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EARLY CHANGES IN PLASMA PANCREATIC
POLYPEPTIDE, SOMATOSTATIN, GASTRIN AND
MOTILIN LEVELS INDUCED BY H. CONTORTUS
INFECTION IN LAMB
C. Honde, J.A. Chayvialle, J.C. Cuber, Lionel Bueno
To cite this version:
EARLY CHANGES IN PLASMA PANCREATIC
POLYPEPTIDE,
SOMATOSTATIN,
GASTRIN
AND
MOTILIN LEVELS INDUCED
BY H. CONTORTUS INFECTION IN LAMB
C. HONDE J.A.
CHAYVIALLE
2
J.C.CUBER
3
L.BUENO
1
1. Station de
Pharmacologie-Toxicologie,
lNRA, 180 chemin de Tournefeuille, 31300 Toulouse, France. 2. Unité de Recherches dePhysio-Pathologie Digestive,
lNSERM U.45, Hôpital Edouart Herriot, 69734 Lyon Cédex2, France.3. INRA, Laboratoire de Physiologie de la Nutrition, Jouy-en!losas, France.
Résumé
VARIATIONS
PRÉCOCES
DES TENEURS PLASMATIQUES EN POLYPEPTIDEPANCRÉATIQUE,
SOMATOSTATINE ET GASTRINE LORS D’INFESTATION PAR H. CONTORTUS CHEZ L’AGNEAU.
-L’évolution des teneurs
plasmatiques
enpolypeptide pancréatique
(PP),
somatostatine(GH-RIH),
gastrine
et motiline a étéappréciée
chezl’agneau
à la suite d’une infestationexpérimentale
orale par 25 000 larves L3 de H. contortus. Ces modifications hormonales ont étécomparées
à celles obtenues à la suite de l’administration intraveineuse(IV)
d’extraitsantigéniques
de ces mêmes larves ou de versadultes. La
gastrinémie
plasmatique
esttriplée
pendant
la 1&dquo;’heure suivant l’infestation alors que la teneur au GH-RIH estaugmentée significativement
(P
<0,01)
seulement 180 minplus
tard etqu’au-cune modification de la teneur en PP ou de la motilinémie n’est constatée. La somatostatinémie est
également significativement
(P<0,01)
augmentée
60 et 120 minaprès l’injection
intraveineuse d’extraitsantigéniques
de larves ou d’adultes et la teneur en PP subit uneaugmentation
tardive 5 à 6 haprès
le traitement. Enfin lagastrinémie
estégalement augmentée
(P < 0,0 1 )
pendant
3-4 h à la suite de l’administration intraveineuse d’extraitsantigéniques
de vers mais non de larves. Ce travail nous per-met de conclure quel’hypergastrinémie précoce
suivant l’infestation par H. contortus n’est pas la consé-quence d’uneréponse
immunitairegénérale
de l’hôte et estprobablement
liée à la libérationde(s)
substance(s)
par les larves infestantes ou à une inflammation locale de la muqueuse; par contrel’augmentation plus
tardive de la somatostatinémie semble résulter deréponses
immunitaires.Enfin,
les
changements
des taux hormonaux observés à la suite d’administration d’extraitsantigéniques
peuvent être la
conséquence plutôt qu’à l’origine
deschangements
sécrétoires de l’abomasum.There is now evidence that some
parasites
affect the release of
gastro-intestinal
hormones and that inostertagiasis,
the hormone concerned altersdigestive
secretions. Insheep
fitted with anisolated fundic
pouch,
infection with 0. circum-cincta larvae wasaccompanied
by
inability
of theabomasum to maintain its
acidity,
whereas thepouch
which wassubject
to the same hormonal and neural influences doubled its volume ofsecre-tion with an increase of acid and
pepsin
outputs(Anderson
et al., 1976;McLeay
etaL, 1973).
hypergastri-nemia (Anderson et al, 1975) and are abolished
by
surgical
removal of thepyloric
antrum(McLeay
et al.,
19731.
However the occurrence of markedhypergastrinemia
in abomasalparasitism,
e.g. H. contortus and 0. circumcincta is notnecessarily
associated with diarrhea which is often present in T. colubriformis infection where
gastrin
level is not elevated(Titchen
and Anderson,1977).
This resultsuggests that other hormonal influences may be
implicated
in thedigestive
disorders associated withparasitism.
Serumcholecystokinin
(CCK)
levels
apparently
rise after infection with T. colubriformis(Dargie,
1979)
anddogs
infected with Trichinellaspiralis
show a reducedpancreatic
secretion in response to
endogenous
secretin and CCKpresumably
releasedby
intraduodenal instil-lation of HCI and fat, but not when thesepeptides
are administered
parenterally
(Dembiski
et al.,19781.
Recently
it has been shown thatchanges
ingastric
acid and other ionic secretions occurra-pidly (40-60 min)
afterexperimental
infection with H. contortus. Theseearly changes
may be divided into two parts; a first part(40-90 min)
which isreproduced by
placing
into the abomasum abag
containing
exsheathed larvae,suggesting
thatthey
are related to the release of unknown sub-stances into the mediumby
the infective larvaearriving
into the abomasum(Buéno
et a/.,19821;
1the second part
(4-6 hours) corresponds
to anincrease in Na+,
HC0
3
-
and CI- concentrations of the abomasal fluid and isreproduced by
IV ad-ministration of crushed larvae extract, and is attributed to the immune reactionsduring
the larvaemigration
into the abomasum(Buéno
et al.,1982).
The choice of these hormones was dictated
by
the
following
reasonsrespectively:
gastrin
toassess the
origin
of thehypergastrinemia
pre-viously
observed (Anderson et al.,1975),
motilin andpancreatic polypeptide
for theirrespective
role in the initiation of thecyclic
pattern ofgastro-intestinal
motility (ltoh
et a/., 1976; Buéno et al.,1982),
and somatostatin due to theability
of thesynthetic peptide
(tetradecapeptide)
to inhibit(i)
gastric
secretions(Konturek
et al.,1976, 1978)
and
(ii)
the releaseand/or
the effects of other GI hormones such as motilin(Mitznegg
et al.,1977;
Poitras et al.,
1980).
gastrin
(Konturek
et al.,1976),
secretin(Boden
eta/.,
1975; Kontureket al.,
1976)
andpancreatic polypeptide
(Kayas-seh et al.,
1978).
Consequently
the presentexperiments
wereperformed
toinvestigate
the contribution of hormonal factors in thepathogenesis
of these secretorychanges.
Plasmagastrin,
motilin,soma-tostatin
(GH-RIH)
andpancreatic polypeptide
(PP)
levels were measured
during
6-7 h afterexperi-mental infection with H. contortus in lambs and
the variations
compared
with those observed after intravenousinjection
of larvae and wormantigenic
extracts.
Materials and Methods Animals and experimental design
Four 7 to 10 month old lambs
weighing
35 to 40 kgand raised under parasite-free conditions in concrete
floored pens, in a first series of experiments, and after a
24 h fast, were orally inoculated with 25000L3 of H. contortus suspended in 0.9 % (w/v) saline solution administered directly into the rumen by the naso-oesophageal route. Samples of blood (5 ml) were taken 5 min before and 20, 40, 60, 90, 180, 240, 300, 360 min after the inoculation. Five days later the sheep were
treated orally with fenbendazole
(10 mg/kg).
Then, in asecond series of experiments
beginning
1 5 days after fenbendazole treatment, antigenic extracts correspond-ing to 25 000 L3 larvae or 25 adult worms wereinject-ed intravenously twice in each animal fasted for 24 h at
5 days intervals. Blood samples were taken just before and 30, 60, 120, 180, 240, 300, 360 and 420 min after
injection. The order of treatment in the 4 lambs was
randomized.
Blood samples were collected into heparinized tubes
containing 1000 U of aprotinin
(Zymofren
ND, Specia,Paris, France) per ml, immediately centrifuged, and the
plasma was stored deep frozen (― 40 °C). Samples were analyzed under blind coded conditions and all
measure-ments were done in duplicate. Statistical significance was determined by the Student’s test and analysis of variance.
Antigenic extracts
Antigenic extracts were prepared from 25 000 3rd stage larvae or adult worms placed in phosphate buffer (0.05 M) containing NaCl (0.15 M) adjusted to pH 7.8. This suspension was frozen at - 70 °C and crushed (3 to
5 times) until the
morphologic
structures of the larvaewere destroyed. The suspension was then centrifuged at 15000rpm for 10 minutes and the supernatant was
used as an antigenic extract. The corresponding amount
of protein injected for larvae and worms was calculated from the dosage of total protein nitrogen according to
Barr et a/. (1975). The larvae (25 000) and worm
(25 adult) antigenic extracts injected corresponded, to
7.1 and 5.8 x 10-4 g of proteins respectively. Peptides assays
Plasma gastrin was measured by radioimmunoassay as previously reported (Chayvialle et a/., 1978).
Antise-rum 28C recognizes equally G17,1 and G14,1 while G34,1 and G17,11 are 40 and 30 °/ respectively as immu-noreactive as G 17,1. Plasma somatostatin was measured with antiserum 56D (Chayvialle et al., 1978; Vaysse et
aL, 1981) that recognizes the 6-1 portion of the
tetra-decapeptide and best binds the immunoreactive
compo-nents at a slightly acidic pH. Plasma samples were thus acidified to pH 6 with 0.4 M acetic acid immediately
before incubation, and were tested against a standard
Schwartz et al. (1976) using reagents donated by R.E. Chance. The PP antiserum (Ref.615-105.4-B-248.19)
specifically binds about 40 °/ of the tracer over three
days at a final dilution of 1/1 600000. Bovine PP (Ref.615-D.63-166.7) was labelled with 125 Iodine
(IMS30, Amersham) with lactoperoxydase and was
puri-fied by gel permeation on a 1.5 x 100 cm G50 superfine
Sephadex column. The same peptide batch was used for the standard curve. The sensitivity of the assays was
1 pg per ml of incubate. Plasma samples were tested as
100 pl duplicates in a final volume of 1.0 ml. The within-assay and between-assay variations (coefficient of varia-tion, 20 plasma samples) were 7.3 and 9.1 %
respect-ively. Plasma motilin was measured with a newly
develo-ped assay using a specific rabbit antiserum (Quadra
Logic Tech, Vancouver) at a final dilution of 1/54000,
and porcine motilin (Quadra Logic Tech) as standard and for lactoperoxydase iodination followed by ion-exchange chromatography on a 1 x 10 cm SP-C25 Sephadex
column (Pharmacia). Plasma samples were tested as
100 pl duplicates in a final volume of 1.0 ml. The
sensiti-vity limit was less than 1 pg per ml of incubate. The
within-assay and between-assay variations were 5.9 and 11.3 % respectively. All samples were tested in the four assays run in parallel on the same day. Results were expressed as pg eqv standard peptide per ml plasma.
Results
Hormonal
changes
associated with infection Pancreaticpolypeptide
In 24-h fasted
sheep
and before infection the immunoreactivepancreatic polypeptide
(IRPP)
plasma
level was 93+19pg/ml
(mean ± S.D.,
n
:41,
the individual valuesbeing normally
distribu-ted for the four lambs(X
2
<
X
2
at P >0.05) ;
in addition intra-individual variations did not exceed 26 %. Nosignificant
(P > 0.05)
variation of this IRPP level was observedduring
six hoursfollow-ing
the oral administration of 25 000 infective(3rd
stage)
larvae of H. contortus(fig.
11.
).
Somatostatin
Plasma levels of G H-Ri
prior
to infection weresimilar for the four lambs
(43
+ 7pg/mll.
Infectionwas followed
by
adelayed
increase of this levellasting
2-3 h, the mean maximal level was observ-ed 5 h after infection andcorresponded
to a69.8 % increase as
compared
to the control value. GastrinIn fasted lambs the individual
plasma
levels of immunoreactivegastrin
(IRG)
varied from 11 to 45pg/ml ;
the mean level increasedrapidly
follow-ing
the oral administration of infective larvae, wasmaximal
(101 +22
pg/ml)
40 minlater,
and retur-ned to basal less then two hours later and thenwas stable
during
theremaining
period
of bloodsampling (fig.
1
).
Motilin
Similarly
toIRPP,
motilin level was unaffectedduring
6 h after the infective larvae administration. Effects ofantigenic
extractsPancreatic
polypeptide
There was no
significant
difference(P > 0.05)
on the basal level of IRPP between
days.
Both theworm and the larvae
antigenic
extractsproduced
alate
significant
(P
<0.05)
increase ofplasma
IRPP level whichappeared
4-5 h after their intravenousadministration,
this rise was limited to 2 h for larvae extract whereas the IRPP level remainedsignificantly
(P < 0.05)
increased 7 h after wormextract
injection
(fig.
2).
At this time the IRPP level reached 890 ± 340pg/mi
i.e. a 5.3 fold increaseas
compared
to the control level. SomatostatinDuring
the first hourfollowing antigen
(worm
and
larvae)
administration theplasma
IRGH-RIH level increasedsignificantly,
this effectbeing
slightly
delayed,
less intense and limited to 1 h for larvae extract whereas it lasted four hours with theworm
antigenic
extract, theplasma
IRGH-RIH levelreaching
apeak
value of 145 +38 pg/ml.
Gastrin and motilin
Larvae extract did not affect
significantly
(P > 0.05)
theplasma
level ofgastrin during
at least 7 h after firstadministration;
in contrast,worm
antigens
elicited a 100 °/ rise ofgastrin
from 120 to 360 min after their
injection.
Theplasma
motilin level was unaffectedby
both wormand larvae
antigen
administrationduring
the wholeperiod
of control.Discussion
In
previous
work we have demonstrated that the abomasalpermeability
alterationsoccurring
rapidly
(0
to 120min)
after H. contortus infectionwere due to a
substance(s)
releasedby
the exsheathed larvaereaching
the abomasum and that theseearly changes
were followedby
immune reactions which were
mainly responsible
of the
gastric
motor disturbances(Buéno
etal.,
1982).
The presentexperiments
show thatplasma
gastrin
level was alsosignificantly
increasedduring
the first 60 min of infection i.e. when less than 40 infective larvae are present in the aboma-sal contents(Dakkak
et al.,1981)
suggesting
that this hormonal effect may be due to substances released from exsheathed larvae. Thishypothesis
is
supported by
the absence of anysignificant
variation of the
gastrinemia
in the first 60 min after the administration of larvae or wormantige-ni! extract. On the basis of inhibition of reticulo-ruminal and abomasal
motility
inducedby
penta-gastrin
insheep (Ruckebusch, 1971 ;
Onapito
etin the
development
of the late motor disturbances. However no inhibition of the reticular and abomaso-intestinalmotility
was observed in the first two hours after H. contortus infection in lamb(Buéno
etal., 1982a, b)
but thehypergastrinemia
observed herein is less marked than that observed several
days
later,
during
thehistotropic
larvaestage
(Anderson
etal.,
1975),
which is associated with abomaso-intestinal motor disturbances(Buéno
et aL,1982b).
GH-RIH levels were also increased 3-6 h after H. contortus infection in the lambs. A similar but immediate increase was observed after
injection
of worm or larvae extract
suggesting
that the increase seen after infection was related to immune reactions. However theantigenic
extracts used herein were very crude and could contain alot of non
specific
materialcontributing
to this immediate increase inplasma
GH-RIH level. This increase is moderate and does notsignificantly
affect the level of other hormones such as motilin and PP, nevertheless it may be sufficient to contri-bute to the reduction of abomasal H+ secretion which occursonly
3 to 4 h after infection. Thishypothesis
is in agreement withprevious findings
showing
a rise of thegastric
pH
an increase ofHC0
3
-
secretion 3 to 4 hours after H. contortus infection(Buéno
et al., 1982b).
GI hormonal responses observed after
intra-venous
injection
of worm and larvae extracts with similarprotein
loads wereequivalent
for both PPand GH-RIH release. However,
only
wormantigenic
extractssignificantly
increased theplasma
gastrin
level, whereas motilin level wasunaffected in all cases. Worm extracts increased the abomasal concentrations of
Cl-, Na
+
,
HC0
3
-and the
gastric pH during
about five hours(Buéno
et al., 1982
b);
the kinetics ofhypergastrinemia
observed herein for a similar duration may be considered as a
physiological
hormonal secretory response to thechanges
in abomasalelectrolytic
composition. Similarly
the late increase ofpancreatic polypeptide
secretion observed five toseven hours after
antigen
administration cannot beeasily explained.
One mayspeculate
that it is related either to other hormonal response such asthose of CCK
(Regan
et al.,1978)
GIP and VIP(lverson
etal., 1978)
or to somephysiological
events such as the
gastric
distensionby
an increa-sed volume of abomasal contents(Taylor
et al.,1978).
Received 6th June, 1984.
Accepted
20thSeptember,
1984.Acknowledgements
This work was achieved with skilful assistance of Mrs C. Bernard, G. Bories and Mr G.
Jourdan;
this
study
wassupported
in partby INRA,
Depart-ment of Animal
Pathology.
Summary
Plasma levels of
pancreatic polypeptide
(PPI,
somatostatin(GH-RIH1,
gastrin
and motilin were measuredduring
6-7 h after oral infection with 25 000 infective(3rd
stage)
larvae of H. contortus in lambs or after intravenousinjection
of larvae or wormantigenic
(Ag)
extracts. A 3-fold increase inplasma gastrin
wasobserved
during
the first 60 min after infection and GH-RIH increasedsignificantly
(P < 0.01)
180 min later whereas both PP and motilin remainedunchanged.
Anearly
(60
to 120min)
increase in GH-RIH H and a late(5
to 7h)
increase in PPplasma
levels were observed after both worm and larvaeantigenic
extracts whereas
plasma
motilin was unaffected. Plasmagastrin
wassignificantly
(P
<0.011
increasedduring
3-4 hfollowing
theinjection
of worm but not of larvaeantigenic
extract. It was concluded thatthe immediate
hypergastrinemia
following
H. contortus infection is not the consequence of ageneral
immune response of the host and is
probably
related to the release of unknownsubstance(s) by
the infective larvae into the abomasum or to mucosal inflammation due to a local immune response; in contrast, the increase inplasma
GH-RIH levelsappeared
to be the result ofantigenic
reactions. The other hormonalchanges
observed afterAg
injections
may be the consequence rather than the reason ofchanges
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