On the mechanism of the physiological action of the catharticsMacCallum, John Bruce
Science
On the mechanism of the physiological action of the cathartics
MacCallum, John Bruce
Laxatives -- Physiological effect
_Secretion of sugar into the intestine._ Another instance of the way
in which the intestine can to some extent take up the function of the
kidney is shown by the secretion of sugar by the gut following the
injection of large quantities of normal salt solution. It was shown by
Bock and Hoffmann[70] that the injection of 1% NaCl solution into the
circulation of a rabbit caused transient glycosuria. Large quantities
of the solution were injected at the rate of 25-30 c.c. each 5 minutes,
and the glycosuria appeared in from 20 minutes to 1 hour and 30 minutes
after the beginning of the infusion. After a number of hours (6-7) the
glycosuria diminished in their experiments and finally disappeared,
although the infusion of salt and the flow of urine continued. They
found that the entire quantity of sugar eliminated was in one case
1.632 g., and in another case 2.04 g. The percentage of sugar in the
urine reached 0.136 and 0.219 respectively in the two experiments.
These facts were confirmed by Külz,[71] who found also that section
of the splanchnics prevented the glycosuria. The experiments lately
published by M. H. Fischer[72] show that the glycosuria is caused not
only by NaCl, but by certain of the salts which were shown by Loeb[73]
to produce muscular twitchings. He further showed that calcium has the
power of suppressing the glycosuria.
This secretion of sugar by the kidneys following intravenous infusions,
together with the facts shown above that fluid is eliminated to some
extent by the intestine in the absence of the kidneys, led me to
inquire whether the intestine also secretes sugar when the kidneys have
been extirpated and a large amount of NaCl solution is injected. A
number of experiments were made to determine this. I have found[74] in
brief that with the infusion of large quantities of m/6 NaCl solution
into the circulation sugar is abundantly secreted into the intestine.
This takes place not only when the kidneys are removed, but also when
they are intact, and are also eliminating sugar. This may be seen in
the following tables:--
Rabbit--Blood vessels of kidney ligatured; cannula in upper part of
small intestine, with loop 35 cm. tied off. Loop emptied; contents 5
c.c., which contained no sugar.
NaCl m/6 Intestinal Sugar examination of
Time injected juice intestinal juice
10:00 Infusion begun Loop emptied, No sugar
5 c.c.
10:30 20 c.c. 3 c.c. No sugar
11:00 40 c.c. 3 c.c. No sugar
11:30 20 c.c. 4 c.c. No sugar
12:00 120 c.c. 6 c.c. Trace of sugar
12:30 200 c.c. 12 c.c. Sugar abundant
1:00 --c.c. 28 c.c. Sugar abundant
--------
400 c.c.
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