以消融感觉神经元或吲哚美辛(5毫克/千克腹腔注射)以抑制前列腺素合成。在用这些肽预处理后30分钟以及给予轻度刺激物后15分钟,经口胃内给予1毫升酸化乙醇(150毫摩尔/升盐酸/50%乙醇)。5分钟后处死大鼠,对宏观胃损伤的总面积进行量化。
用辣椒素消融感觉神经元消除了蛙皮素的保护作用,但未能逆转L-多巴或25%乙醇的胃保护作用。用吲哚美辛抑制环氧化酶部分逆转了蛙皮素和轻度刺激物诱导的胃保护作用,但并未削弱L-多巴的保护作用。
蛙皮素需要完整的感觉神经元通过至少部分由内源性前列腺素介导的机制发挥其保护作用。轻度刺激物25%乙醇诱导的适应性细胞保护需要内源性前列腺素的存在,但不需要感觉神经元。L-多巴诱导的胃保护作用与这两种局部防御机制均无关。