Neural and hormonal mechanisms mediate the enterogastric reflex: A study in intestinal transplants in rats

Susan Orloff, Nigel W. Bunnett, Helen Wong, John H. Walsh, Haile T. Debas

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

To determine the relative contributions of neural reflexes and intestinal hormones to the inhibition of gastric acid secretion by intestinal fat, rats with an extrinsically denervated, transplanted segment of jejunum and those with an innervated segment of jejunum were studied. Postoperatively, meal-stimulated gastric acid secretion was measured by extragastric titration. When secretion reached a plateau, graded doses of oleic acid or saline were instilled into the jejunal segments. In both groups, acid secretion was inhibited by intrajejunal fat but not saline. At doses of 0.4 and 0.08 mmol oleic acid, there was a 25% and 17% greater maximal inhibition of plateau acid response in the innervated rats than in the transplanted rats, presumably because of the neural contribution. To examine the hormonal mediators, the effects of a somatostatin monoclonal antibody and a cholecystokinin A receptor antagonist (L-364,718) on fat-induced inhibition of gastric acid secretion were studied in transplanted rats. Treatment of the patients with transplants with a somatostatin monoclonal antibody (2.18 mg IV) or L-364,718 (1 mg/kg IV) reduced the fat-induced inhibition of acid secretion by 95% and 28%, respectively. In conclusion, both neural and hormonal mechanisms mediate fat-induced inhibition of gastric acid secretion, with the hormonal mechanism predominating. Somatostatin, and to a lesser extent cholecystokinin, contribute to the hormonal mechanism.

Original languageEnglish (US)
Pages (from-to)734-742
Number of pages9
JournalGastroenterology
Volume101
Issue number3
StatePublished - 1991
Externally publishedYes

Fingerprint

Gastric Acid
Reflex
Fats
Transplants
Somatostatin
Devazepide
Jejunum
Oleic Acid
Acids
Monoclonal Antibodies
Cholecystokinin A Receptor
Intestinal Secretions
Gastrointestinal Hormones
Cholecystokinin
Meals
Inhibition (Psychology)
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Neural and hormonal mechanisms mediate the enterogastric reflex : A study in intestinal transplants in rats. / Orloff, Susan; Bunnett, Nigel W.; Wong, Helen; Walsh, John H.; Debas, Haile T.

In: Gastroenterology, Vol. 101, No. 3, 1991, p. 734-742.

Research output: Contribution to journalArticle

Orloff, Susan ; Bunnett, Nigel W. ; Wong, Helen ; Walsh, John H. ; Debas, Haile T. / Neural and hormonal mechanisms mediate the enterogastric reflex : A study in intestinal transplants in rats. In: Gastroenterology. 1991 ; Vol. 101, No. 3. pp. 734-742.
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