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Department of Medicine IV (Gastroenterology), University Hospital of Heidelberg at Mannheim, D-68167 Mannheim, Germany
In six conscious dogs with
gastric and duodenal cannulas, secretin (164 pmol · kg
1 · h
1 iv) was given to provide a
flow of pancreatic juice of ~1 drop/s. Amylase activity was measured
in each drop before and after rapid intravenous injection of caerulein
(7.4 pmol/kg) or intraduodenal injection of L-tryptophan (1 mmol), sodium oleate (3 mmol), and HCl (3 mmol). All experiments were
repeated in the presence of the M1 receptor antagonist telenzepine (81 nmol · kg
1 · h
iv) and the
cholecystokinin (CCK) receptor antagonist L-364718 (0.1 mg/kg iv).
Latency of amylase response (time between injection of stimulant and
sustained increase in amylase activity greater than mean + 3 SD of
prestimulatory activity) to tryptophan (17 ± 7 s;
n = 6) and oleate (16 ± 5 s) was
significantly (P < 0.05) shorter than to caerulein (28 ± 4 s) and HCl (120 ± 47 s). Telenzepine significantly
increased the latency of amylase response to tryptophan and oleate by
>10-fold but not the latency to caerulein or HCl. L-364718 abolished
the amylase response to all stimulants. These findings indicate that
the early amylase response to intraduodenal tryptophan and oleate is
mediated by a neural enteropancreatic reflex ending on M1 receptors
rather than by hormone release. However, the activation of (possibly
vagal) CCK receptors is essential to run the reflex. The early amylase
response to intraduodenal HCl is probably mediated by the release of
CCK into the blood circulation.
amylase secretion; dog; L-364718; telenzepine
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