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Biomedical subjects

M A Devaux

Publications and source records attributed to M A Devaux.

At least 37 records · Page 2Linked to original sources

Early increased pancreatic secretory capacity during alcohol adaptation in the dog.

Pancreatic secretion of bicarbonate and protein in response to graded secretin administration with and without concomitant 5 micrograms . kg-1 . h-1 atropine was examined in gastric and duodenal fistula dogs after 6 and 12 months of 2 g.kg-1.day-1 ethanol intake. Maximal responses of water and bicarbonate were significantly increased after 6 months of alcohol treatment compared with untreated animals, from 12.3 to 18.1 ml/10 min for volumes and from 1.76 to 2.63 meq/10 min for bicarbonate outputs. No further increase occurred during the following 6 months. The sensitivity to secretin was not changed, and the atropine dose did not affect the responses. The protein output in the untreated dogs was constant at 12.8 mg/10 min at all secretin doses and was reduced by 50% by concomitant atropine. Long-term administration of ethanol seemed to induce a dose-related increase of the protein response to secretin, the maximal output being 30.9 mg/10 min. The infused dose of atropine shifted the dose-response relationship to the right, thus making it more evident. Six months' alcohol treatment thus increased the secretory capacity of the pancreas in response to secretin. The increased volume and bicarbonate responses are best explained by the previously described neogenesis of ducts in alcohol-fed dogs. The increased protein response is assumedly due to the here-described appearance of acinar cell responsiveness to secretin.

Animals↗

Disappearance of an inhibitory factor of exocrine pancreas secretion in chronic alcoholic dogs.

In non-alcoholic dogs the exocrine pancreatic response to caerulein, but not to urecholine or secretin alone, was increased by atropine. This indicated a pancreatic inhibition triggered by the caerulein stimulation and blocked by atropine. The present aim was to examine whether atropine had a similar action on the caerulein-stimulated pancreatic secretion in dogs submitted to long-term alcohol feeding. Alcohol-fed dogs showed an increased volume and bicarbonate response to submaximal caerulein but a non-modified protein response as compared with the responses before alcohol adaptation. The elevated water and bicarbonate responses were not further enhanced by atropine, which, in contrast, enhanced the responses of normal dogs to such an extent as to equalize their responses with those of the treated dogs. Atropine, 5 micrograms X kg-1 X h-1, enhanced similar protein responses to submaximal caerulein more in normal than in alcohol-fed dogs, but with an eightfold higher atropine dose no enhance was produced in dogs alcohol-fed for 36 months. This dose of atropine still evoked a small and similar enhancement in the normal and 9-month-treated dogs. The enhancing action of atropine on caerulein-stimulated secretion, present in normal dogs, hence diminishes and finally disappears as a result of chronic alcohol feeding.

Alcoholism↗

Action of gastrointestinal hormones on the myoelectric activity of the sphincter of Oddi in living rabbit.

The aim of this work was to compare the action of gastrointestinal (GI) hormones on the myoelectrical activity of the sphincter of Oddi. Using an experimental design previously described, we studied the electrical activity of the sphincter of Oddi and compared the percentage variation in the number of spikes before and after injection of hormones. Increasing doses of the following hormones were injected i.v. at random: CCK, OP-CCK, caerulein, bombesin, gastrin, secretin and glucagon. CCK and caerulein (as previously found), and also bombesin, OP-CCK and gastrin increased the spikes activity of the sphincter of Oddi. Secretin had no effect and glucagon decreased this activity. There was no tachyphylaxis, but a good dose-effect relationship for each hormone. Compared on a molar basis caerulein is 8 times more effective than CCK and OP-CCK which in turn are more potent than bombesin. Gastrin acts only at pharmacological doses.

Ampulla of Vater↗

Response of the exocrine pancreas to graded doses of secretin in calcium-treated and normal dogs.

Persisting modifications induced by repeated intravenous calcium infusion (acute hypercalcaemia) were investigated in 6 Thomas fistula dogs: 4 controls and 4 calcium-treated dogs, two of which were studied as controls. (a) The pancreatic response to graded doses of synthetic secretin (water and bicarbonate outputs) was significantly reduced in calcium-treated dogs when compared with controls. As both the D50 for secretin-induced response increased, and the maximal secretory response decreased, if may be concluded that calcium treatment decreased the sensitivity of duct cells to secretin and reduced their secretory capacity. (b) A similar dose-response relationship was observed between secretin and pancreatic calcium outputs in controls and calcium-treated dogs. The secretin induced pancreatic calcium secretion was independent of protein secretion and latter not being modified by secretin. Thus it may be assumed that the secretory fluid calcium originated form a protein independent pool and had a dose-dependent relationship to secretin. (c) These results help to illuminate the aetiology of chronic pancreatitis induced by acute hypercalcaemia and by hyperparathyroidism.

Animals↗

In vivo effect of 13 Leu motilin on the electric activity of the rabbit sphincter of Oddi.

Myoelectrical activity of the sphincter of Oddi was studied in 15 anaesthetized and laparotomized male rabbits, before and after injection of various doses of 13 Leucine Motilin (13 L Motilin), a biological and structural analogue of natural motilin. It can be concluded that 13 L Motilin provoked an increase of the sphincter of Oddi spike activity with doses ranging from 0.1 to 1.6 x 10(-6) g/kg. This effect had begun one minute after the injection, reached its maximum at the second minute and lasted for fifteen minutes. The action of 13 L Motilin is dose-related between 0.2 and 0.6 x 10(-6).

Ampulla of Vater↗

Cholinergic secretory and inhibitory mechanisms in canine pancreatic secretion.

Dose-response relationships for pancreatic stimulants and the interactions by atropine were studied in conscious gastric and duodenal fistula dogs. Secretin, caerulein, and bethanechol, the two latter against background secretin, induced similar maximal secretions of water and bicarbonate, and maximal protein outputs with the two latter were not different. Actions of atropine differed according to type and dose of stimulant, dose of atropine, and secretory variable studied. In the dose interval of 10-40 microg x kg(-1) x h(-1), atropine suppressed the secretin-stimulated water and bicarbonate, but these or lower doses enhanced the response to submaximal caerulein. The secretion after 200 microg x kg(-1) x h(-1) or less bethanechol was unaffected by atropine, but the suppressed response to higher bethanechol doses was reversed and enhanced. These findings are compatible with the presence of one ductal secretory process sensitive to cholinergic influence in three ways: one secretory, partly atropine-sensitive, required for submaximal secretin's optimal action; one secretory, stimulated by bethanechol, and atropine-resistant; and one inhibitory, atropine-sensitive, triggered by caerulein (and high doses of bethanechol). Atropine at low doses inhibited the protein output by bethanechol but enhanced the submaximal caerulein response, which again indicates the presence of an inhibitory atropine-sensitive cholinergic principle. It is proposed that pancreatic polypeptide may be the mediator of this inhibition and that vasoactive intestinal polypeptide could be the mediator of the atropine-resistant cholinergic stimulation of water and bicarbonate secretion.

Animals↗

Dose-related inhibition of gastric secretion by intraduodenal trypsinogen in dogs.

It has been shown previously that trypsinogen and its activation peptide but not trypsin decreased gastric secretion. The purpose of this work was to study the dose-action relation between the intraduodenal infusion of trypsinogen and gastric secretion. Three dogs provided with gastric and duodenal Thomas fistulae were stimulated by continuous i.v. perfusion of porcine gastrin I-II (6 microgram kg-1 h-1). Pancreatic juice was diverted to the exterior and gastric secretion was collected. Upon reaching a gastric secretory plateau, porcine trypsinogen was infused intraduodenally at doses of 5, 10, 20, 40, 80 and 160 mg. Each test was continued for a further 60 min. Control was made with isotonic saline. There was a dose-related inhibition of the gastrin-stimulated gastric acid output. This inhibition reached a maximum of 50% with 40 mg of intraduodenal trypsinogen, showing no increase with higher doses.

Animals↗

[The effect of a synthetic anticholinergic agent, N-methyl hyoscine methyl sulfate, on the exocrine pancreatic secretion of the alert dog].

The inhibitory action of N-methyl hyoscine methyl sulphate (N-methyl scopolamine, an anticholinergic drug) has been studied on the exocrine pancreatic secretion stimulated by secretin + caerulein on the conscious dog provided with Thomas cannulae. The dose-response curve shows an "all or nothing" effect on protein secretion since 0.38 microgram/kg. The inhibition of water and bicarbonate secretion is only observed from 12 micrograms/kg. The inhibitory effect of this drug was much greater than that obtained with similar molar quantities of atropine and no central effect has been observed.

Animals↗

Action of cholecystokinin and caerulein on the rabbit sphincter of Oddi.

The action of cholecystokinin (CCK) and caerulein upon the rabbit sphincter of Oddi was investigated by electromyography, manometry and measuring of the flow. Intravenous injection of CCK resulted in a marked rise of the sphincter activity with a maximum at the 1st min and return to the basal level at the 10th min. Injection of increasing doses of hormone showed that the effect was proportional to the logarithm of the dose. The same results were obtained with caerulein. Parallely, CCK provoked a rise of the biliary pressure also proportional to the logarithm of the dose and a reduction to the biliary flow. The discrepancies between these results and some other experiments are discussed. It is concluded that, in the rabbit, CCK increases the activity of the sphincter of Oddi.

Ampulla of Vater↗

Electromyography of the sphincter of Oddi. Technic and experimental results in the rabbit: Effect of certain drugs.

Electromyographic activity of the sphincter of Oddi was recorded by means of bipolar suction electrodes applied to the rabbit, in which the sphincter of Oddi is easily identifiable and independent of the duodenal musculature. Seventy animals were investigated (20 in vitro and 50 in vivo). The bile duct was catheterized so that the pressure could be recorded. The sphincteric traces show basal activity consisting of bursts of 1-8 spike potentials which recur every 3-5 seconds on average and are accompanied by a transient rise in biliary pressure. The patterns are different from those recorded for the duodenum, the activity of which does not affect biliary pressure. On the basis of these findings, it can be asserted that the sphincter of Oddi plays a part in biliary flow apart from any duodenal muscular action. This method has made it possible to study the behavior of the sphincter of Oddi under the influence of certain physical agents or drugs. Within certain limits, the frequency and amplitude of the spike potentials increase with temperature and the rise in biliary perfusion pressure. Acetylcholine, prostigmin and morphine hydrochloride increase the frequency and amplitude of the spike potentials and shorten the resting intervals. Inhaled amyl nitrite and intravenous hexamethonium reduce electrical activity. The depressant effect of atropine is much less marked in the rabbit. Intravenous administration of alcohol results in a substantial increase in the electrical activity of the sphincter and in biliary pressure. This effect is reduced by vagotomy and suppressed by hexamethonium.

Acetylcholine↗

A comparison of alcoholic pancreatitis in rat and man.

Acute ethanol intoxication was studied in 38 Wistar rats, 18 on a balanced diet and 20 on a high fat diet, fed by gavage on 47% ethanol in a dosage of from 3 to 12 g/kg body weight daily for periods ranging from three to 16 days. No macroscopic changes in pancreas or liver were found in any of these animals. Histological changes (venous congestion of the pancreas, the liver, and the kidneys) were found in rats given 4 g or more per kilogram. The only difference between the findings in rats given a balanced diet and those given a high fat diet was the development of fatty livers in the latter group. Chronic ethanol intoxication was studied in 45 Wistar rats, on a balanced diet, which were given 20% ethanol freely for 20 to 30 months. More than half the animals developed pancreatic lesions very similar to those of human chronic pancreatitis. The pathological changes, in foci surrounded by normal pancreatic tissue, were a reduction in acini, duct multiplication (probably by neogenesis), protein plugs, sometimes calcified in the ducts and sclerosis. Samples of pancreatic juice from four animals exposed to ethanol contained significantly higher protein concentrations than samples taken from two control animals. Protein precipitates appeared spontaneously in the pancreatic juice of the animals exposed to ethanol, but not in that of the controls. These findings are very similar to those in alcoholic pancreatitis in man, which has thus been reproduced for the first time in experimental animals. Beta-cell adenomata of the islets of Langerhans were observed in four of the rats exposed to ethanol.

Acute Disease↗