4 Gi Hormones I: Endocrine Hormones

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4 GI HORMONES I: ENDOCRINE HORMONES

Learning Objectives:
 Describe the six major GI endocrine hormones and the roles associated with each

Enteroendocrine Cells:

GI Endocrine Hormones:
1. Gastrin
2. Cholecystokinin (CCK)
3. Secretin
4. Glucose-dependent Insulinotropic Peptide (GIP/GLIP)
5. Motilin
6. Ghrelin
Receptors are all G-protein coupled receptors

1
Gastrin:
 Released from G cells of antrum & duodenum in
response to small peptides, amino acids,
distension, and nervous input (Ach & GRP)
 Preprohormone (PrePro-Gastrin) form is cleaved:
90 % of released gastrin is G17; 10% G34
 Biological activity is found in the 4 C-terminal
amino acids
 Release of gastrin stimulates gastric acid
secretion and mucosal growth (trophic effect)
 Secretion is subject to feedback inhibition by
somatostatin (pH <3)

Cholecystokinin (CCK):
 Released from I cells of small intestine (duodenum &
jejunum) in response to peptides, amino acids, absorbable
fats, & CCK-RP
 PrePro CCK cleaved into active forms: CCK -8, -33, -39 & -58
(cleavage begins at C-terminus)
 Biological activity concentrated in last 7 amino acids;
presence of sulfation at tyrosine residue is critical
 Stimulates gallbladder contraction & emptying
 Stimulates pancreatic enzyme secretion
 Inhibits gastric emptying

Comparison of Gastrin & CCK Sequences:

2
CCK & Gastrin:
 CCK has strong effects at CCK-A receptors & weak effects at CCK-B receptors
 Gastrin has strong effects at CCK-B receptors & weak effects at CCK-A receptor
 (Due to sequence similarity)

Secretin:
 Released from S cells in the duodenum in response to digested nutrients and the presence of acid (pH <4.5) in the duodenum
 27 amino acid peptide, related to glucagon (no active fragments)
 Stimulates HCO3- & H2O secretion from exocrine pancreas and bile ducts; pepsin secretion from chief cells
 Inhibits acid production & trophic effects of gastrin

Glucose-dependent Insulinotropic Peptide (GIP/GLIP):


 Released from K cells of duodenum & jejunum in response to glucose, amino acids, & fatty acids
 It is a 42 amino acid peptide related to secretin (no active fragments)
 Stimulates insulin release
 Inhibits gastric acid secretion & gastric motility

Motilin:
 Released from M cells in duodenum and jejunum in response to Ach, fat, and acid
 22 amino acid peptide (no smaller active fragments)
 Released every 90 minutes during fasting
 Stimulates gastric & intestinal motility; concentration increases before & during migrating myoelectric complexes (MMC)
 Receptor for motilin also binds erythromycin

Ghrelin:
 Secreted by P cells in the fundus of the stomach (related to motilin)
 Plasma concentrations are increased fasting & reduced during feeding
 Functions in signaling between gut & hypothalamus; binds to receptors on neurons in arcuate nucleus of hypothalamus to
increase appetite
 Plasma ghrelin levels are higher in people with anorexia nervosa and lower in those with obesity
 Plasma ghrelin levels are lower in depression & when stressed
 Higher plasma levels are associated with lack of sleep

Principal sites of GI Hormone Release:

GI Endocrines I:
3
GI Endocrines II

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