alpha-chymotrypsin and Duodenal-Diseases

The effect of intraluminal bile on the well-known feedback regulatory mechanism of exocrine pancreatic secretion exerted by intraluminal trypsin was investigated in conscious rats with pancreatic, biliary and duodenal fistulae. The stimulated pancreatic enzyme secretion caused by diversion of bile-pancreatic juice from the intestine was apparently suppressed by intraduodenal reintroduction of pancreatic juice or bile-pancreatic juice, while it was slightly suppressed by intraduodenal reintroduction of bile. Although additional reintroduction of bile did not alter the already suppressed pancreatic enzyme secretion by the presence of pancreatic juice in the intestine, diversion of bile stimulated the suppressed pancreatic enzyme secretion by intraluminal bile-pancreatic juice. Infusion of sodium taurocholate into the duodenum with diversion of bile-pancreatic juice effectively inhibited pancreatic enzyme secretion. The inhibitory effect seemed to be dependent on the concentration of taurocholate infused into the duodenum. The results suggest that bile and bile acid have an important role in the feedback regulatory mechanism of pancreatic enzyme secretion, at least partly directly inhibiting the secretion.

Topics: Amylases; Animals; Bile; Bile Acids and Salts; Biliary Fistula; Chymotrypsin; Duodenal Diseases; Feedback; Intestinal Fistula; Male; Pancreas; Pancreatic Fistula; Pancreatic Juice; Proteins; Rats; Rats, Inbred Strains; Taurocholic Acid; Time Factors

Topics: Amylases; Bicarbonates; Bile Pigments; Blood Glucose; Blood Protein Electrophoresis; Chymotrypsin; Duodenal Diseases; Humans; Lipase; Pancreatic Diseases; Pancreatic Ducts; Pancreatic Juice; Pancreatic Neoplasms; Pancreatitis; Stomach Diseases; Trypsin