Effect of Parietal Cell Vagotomy and Cholinergic Blockade on Gastrin Release in Man Induced by Gastrin-Releasing Peptide

Autor: Göran Lindstedt, Lars Olbe, L. Lundell, M. Sjövall
Rok vydání: 1990
Předmět:
Zdroj: Digestion. 46:114-120
ISSN: 1421-9867
0012-2823
DOI: 10.1159/000200340
Popis: The influence of cholinergic blockade as well as vagal denervation of the oxyntic gland mucosa on the gastrin response to gastrin-releasing peptide (GRP) have been studied in patients with duodenal ulcer disease. The gastric luminal content was neutralized during the experiments. GRP induced a substantial increase in gastrin levels with a peak response already after 15 min of infusion. Vagal denervation of the parietal cell area induced a significant increase in basal gastrin concentrations and a significant enhancement of the GRP response. Two different doses of benzilonium bromide were studied and neither influenced the basal concentrations of gastrin. A significantly increased gastrin response to GRP was, however, observed after administration of both a high and a very low dose of the anticholinergic drug. Our results delineate a vagal, noncholinergic inhibitory influence on the basal gastrin release. In addition a vagally dependent oxyntopyloric mechanism inhibits the gastrin release stimulated by GRP. This inhibitory mechanism may hypothetically be a cholinergic reflex mechanism.
Databáze: OpenAIRE