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. 1983 Apr;197(4):412–415. doi: 10.1097/00000658-198304000-00006

Correlation Between Gallbladder Size and Release of Cholecystokinin After Oral Magnesium Sulfate in Man

Kazutomo Inoue, Isidoro Wiener, Charles J Fagan, Larry C Watson, James C Thompson
PMCID: PMC1352753  PMID: 6830347

Abstract

In order to determine the effect of oral magnesium sulfate on gallbladder contraction and release of cholecystokinin (CCK) in man, magnesium sulfate (25 g in 100 ml distilled water) was given by mouth to five fasting adult male volunteers. Plasma samples were collected for measurement of CCK by a specific radioimmunoassay. Gallbladder volumes were determined from sonograms obtained from a phased-array real-time ultrasound scanner. Basal concentrations of CCK (82.2 ± 10.1 pg/ml) increased significantly at 20 minutes after oral magnesium sulfate (113.8 ± 7.1 pg/ml), and reached a maximal value at 50 minutes (150.0 ± 42.0 pg/ml). The mean basal volume of the gallbladder was 30.8 ± 5.3 cm3 and maximum reduction of gallbladder volume (to one third of original) was achieved at 50 minutes after ingestion of magnesium sulfate. Linear regression analysis showed a close correlation (r = -0.9337) between plasma concentrations of CCK and gallbladder size in response to magnesium sulfate. Oral magnesium sulfate also caused a significant increase in serum gastrin (from basal of 51.4 ± 9.9 pg/ml to 69.8 ± 15.5 pg/ml at 5 min); there was no significant correlation between gastrin release and gallbladder contraction. This study provides direct evidence that the mechanism of magnesium sulfate-stimulated gallbladder contraction occurs through the release of CCK, and shows a close correlation between CCK release and contraction of the gallbladder.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Braverman D. Z., Johnson M. L., Kern F., Jr Effects of pregnancy and contraceptive steroids on gallbladder function. N Engl J Med. 1980 Feb 14;302(7):362–364. doi: 10.1056/NEJM198002143020702. [DOI] [PubMed] [Google Scholar]
  2. Christiansen J., Rehfeld J. F., Stadil F. Interaction of calcium and magnesium on gastric acid secretion and serum gastrin concentration in man. Gastroenterology. 1975 May;68(5 Pt 1):1140–1143. [PubMed] [Google Scholar]
  3. GREENWOOD F. C., HUNTER W. M., GLOVER J. S. THE PREPARATION OF I-131-LABELLED HUMAN GROWTH HORMONE OF HIGH SPECIFIC RADIOACTIVITY. Biochem J. 1963 Oct;89:114–123. doi: 10.1042/bj0890114. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Harvey R. F., Dowsett L., Hartog M., Read A. E. A radioimmunoassay for cholecystokinin-pancreozymin. Lancet. 1973 Oct 13;2(7833):826–828. doi: 10.1016/s0140-6736(73)90863-5. [DOI] [PubMed] [Google Scholar]
  5. Inoue K., Yazigi R., Watson L. C., Gourley W. K., Rayford P. L., Thompson J. C. Increased release of cholecystokinin after pancreatic duct ligation. Surgery. 1982 Apr;91(4):467–473. [PubMed] [Google Scholar]
  6. Jackson B. M., Reeder D. D., Thompson J. C. Dynamic characteristics of gastrin release. Am J Surg. 1972 Feb;123(2):137–142. doi: 10.1016/0002-9610(72)90323-6. [DOI] [PubMed] [Google Scholar]
  7. Lilja P., Fagan C. J., Wiener I., Inoue K., Watson L. C., Rayford P. L., Thompson J. C. Infusion of pure cholecystokinin in humans. Correlation between plasma concentrations of cholecystokinin and gallbladder size. Gastroenterology. 1982 Jul;83(1 Pt 2):256–261. [PubMed] [Google Scholar]
  8. Lonovics J., Guzman S., Devitt P., Hejtmancik K. E., Suddith R. L., Rayford P. L., Thompson J. C. Release of pancreatic polypeptide in humans by infusion of cholecystokinin. Gastroenterology. 1980 Nov;79(5 Pt 1):817–822. [PubMed] [Google Scholar]
  9. Malagelada J. R., Holtermuller K. H., McCall J. T., Go V. L. Pancreatic, gallbladder, and intestinal responses to intraluminal magnesium salts in man. Am J Dig Dis. 1978 Jun;23(6):481–485. doi: 10.1007/BF01072690. [DOI] [PubMed] [Google Scholar]
  10. PLESSIER J. [Comparison of the cholecystokinetic and choleretic actions of cholecystokinin, sorbitol, olive oil and magnesium sulfate]. Pathol Biol. 1960 Jun;8:1201–1210. [PubMed] [Google Scholar]
  11. Thompson J. C., Reeder D. D., Villar H. V., Fender H. R. Natural history and experience with diagnosis and treatment of the Zollinger-Ellison syndrome. Surg Gynecol Obstet. 1975 May;140(5):721–739. [PubMed] [Google Scholar]
  12. Wiener I., Inoue K., Fagan C. J., Lilja P., Watson L. C., Thompson J. C. Release of cholecystokinin in man: correlation of blood levels with gallbladder contraction. Ann Surg. 1981 Sep;194(3):321–327. doi: 10.1097/00000658-198109000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Ylötalo P., Kirkinen P., Heikkinen J., Mäentausta O. Gallbladder volume in cholestasis of pregnancy. N Engl J Med. 1981 Feb 5;304(6):359–359. doi: 10.1056/NEJM198102053040615. [DOI] [PubMed] [Google Scholar]

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