Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: EC:3.4.21.1 (chymotrypsin)
10,938 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We have studied in seven men, consuming less than 50 g alcohol daily, the effect of intravenous (i.v.) ethanol on (a) hormonally (secretin + CCK PZ) submaximally stimulated pancreatic secretion and (b) blood levels of pancreatic polypeptide (PP), vasoactive intestinal peptide (VIP) and somatostatin. After intravenous ethanol (600 mg/kg), pancreatic secretion decreased in all subjects and plasma levels of PP and VIP increased significantly. Moreover, there was a significant correlation between the mean inhibition of chymotrypsin output and the mean increase in PP plasma levels during the first 45 min following ethanol infusion. Therefore i.v. infusion of alcohol elicits release of PP and VIP and PP release could explain in part at least the alcohol-induced pancreatic inhibition observed in non-alcoholic men.
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PMID:Relationship between intravenous ethanol, alcohol-induced inhibition of pancreatic secretion and plasma concentration of immunoreactive pancreatic polypeptide, vasoactive intestinal peptide, and somatostatin in man. 611 82

A simple and specific method for the estimation of trypsin in human duodenal juice was described. The procedures are as follows: add 10 ul of undiluted sample, measure 2.0 ml of substrate solution of benzoylarginine p-nitroanilide (BAPNA) 0.5 mg/ml in a Tris buffer, incubate at 37 degrees C for 10 minutes, then terminate tryptic activity with 2.0 ml of 30% v/v acetic acid, and read absorbance at 410 nm by a spectrophotometer. Coexistence of bile pigments, chymotrypsin or elastase did not interfere the estimation of tryptic activity in duodenal juice. Reproducibility (both within- and between-assay variances less than 8%), recovery (mean of 100%) and stability of the enzyme activity after 3 weeks at -20 degrees C with glycerol (96% of the initial activity) were sufficient for clinical use. The amidase activity of trypsin estimated with BAPNA as substrate correlated well both to the esterase activity measured with p-toluenesulfonyl-L-arginine methyl ester (TAME) as substrate and to the immunoreactivity determined by radioimmunoassay in human duodenal juice. Good correlation between total outputs of amylase and trypsin were observed in 29 patients undergoing pancreozymin secretin test. The present assay technique will provide simple and reliable means of measuring trypsin in duodenal fluid and of mutual checks of the secretory capacity of pancreatic enzymes and will increase diagnostic accuracy of pancreozymin secretin test.
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PMID:A simple and specific determination of trypsin in human duodenal juice. 615 4

The effects of a small dose of somatostatin (0.025 mg/h) on the pancreatic secretion of bicarbonate, amylase, and chymotrypsin during stepwise increasing doses of secretin was examined in six healthy volunteers. The secretion of bicarbonate, amylase, and chymotrypsin in response to secretin was significantly reduced by somatostatin. Both output and concentration of pancreatic enzymes were reduced, whereas the concentration of bicarbonate remained unchanged. The pattern of inhibition suggests that somatostatin is a competitive inhibitor of secretin in the stimulation of pancreatic secretion of bicarbonate, which supports the hypothesis of a direct effect of somatostatin on the exocrine secretory cells of the pancreas. The pattern of inhibition of amylase and chymotrypsin secretion is different and difficult to interpret from the present study, but somatostatin may inhibit also the secretin stimulated pancreatic secretion of enzymes completely, as the inhibitory effect seemed to decline when larger doses of secretin were applied.
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PMID:A small dose of somatostatin inhibits the secretin stimulated secretion of bicarbonate, amylase, and chymotrypsin in man. 615 91

The ability of newborns to digest proteins, fats, and carbohydrates depends, to a large extent, on their level of exocrine pancreatic function. Building on the limited published data, we studied pancreatic enzyme activities in the duodenal fluid and the response of the exocrine pancreas to secretogogues in 15 premature and full-term infants at birth and at 30 days of age. We compared these findings to those obtained from identical studies of 17 children age 2 years and above. In addition, we measured the pancreatic exopeptidase, carboxypeptidase B, in relation to other pancreatic enzymes. The duodenal fluid of newborns and infants contained no amylase and negligible lipase. Carboxypeptidase B levels were also low compared to those in the older children. In contrast, chymotrypsin activity in infants was about 50% to 60% of level found in the older children. Trypsin activity, the highest of all the enzymes measured, was about the same in both newborns and older children, with a transient increase at 30 days. Administration of pancreozymin had no effect on pancreatic enzymes in the duodenal fluid of newborns and a slight effect on 1-month-old infants. But by age 2 years, a full response of the pancreas to pancreozymin was evident. In infants and newborns, responses to secretin were poor. Thus, the secretory response of the human pancreas to secretogogues, absent or minimal at birth, is acquired during the postnatal period.
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PMID:Development of functional responses in human exocrine pancreas. 615 67

In many ways diagnosis of pancreatic disorders in children is difficult. Since pancreatic parameters are age-dependent, reliable laboratory parameters are not easily established. Children are less likely than adults to endure tolerance tests and invasive test methods should therefore be used only in special situations. Estimation of chymotrypsin in faeces seems to be an earlier indicator of pancreatic insufficiency than the PABA-peptide-test. A secretin-pancreozymin test can only be advised for first diagnosis after screening has repeatedly indicated pathological values and malabsorption has more or less been ruled out. A threefold rise in serum amylase values - matched for age - suggests pancreatitis and sonography should then be applied to obtain further clarification.
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PMID:[Diagnosis of pancreatic diseases in childhood (author's transl)]. 616 3

The exocrine pancreatic secretion of water, bicarbonate, amylase, trypsin, chymotrypsin, and lipase and the plasma concentration of immunoreactive secretin (IRS) were studied before and after repeated intraduodenal infusions of cattle bile in man. After endoscopic cannulation of the main pancreatic duct, juice was collected in 5-min samples for 20 min. A solution of 6 g dried cattle bile in 60 ml water was then infused into the duodenum through a separate catheter attached to the outside of the duodenoscope. Juice was collected for another 20 min. After this period a solution of 6 g dried cattle bile in 40 ml water was infused into the duodenum, and juice again collected for 20 min. Blood was frequently drawn from an arm vein for estimation of plasma concentration of secretin by radioimmunoassay. Both bile infusions caused significant rises in flow rate, bicarbonate concentration and output, and IRS (p less than 0.05). Enzyme concentrations decreased significantly after intraduodenal bile infusions (p less than 0.05). Outputs of enzymes rose significantly after the first bile infusion; however, a rise after the second bile infusion was found only for amylase. Further, a significant decrease in amylase and lipase concentration was found after the second bile infusion. The findings indicate that the increase in proteolytic enzyme and lipase secretion was due to a washout phenomenon. The increase in the plasma concentration of secretin after repeated bile infusions, with a corresponding effect on flow rate and bicarbonate secretion, indicates that secretin may be the main factor responsible for the exocrine pancreatic secretion caused by intraduodenal bile infusions.
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PMID:Exocrine pancreatic secretion and immunoreactive secretin release after repeated intraduodenal infusions of bile in man. 616 67

Pancreozymin-secretin tests were carried out in children aged from 0,5 till 12 years by means of a two lumen tube of the Salem-Sump-type and a three lumen perfusion tube. For stimulation we used 2 U/kg of the hormones, each from BOOTs-Corp. Amylase was determined with dinitrosalicylic acid, lipase by titration of acidic equivalents after half hour incubation and trypsin and chymotrypsin with TAME and BTEE respectively. We used PEG 4000 as marker and quantified enzymes secretion as well as liquid secretion by it. We got up to 50% lower results by testing with the two lumen tube. If we are laying the perfusion tube we measured an elevation of the two lumen tube. If we are laying the perfusion tube we measured an elevation of the II-hydroxycorticoides. The concentration of the enzymes in the specimines before perfusion on 3 consecutive days fell by 90% on the average. We discussed some problems of the determination of enzymes and performing of the tests by means of the results.
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PMID:[Problems in the determination of pancreatic enzymes for the quantitative functional diagnosis of the pancreas in children]. 616 43

Venom from Gila monster (family Helodermatidae) contains a pancreatic secretagogue. In dispersed acini from guinea pig pancreas, the venom increased enzyme secretion to the same extent as did vasoactive intestinal peptide, secretin, or PHI. The abilities of vasoactive intestinal peptide and Gila monster venom to stimulate enzyme secretion were not altered by boiling but were abolished by incubation with trypsin or chymotrypsin. Like vasoactive intestinal peptide, secretin, and PHI, the venom caused a 50- to 60-fold increase in cellular cAMP and inhibited binding of 125I-vasoactive intestinal peptide to its membrane receptors on pancreatic acini. The action of venom on enzyme secretion was inhibited by [Gln9]secretin-(5-27), a vasoactive intestinal peptide receptor antagonist, but was not altered by atropine, a cholinergic receptor antagonist, or by dibutyryl cGMP, a cholecystokinin receptor antagonist. Gila monster venom contained no immunoreactive vasoactive intestinal peptide by radioimmunoassay. These results indicate that venom from Gila monster contains a peptide that can stimulate pancreatic enzyme secretion by interacting with vasoactive intestinal peptide receptors on pancreatic acinar cells and thereby activating adenylate cyclase and increasing cellular cAMP.
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PMID:Actions of Gila monster venom on dispersed acini from guinea pig pancreas. 617 52

This study examined the development of the pancreas during gestation and lactation in swine. Forty-two mated sows and 42 unmated controls were sacrificed after 30, 70, and 110 days of gestation; 7, 14, and 28 days of lactation; and 11 days after weaning. Their pancreas were excised, weighed, and fragments homogenized for evaluation of protein, amylase, chymotrypsin, RNA, and DNA contents. Data indicate that all these parameters were reduced at the end of the gestation period when compared with controls. During lactation, pancreatic weights, enzyme, protein, and RNA contents showed regular increases. DNA contents were significantly increased after weaning, an indication of pancreatic hyperplasia. A return to control values is not complete 11 days after weaning. These changes in the pancreas can be related to increased food intake during lactation and are probably mediated by the endogenous release of the gastrointestinal hormones cholecystokinin and secretin.
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PMID:Development of the pancreas during gestation and lactation in swine. 618 45

Five Beagle dogs, equipped with duodenal and gastric fistulae, were fed a standard diet before receiving the same diet supplemented with wheat bran for 1 month. Pancreatic secretory investigations performed in conscious animals before and 1 month after bran administration showed a significant parallel increase in the flow rate of pancreatic secretion and the outputs of bicarbonate and amylase both in basal and secretin-stimulated conditions. The outputs of protein and chymotrypsin increased only in unstimulated secretions, while the output of lipase was strongly reduced in response to secretin. However, the small intestinal mucosa was not affected by bran administration. Dietary fiber did not alter the height of the villi or the activity of sucrase, maltase and aminopeptidase in mucosal homogenates or isolated brush border membranes from intestinal biopsies. These data suggest that wheat bran supplemented to the standard diet affects the exocrine pancreatic secretion but not intestinal enzyme activities involved in the absorption of carbohydrates and proteins in the dog.
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PMID:Effects of wheat bran on the exocrine pancreas and the small intestinal mucosa in the dog. 620 61


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