Kachelhoffer J, Mendel C, Dauchel J, Hohmatter D, Grenier J F
Am J Dig Dis. 1976 Nov;21(11):957-62. doi: 10.1007/BF01071907.
The effects of VIP on intestinal motility were studied on isolated canine jejunal loops ex vivo perfused at normothermia, under pulsatile flow with heparinized, oxygenated and nonrecirculated canine whole blood, by means of an intraluminal balloon. VIP was administered intraarterially either by 1 min injections or by long-time infusions. The results showed that for arterial concentrations of the polypeptide ranging between 25 pg/ml and 300-500 pg/ml a fast but short-lasting relaxant effect was observed. For higher concentrations VIP usually produced a biphasic response: The relaxant effect is followed by an increase of the basal muscular tone often accompanied, for concentrations higher than about 25 ng/ml, by a marked and transient increase in amplitude of the intestinal rhythmic contractions. During long-time infusions a biphasic response was also observed but both effects were of short duration. A cholingeric origin of the secondary contracting phase was expected but could not be demonstrated because, at blood concentrations at which atropine affected the biphasic response, not only was the contractile effect abolished but also the initial relaxing phase. It is suggested that the secondary contraction may be a "rebound excitation" of myogenic nature or a result of noncholingeric excitatory fiber stimulations. The short-lasting relaxant effect observed under the present experimental conditions, even during long-time infusion of the polypeptide, fails to argue for an important physiological role of VIP as an hormonal inhibitor of intestinal motility. The biphasic response, however, might have a physiological significance in so far as the aboral propulsion of the intestinal content requires a muscular inhibition which rapidly changes to contraction.
采用腔内气囊法,在常温下,以肝素化、氧合且不循环的犬全血进行搏动灌注,对离体犬空肠肠袢研究血管活性肠肽(VIP)对肠道运动的影响。通过动脉内注射1分钟或长时间输注给予VIP。结果显示,当该多肽的动脉浓度在25 pg/ml至300 - 500 pg/ml之间时,观察到快速但持续时间短的舒张效应。对于更高浓度,VIP通常产生双相反应:舒张效应之后是基础肌张力增加,对于高于约25 ng/ml的浓度,常伴随肠道节律性收缩幅度显著且短暂增加。在长时间输注期间也观察到双相反应,但两种效应持续时间均较短。预期继发性收缩期起源于胆碱能,但未得到证实,因为在阿托品影响双相反应的血药浓度下,不仅收缩效应被消除,而且初始舒张期也被消除。提示继发性收缩可能是肌源性的“反弹兴奋”或非胆碱能兴奋性纤维刺激的结果。在本实验条件下观察到的短暂舒张效应,即使在长时间输注该多肽期间,也无法支持VIP作为肠道运动激素抑制剂的重要生理作用。然而,双相反应可能具有生理意义,因为肠内容物的向肛推进需要肌肉抑制,而这种抑制会迅速转变为收缩。