Modulation of human upper intestinal nutrient transit by a beta adrenoreceptor mediated pathway.

Abstract:

:To explore the role played by beta adrenoreceptor mediated pathways on human upper gut function a series of studies were conducted into the effects of beta adrenoreceptor agonists and antagonists on orocaecal and duodenocaecal transit and on antral and duodenal motor activity. Under control conditions orocaecal transit was consistent within individuals (mean coefficient of variation (18.0%) but varied widely between individuals (median transit 63 minutes, range 33-164). Prior administration of the non-selective beta adrenergic antagonist propranolol consistently hastened orocaecal transit (median transit 51:25-93, v control p < 0.005). The selective beta-1 antagonist, atenolol, also hastened transit (median transit 50:35-93 minutes, v control p < 0.01). The magnitude of an individual's response to beta blockade correlated closely with the orocaecal transit (Tau = 0.54, p < 0.01). Duodenocaecal transit was also hastened by propranolol from control values of 66:45-107 minutes to 50:16-62 minutes, p < 0.025). In contrast neither duodenal nor antral motility were consistently altered by beta blockade. The beta adrenoreceptor agonist, isoprenaline, delayed both orocaecal transient (97:55-178 minutes, v control p < 0.005) and also duodenocaecal transit (160:45-215 minutes, v 73:40-133) (p < 0.025). Isoprenaline also reduced antral motility by an effect which appeared to occur predominantly through a reduction in contraction amplitude (from a median amplitude of 27:5.39 mm Hg to 14:3-24 mm Hg, p < 0.03) rather than an effect on the interval between contractions. No effect on either amplitude or frequency of duodenal motor activity was observed. A beta adrenoreceptor mediated pathway thus appears to exert a biologically relevant effect on gut function not only under conditions of sympathetic stimulation, but also at rest when a basal beta adrenergic tone appears to influence the speed of nutrient transit through the human upper gut.

journal_name

Gut

journal_title

Gut

authors

McIntyre AS,Thompson DG,Day S,Burnham WR,Walker ER

doi

10.1136/gut.33.8.1062

keywords:

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

1062-70

issue

8

eissn

0017-5749

issn

1468-3288

journal_volume

33

pub_type

临床试验,杂志文章

相关文献

GUT文献大全
  • DNA viruses in the pathogenesis of sporadic chronic idiopathic intestinal pseudo-obstruction.

    abstract:BACKGROUND:Hereditary forms of chronic idiopathic intestinal pseudo-obstruction (CIIP) are well described but the aetiology of most cases of sporadic CIIP is unknown. AIM:To determines whether herpes viruses can persist in the gastrointestinal tract, thereby implicating them in the pathogenesis of CIIP. METHODS:Twent...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.41.1.100

    authors: Debinski HS,Kamm MA,Talbot IC,Khan G,Kangro HO,Jeffries DJ

    更新日期:1997-07-01 00:00:00

  • Brain-derived neurotrophic factor contributes to abdominal pain in irritable bowel syndrome.

    abstract:OBJECTIVE:Brain-derived neurotrophic factor (BDNF), a member of the neurotrophin family, may play a critical role in many chronic pain conditions. The possible involvement of BDNF in the altered gut sensation in patients with irritable bowel syndrome (IBS) was investigated in the present study. METHODS:Rectosigmoid bi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-300265

    authors: Yu YB,Zuo XL,Zhao QJ,Chen FX,Yang J,Dong YY,Wang P,Li YQ

    更新日期:2012-05-01 00:00:00

  • Mucosal adaptation to indomethacin induced gastric damage in man--studies on morphology, blood flow, and prostaglandin E2 metabolism.

    abstract::The effect of 28 days' continuous administration of oral indomethacin on gastroduodenal morphology, gastric mucosal blood flow, and gastric mucosal prostaglandin E2 (PGE2) metabolism in man was studied to define further the mechanisms of mucosal injury induced by indomethacin. Indomethacin caused acute gastroduodenal ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.2.164

    authors: Shorrock CJ,Rees WD

    更新日期:1992-02-01 00:00:00

  • Spirochaetosis of the human rectum associated with an intraepithelial mast cell and IgE plasma cell response.

    abstract::In two patients presenting with mild intestinal symptoms, rectal spirochaetosis was the only morphological abnormality diagnosed by light microscopy. A re-evaluation of the morphological changes using electron microscopy and immunohistochemistry showed certain unusual features: the microorganisms were observed within ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.5.588

    authors: Gebbers JO,Ferguson DJ,Mason C,Kelly P,Jewell DP

    更新日期:1987-05-01 00:00:00

  • A mixed endocrine adrenal tumour causing steatorrhoea.

    abstract::A 60 year old man developed steatorrhoea, weight loss, mild diabetes mellitus, labile hypertension and limb cramps. Raised plasma concentrations of catecholamines, particularly noradrenaline and a computed tomography-scan showing an adrenal tumour strongly suggested a pheochromocytoma. Adrenoreceptor blockade reversed...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.10.1298

    authors: Thesleff P,Benoni C,Mårtensson H,Nilsson A,Sundler F,Akesson B

    更新日期:1987-10-01 00:00:00

  • Impact of common risk factors of fibrosis progression in chronic hepatitis C.

    abstract:OBJECTIVE:The natural course of chronic hepatitis C varies widely. To improve the profiling of patients at risk of developing advanced liver disease, we assessed the relative contribution of factors for liver fibrosis progression in hepatitis C. DESIGN:We analysed 1461 patients with chronic hepatitis C with an estimat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-306997

    authors: Rüeger S,Bochud PY,Dufour JF,Müllhaupt B,Semela D,Heim MH,Moradpour D,Cerny A,Malinverni R,Booth DR,Suppiah V,George J,Argiro L,Halfon P,Bourlière M,Talal AH,Jacobson IM,Patin E,Nalpas B,Poynard T,Pol S,Abel L,

    更新日期:2015-10-01 00:00:00

  • Decision analysis in the surgical treatment of patients with familial adenomatous polyposis: a Dutch-Scandinavian collaborative study including 659 patients.

    abstract:BACKGROUND AND AIMS:The choice of colorectal surgery in patients with familial adenomatous polyposis lies between the morbidity of proctocolectomy and ileum-pouch-anal anastomosis (IPAA) and the mortality from rectal cancer after total colectomy and ileorectal anastomosis (IRA). The aims of the present study were: (1) ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.49.2.231

    authors: Vasen HF,van Duijvendijk P,Buskens E,Bülow C,Björk J,Järvinen HJ,Bülow S

    更新日期:2001-08-01 00:00:00

  • Pressure and frequency dependent linkage between motility and epithelial secretion in human proximal small intestine.

    abstract:BACKGROUND:Motor disturbances are sometimes associated with diarrhoea by unknown mechanisms. AIM:To determine if there is a quantitative link between intestinal motility and epithelial secretion. SUBJECTS:Experiments were performed in 21 healthy volunteers and three patients with villus atrophy. METHODS:Duodenal and...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.3.376

    authors: Mellander A,Järbur K,Sjövall H

    更新日期:2000-03-01 00:00:00

  • Post-ERP pancreatitis as a model for cytokine induced acute phase response in acute pancreatitis.

    abstract:BACKGROUND/AIMS:By contrast with animal models, in most cases it is not possible to examine the systemic response in patients in the first hours after onset of acute pancreatitis. The aim was to determine whether endoscopic retrograde cholangiopancreaticography (ERP)-induced pancreatitis can be used as a human model fo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.1.80

    authors: Messmann H,Vogt W,Holstege A,Lock G,Heinisch A,von Fürstenberg A,Leser HG,Zirngibl H,Schölmerich J

    更新日期:1997-01-01 00:00:00

  • Wireless telemetering from the digestive tract.

    abstract::This paper describes the construction and use of "radio pills" which transmit changes in intraluminar pressure. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.1.3.266

    authors: CONNELL AM,ROWLANDS EN

    更新日期:1960-09-01 00:00:00

  • Iqgap3-Ras axis drives stem cell proliferation in the stomach corpus during homoeostasis and repair.

    abstract:OBJECTIVE:Tissue stem cells are central regulators of organ homoeostasis. We looked for a protein that is exclusively expressed and functionally involved in stem cell activity in rapidly proliferating isthmus stem cells in the stomach corpus. DESIGN:We uncovered the specific expression of Iqgap3 in proliferating isthm...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-322779

    authors: Matsuo J,Douchi D,Myint K,Mon NN,Yamamura A,Kohu K,Heng DL,Chen S,Mawan NA,Nuttonmanit N,Li Y,Srivastava S,Ho SWT,Lee NYS,Lee HK,Adachi M,Tamura A,Chen J,Yang H,Teh M,So JB,Yong WP,Tan P,Yeoh KG,Chuang LSH

    更新日期:2020-12-08 00:00:00

  • Cytokine gene polymorphisms in inflammatory bowel disease.

    abstract:BACKGROUND:Concordance rates in siblings and twins provide strong evidence that genetic susceptibility is important in the pathogenesis of inflammatory bowel disease. The number and identity of susceptibility genes is largely uncertain. Cytokine genes are attractive candidate loci. AIMS:To study allelic frequencies of...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.5.705

    authors: Louis E,Satsangi J,Roussomoustakaki M,Parkes M,Fanning G,Welsh K,Jewell D

    更新日期:1996-11-01 00:00:00

  • First pass metabolism of ethanol is strikingly influenced by the speed of gastric emptying.

    abstract:BACKGROUND:Ethanol undergoes a first pass metabolism (FPM) in the stomach and liver. Gastric FPM of ethanol primarily depends on the activity of gastric alcohol dehydrogenase (ADH). In addition, the speed of gastric emptying (GE) may modulate both gastric and hepatic FPM of ethanol. AIMS:To study the effect of modulat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.5.612

    authors: Oneta CM,Simanowski UA,Martinez M,Allali-Hassani A,Parés X,Homann N,Conradt C,Waldherr R,Fiehn W,Coutelle C,Seitz HK

    更新日期:1998-11-01 00:00:00

  • Histopathologist features predictive of diagnostic concordance at expert level among a large international sample of pathologists diagnosing Barrett's dysplasia using digital pathology.

    abstract:OBJECTIVE:Guidelines mandate expert pathology review of Barrett's oesophagus (BO) biopsies that reveal dysplasia, but there are no evidence-based standards to corroborate expert reviewer status. We investigated BO concordance rates and pathologist features predictive of diagnostic discordance. DESIGN:Pathologists (n=5...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2019-318985

    authors: van der Wel MJ,Coleman HG,Bergman JJGHM,Jansen M,Meijer SL,BOLERO working group.

    更新日期:2020-05-01 00:00:00

  • Calcium palmitate and alpha-palmitic acid in gallstones.

    abstract::Calcium palmitate occurred in 20% of the gallstones studied in this laboratory by x-ray diffraction and was the most important crystalline constituent after the different forms of cholesterol and calcium carbonate. Only one calculus contained alpha-palmitic acid. The gallstones came from America, England, Australia, S...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.7.618

    authors: Sutor DJ

    更新日期:1970-07-01 00:00:00

  • Extracorporeal lithotripsy of pancreatic stones in patients with chronic pancreatitis and pain: a prospective follow up study.

    abstract::Extracorporeal shock wave lithotripsy of pancreatic duct stones (largest stone 12 (SD) 6 mm) was performed in 24 patients with abdominal pain and a dilated duct system (main pancreatic duct 10 (3) mm). The procedure was well tolerated in all but two patients, who had a mild pancreatitic attack immediately after lithot...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.7.969

    authors: Sauerbruch T,Holl J,Sackmann M,Paumgartner G

    更新日期:1992-07-01 00:00:00

  • Glutathione peroxidase 7 has potential tumour suppressor functions that are silenced by location-specific methylation in oesophageal adenocarcinoma.

    abstract:OBJECTIVE:To investigate the potential tumour suppressor functions of glutathione peroxidase 7 (GPX7) and examine the interplay between epigenetic and genetic events in regulating its expression in oesophageal adenocarcinomas (OAC). DESIGN:In vitro and in vivo cell models were developed to investigate the biological a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-304612

    authors: Peng D,Hu T,Soutto M,Belkhiri A,Zaika A,El-Rifai W

    更新日期:2014-04-01 00:00:00

  • Gastritis due to spiral shaped bacteria other than Helicobacter pylori: clinical, histological, and ultrastructural findings.

    abstract::An intensive histological search for Helicobacter pylori in gastric biopsy specimens has led to the detection of other spiral shaped bacteria in the human gastric mucosa. The clinical and morphological findings of 39 cases (0.25% of all gastric biopsies performed in the observation period) are reported for 34 patients...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.2.137

    authors: Heilmann KL,Borchard F

    更新日期:1991-02-01 00:00:00

  • Analysis of circulating tumour DNA to monitor disease burden following colorectal cancer surgery.

    abstract:OBJECTIVE:To develop an affordable and robust pipeline for selection of patient-specific somatic structural variants (SSVs) being informative about radicality of the primary resection, response to adjuvant therapy, incipient recurrence and response to treatment performed in relation to diagnosis of recurrence. DESIGN:...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-308859

    authors: Reinert T,Schøler LV,Thomsen R,Tobiasen H,Vang S,Nordentoft I,Lamy P,Kannerup AS,Mortensen FV,Stribolt K,Hamilton-Dutoit S,Nielsen HJ,Laurberg S,Pallisgaard N,Pedersen JS,Ørntoft TF,Andersen CL

    更新日期:2016-04-01 00:00:00

  • Histological appearances of oesophagus, antrum and duodenum and their correlation with symptoms in patients with a duodenal ulcer.

    abstract::Clinical data and histology from the oesophagus, gastric antrum, and duodenum were collected from 36 patients undergoing surgery for duodenal ulcer. Gastritis was present in 94% of the patients (25% of atrophic type), oesophagitis in 72% and duodenitis in 39%. Abnormal biopsies were present from all three sites in 33%...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.1.95

    authors: Earlam RJ,Amerigo J,Kakavoulis T,Pollock DJ

    更新日期:1985-01-01 00:00:00

  • Prognosis and risk factors of metastasis in colorectal carcinoids: results of a nationwide registry over 15 years.

    abstract:BACKGROUND:Colorectal carcinoids are often described as low-grade malignant. However, no study has compared the survival between patients with colorectal carcinoids and those with carcinomas, in a large series. In addition, no global consensus has been established on the crucial determinants of metastasis in colorectal...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.2006.109157

    authors: Konishi T,Watanabe T,Kishimoto J,Kotake K,Muto T,Nagawa H,Japanese Society for Cancer of the Colon and Rectum.

    更新日期:2007-06-01 00:00:00

  • Card15 gene overexpression in mononuclear and epithelial cells of the inflamed Crohn's disease colon.

    abstract:BACKGROUND:Crohn's disease is one of the principal human chronic inflammatory bowel diseases. Although its aetiology is still unknown, its complex pathogenesis has environmental, immunological, and genetic determinants. CARD15 is the first susceptibility gene implicated in the predisposition to Crohn's disease and is k...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.6.840

    authors: Berrebi D,Maudinas R,Hugot JP,Chamaillard M,Chareyre F,De Lagausie P,Yang C,Desreumaux P,Giovannini M,Cézard JP,Zouali H,Emilie D,Peuchmaur M

    更新日期:2003-06-01 00:00:00

  • Effect of phospholipids and their molecular species on cholesterol solubility and nucleation in human and model biles.

    abstract::Much research in the pathophysiology of gall stones has been devoted to various molecular species of bile salts. Recent findings have shown the importance of phospholipids in biliary pathophysiology. In the present study the addition of increasing doses of egg lecithin to human and model biles progressively prolonged ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.1.110

    authors: Halpern Z,Moshkowitz M,Laufer H,Peled Y,Gilat T

    更新日期:1993-01-01 00:00:00

  • Measurement of vitamin D levels in inflammatory bowel disease patients reveals a subset of Crohn's disease patients with elevated 1,25-dihydroxyvitamin D and low bone mineral density.

    abstract:OBJECTIVES:Many patients with Crohn's disease (CD) have low bone mineral density (BMD) that may not be solely attributable to glucocorticoid use. We hypothesised that low BMD in patients with CD is associated with elevated circulating levels of the active form of vitamin D, 1,25-dihydroxyvitamin D (1,25(OH)(2)D). We fu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.036657

    authors: Abreu MT,Kantorovich V,Vasiliauskas EA,Gruntmanis U,Matuk R,Daigle K,Chen S,Zehnder D,Lin YC,Yang H,Hewison M,Adams JS

    更新日期:2004-08-01 00:00:00

  • Potentiation of TRPV4 signalling by histamine and serotonin: an important mechanism for visceral hypersensitivity.

    abstract:BACKGROUND:Although evidence points to a role for histamine and serotonin in visceral hypersensitivity, activation of calcium channels such as transient receptor potential vanilloid 4 (TRPV4) also causes visceral hypersensitivity. We hypothesised that TRPV4 is important for the generation of hypersensitivity, mediating...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2009.192567

    authors: Cenac N,Altier C,Motta JP,d'Aldebert E,Galeano S,Zamponi GW,Vergnolle N

    更新日期:2010-04-01 00:00:00

  • Activated eosinophils in adult coeliac disease: evidence for a local release of major basic protein.

    abstract::The eosinophil population is increased in the jejunal mucosa of patients with coeliac disease. Eosinophils may participate in the mucosal damage by releasing their granule components that have cytotoxic properties such as eosinophil cationic protein (ECP) and major basic protein (MBP). This study aimed to assess the p...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.9.1190

    authors: Colombel JF,Torpier G,Janin A,Klein O,Cortot A,Capron M

    更新日期:1992-09-01 00:00:00

  • Periampullary cyst: a surgically remediable cause of pancreatitis.

    abstract::We report two patients with periampullary cysts associated with recurrent attacks of acute pancreatitis. In both patients the diagnosis was made preoperatively by upper gastrointestinal endoscopy and ERCP, which was also useful in determining the relationship of the cysts to the biliary and pancreatic ductal systems. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.3.358

    authors: Kalvaria I,Bornman PC,Girdwood AH,Marks IN

    更新日期:1987-03-01 00:00:00

  • Biliary lipid output during three meals and an overnight fast. II. Effect of chenodeoxycholic acid treatment in gallstone subjects.

    abstract::Oral treatment with chenodeoxycholic acid causes dissolution of cholesterol gallstones in man. In order to determine the mechanism of this effect, we have measured 24-hour biliary lipid output, lipid composition of fasting gallbladder bile, and bile acid pool sizes before and during such treatment in six patients with...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.1.12

    authors: Northfield TC,LaRusso NF,Hofmann AF,Thistle JL

    更新日期:1975-01-01 00:00:00

  • Future needs for ERCP: incidence of conditions leading to bile duct obstruction and requirements for diagnostic and therapeutic biliary procedures.

    abstract::Although the development of endoscopic methods of treatment for biliary obstruction has proceeded rapidly in recent years, endoscopic retrograde cholangiopancreatographic (ERCP) services are patchily distributed. A recent survey by the British Society of Gastroenterology has shown that almost half the district general...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.10.1150

    authors: Gear MW,Dent NA,Colin-Jones DG,Lennard-Jones JH,Colley JR

    更新日期:1990-10-01 00:00:00

  • Ranitidine, diarrhoea, and lymphocytic colitis.

    abstract::A 69 year old woman developed chronic diarrhoea while being treated with ranitidine. Sigmoidoscopy was performed after six weeks and showed typical histological features of lymphocytic colitis. Ranitidine was withdrawn and the diarrhoea resolved. Eight months later, a 72 hour oral rechallenge period of ranitidine, was...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.5.708

    authors: Beaugerie L,Patey N,Brousse N

    更新日期:1995-11-01 00:00:00