Mesh : Pancreas / enzymology Dogs Humans Animals Butyrylcholinesterase / metabolism Feedback, Physiological Models, Biological Pancreatitis Vagus Nerve / physiology

来  源:   DOI:10.1097/MD.0000000000038802   PDF(Pubmed)

Abstract:
OBJECTIVE: To develop a model that describes how the pancreas functions, how the rate of synthesis of digestive enzymes is regulated, and finally what puts the pancreas to rest between meals.
METHODS: We applied the principals of control theory to previously published canine data to develop a model for how the canine pancreas functions. Using this model, we then describe the steps needed to apply this model to the human pancreas.
RESULTS: This new closed-loop negative feedback model describes what regulates digestive enzyme synthesis. This model is based on basolateral exocytosis of butyrylcholinesterase (BCHE) into the interstitial space. It is this level of BCHE * BCHE activity that controls the rate of canine pancreas digestive enzyme synthesis, and in the absence of stimulation from the vagus nerve, puts the pancreas to rest between meals.
CONCLUSIONS: Finding secretagogue-specific inhibitory enzymes in the human pancreas that are analogous to BCHE in the canine, and blocking its associated receptors, may lead to a cure for human pancreatitis.
摘要:
目的:建立一个描述胰腺功能的模型,消化酶的合成速率是如何调节的,最后是什么让胰腺在两餐之间休息。
方法:我们将控制理论的原理应用于先前发表的犬科动物数据,以建立犬科动物胰腺功能的模型。使用这个模型,然后,我们描述了将该模型应用于人类胰腺所需的步骤。
结果:这种新的闭环负反馈模型描述了什么调节消化酶合成。该模型基于丁酰胆碱酯酶(BCHE)向间质空间的基底外侧胞吐作用。正是这种BCHE*BCHE活性水平控制了犬胰腺消化酶合成的速率,在没有迷走神经刺激的情况下,让胰腺在两餐之间休息。
结论:在人类胰腺中发现类似于犬BCHE的促分泌素特异性抑制酶,并阻断其相关受体,可能会导致人类胰腺炎的治愈。
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