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Effect of Intraduodenal and Intravenous Amino Acids on Proximal Gastric Motor Function in Man

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Abstract

The present study was performed to investigate the effect of amino acids during the intestinal and postabsorptive phase of digestion on proximal gastric motor function measured with an electronic barostat. Eight healthy volunteers participated in three experiments performed during continuous infusion of: (1) intravenous and intraduodenal saline, (2) intraduodenal amino acids, and (3) intravenous amino acids. Both intraduodenal and intravenous amino acids induced gastric relaxation and increased gastric compliance. Only during intraduodenal amino acids did plasma CCK levels increase significantly. Correlation between intragastric volume measurements (with pressure set at MDP + 2 mm Hg) and plasma CCK levels was 0.90 (P < 0.001) during the early intestinal phase. Relaxation of the proximal stomach is related to plasma CCK in the early intestinal phase, whereas in the postabsorptive phase of amino acids other mechanisms play a role in proximal gastric relaxation.

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REFERENCES

  1. Azpiroz F, Malagelada JR: Gastric tone measured by an electronic barostat in health and postsurgical gastroparesis. Gastroenterology 92:934–943, 1987

    Google Scholar 

  2. Moragas G, Azpiroz F, Pavia J, Malagelada JR: Relations among intragastric pressure, postcibal perception, and gastric emptying. Am J Physiol 264:G1112–G1117, 1993

    Google Scholar 

  3. Azpiroz F, Malagelada JR: Intestinal control of gastric tone. Am J Physiol 249:G501–G509, 1985

    Google Scholar 

  4. Undeland KA, Hausken T, Gilja OH, Ropert R, Galmiche JP, Berstad A: Gastric relaxation in response to a soup meal in healthy subjects: A study using a barostat in the proximal stomach. Scand J Gastroenterol 30:1069–1076, 1995

    Google Scholar 

  5. Straathof JW, Mearadji B, Lamers CBHW, Masclee AAM: Effect of cholecystokinin on proximal gastric motor function in man. Am J Physiol 274:G939–G944, 1998

    Google Scholar 

  6. Meulemans AL, Wellens AL, Schuurkes JA: Gastric secretion but not nitric oxide is involved in pentagastrin-induced gastric relaxation in conscious dogs.Neugastroenterol Motil 9:49–54, 1997

    Google Scholar 

  7. Taylor IL, Byrne WJ, Christie DL, Ament ME, Walsh JH: Effect of individual L-amino acids on gastric acid secretion and serum gastrin and pancreatic polypeptide release in humans. Gastroenterology 83:273–278, 1982

    Google Scholar 

  8. Lam WF, Masclee AAM, Muller ESM, Lamers CBHW: Effect of hyperglycemia on gastric acid secretion and gastrin release induced by intravenous amino acids. Am J Clin Nutr 61:1268–1272, 1995

    Google Scholar 

  9. McArthur KE, Isenberg JI, Hogan DL, Dreier SJ: Intravenous infusion of L-isomers of phenylalanine and tryptophan stimulate gastric acid secretion at physiologic plasma concentrations in normal subjects and after parietal cell vagotomy. J Clin Invest 71:1254–1262, 1983

    Google Scholar 

  10. Konturek SJ, Tasler J, Cieszkowski M, Jaworek J, Konturek J: Intravenous amino acids and fat stimulate pancreatic secretion. Am J Physiol 236:E678–E684, 1979

    Google Scholar 

  11. Nealon WH, Upp JR, Jr, Alexander RW, Gomez G, Townsend CM Jr, Thompson JC: Intravenous amino acids stimulate human gallbladder emptying and hormone release. Am J Physiol 259:G173–G178, 1990

    Google Scholar 

  12. De Boer SY, Masclee AAM, Lam WF, Jansen JBMJ, Lamers CBHW: Effect of intravenous glucose on intravenous amino acid-induced gallbladder contraction and CCK secretion. Dig Dis Sci 39:268–274, 1994

    Google Scholar 

  13. Gielkens HA, De Boer SY, Lam WF, Rovati LC, Lamers CB, Masclee AA: The role of cholecystokinin and the cholinergic system in intravenous amino acid-induced gallbladder emptying. Eur J Gastroenterol Hepatol 9:1227–1231, 1997

    Google Scholar 

  14. Bursztein-De Myttenaere S, Gil KM, Heymsfield SB, Furst P, Askanasi J, D'Atellis N, Elwyn DH: Gastric emptying in humans: influence of different regimens of parenteral nutrition. Am J Clin Nutr 60:244–248, 1994

    Google Scholar 

  15. Gielkens HAJ, van den Biggelaar A, Vecht J, Onkenhout W, Lamers CBHW, Masclee AAM: Effect of intravenous amino acids on interdigestive antroduodenal motility and small bowel transit time. Gut 44:240–245, 1999

    Google Scholar 

  16. Pijl H, Koppeschaar HP, Cohen AF, Iestra JA, Schoemaker HC, Frölich M, Onkenhout W, Meinders AE: Evidence for brain serotonin-mediated control of carbohydrate consumption in normal weight and obese humans. Int J Obes Relat Metab Disord 17:513–520, 1993

    Google Scholar 

  17. Jansen JBMJ, Lamers CBHW: Radioimmunoassay of cholecystokinin in human tissue and plasma. Clin Chim Acta 131:305–316, 1983

    Google Scholar 

  18. Jansen JBMJ, Lamers CBHW: Effect of changes in serum calcium on secretin-stimulated serum gastrin in patients with Zollinger-Ellison syndrome. Gastroenterology 83:173–178, 1982

    Google Scholar 

  19. Thimister PWL, Hopman WP, Sloots CE, Rosenbusch G, Willems HL, Trÿbels FJ, Jansen JBMJ: Role of intraduodenal proteases in plasma cholecystokinin and pancreaticobiliary responses to protein and amino acids. Gastroenterology 110:567–575, 1996

    Google Scholar 

  20. Himeno S, Tarui S, Kanayama S, Kuroshima T, Shinomura Y, Hayashi C, Tateishi K, Imagawa K: Plasma cholecystokinin responses after ingestion of liquid meal and intraduodenal infusion of fat, amino acids, or hydrochloric acid in man: Analysis with region specific radioimmunoassay. Am J Gastroenterol 78:703–707, 1983

    Google Scholar 

  21. Gielkens HA, Lamers CB, Masclee AA: Effect of amino acids on lower esophageal sphincter characteristics and gastroesophageal reflux in humans. Dig Dis Sci 43:840–846, 1998

    Google Scholar 

  22. Psaila JV, Wheeler MH, Bradley D, Newcombe R: Effect of an intravenous infusion of aminoacids (Aminoplex 14) on gastric secretion in healthy subjects and patients with duodenal ulcers. Ann Surg 194:18–22, 1981

    Google Scholar 

  23. Allescher HD, Daniel EE: Role of NO in pyloric, antral, and duodenal motility and its interaction with other inhibitory mediators. Dig Dis Sci 39(suppl):73S–75S, 1994

    Google Scholar 

  24. Konturek JW, Thor P, Domschke W: Effects of nitric oxide on antral motility and gastric emptying in humans. Eur J Gastroenterol Hepatol 7:97–102, 1995

    Google Scholar 

  25. Barbier AJ, Lefebvre RA: Involvement of the L-arginine: Nitric oxide pathway in nonadrenergic noncholinergic relaxation of the cat gastric fundus. J Pharmacol Exp Ther 266:172–178, 1993

    Google Scholar 

  26. Desai KM, Sessa WC, Vane JR: Involvement of nitric oxide in the reflex relaxation of the stomach to accommodate food or fluid. Nature 351:477–479, 1991

    Google Scholar 

  27. Snape WJ Jr, Yoo S: Effect of amino acids on isolated colonic smooth muscle from the rabbit. J Pharmacol Exp Ther 235:690–695, 1985

    Google Scholar 

  28. Huizinga JD: The effect of amino acids on intestinal smooth muscle related to their content in blood and tissue. Eur J Pharmacol 67:91–95, 1980

    Google Scholar 

  29. Gielkens HAJ, Penning C, van den Biggelaar A, Onkenhout W, Lamers CBHW, Masclee AAM: Effect of intravenous amino acids on satiety in humans. JPEN 23:56–60, 1999

    Google Scholar 

  30. Distrutti E, Azpiroz F, Soldevilla A, Malagelada JR: Gastric wall tension determines perception of gastric distention. Gastroenterology 116:1035–1042, 1999

    Google Scholar 

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Mearadji, B., Masclee, A., Onkenhout, W. et al. Effect of Intraduodenal and Intravenous Amino Acids on Proximal Gastric Motor Function in Man. Dig Dis Sci 46, 38–45 (2001). https://doi.org/10.1023/A:1005649506525

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