4 Gi Hormones I: Endocrine Hormones
4 Gi Hormones I: Endocrine Hormones
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
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
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
GI Endocrines I:
3
GI Endocrines II