EDITORIAL SYNOPSIS These studies clearly establish the existence of true potentiation between Urecholine and gastrin and between Urecholine and histamine in stimulating secretion both of acid and of pepsin.It is frequently said that cholinergic activity, induced either by drugs or by vagal activity, 'potentiates' the acid secretory responses to gastrin or to histamine. The assumption that these combinations of stimuli act in a 'potentiated' rather than an 'additive' fashion is based upon the large augmentations that occur. So far as we have been able to determine, no previous study has provided data that can be analyzed in the manner required to determine whether the combined actions represent addition or potentiation (Gaddum, 1959). Now that methods are available for the preparation of reliably potent gastrin extracts (Gregory and Tracy, 1960) the problem can be studied both with histamine and with gastrin. To provide quantitative data suitable for answering the question about potentiation, we have studied the secretion of acid and pepsin by Heidenhain pouch dogs in response to a range of dose rates of Urecholine (urethane of ,B-methylcholine chloride, a stable choline ester that mimics the muscarinic actions of acetylcholine), gastrin extract, and histamine, given separately and in combination.
METHODSObservations were made on five Heidenhain pouch dogs.On each day Urecholine (bethanechol chloride, Merck, Sharp, and Dohme) was given by continuous intravenous injection at a constant rate, the rates on different days varying from 0 25 to 4 mg. per hour. After two hours of Urecholine alone, gastrin extract or histamine dihydrochloride was given by a second continuous intravenous infusion while continuing the injection of Urecholine. The dose rate of gastrin extract or of histamine was doubled every 75 minutes. Secretory rates became relatively steady within 15 minutes ofstarting or increasing the dose of gastrin or of histamine. For this reason the one-hour output from 15 to 75 minutes after each alteration in dose rate was taken as a measure of the response to the combination of drugs. With all but the lowest doses of Urecholine, side-effects occurred, namely, increased salivation, micturition, and defaecation. Because of the severity of these side-effects no test was done with a dose of Urecholiiie greater than 4 mg. per hour. Control runs of Urecholine alone, gastrin extract alone, and histamine alone, over the same dose ranges used in the combined studies, were also done on separate days.Gastrin extracts were prepared from the mucosa of the pyloric gland area of hog stomach by a modification of the method of Gregory and Tracy (1960), as previously described (Gillespie and Grossman, 1963). A single pooled batch of gastrin extract was used for all of the studies reported here. Doses of gastrin are expressed in terms of the wet weight of mucosa represented by the extract.