Gastrointestinal Hormones

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xiphia  on December 13, 2011

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Gastrointestinal Hormones

Gastrointestinal Hormones, Gland:
Producing cells located from the stomach to the colon, Not grouped into
distinct glands
Distributed, often individually, throughout GI epithelium
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Terms

Definitions

Gastrointestinal Hormones, Gland:
Producing cells located from the stomach to the colon, Not grouped into
distinct glands
Distributed, often individually, throughout GI epithelium
Gastrointestinal Hormones, Gland: Cell subtypes have specific distribution patterns,
Some distributed evenly
Others localized
to a specific region(s)
Hormones released in response to the presence of food
Scattered distribution of the cells may allow better response to
stimulus
Gastrointestinal Hormones
Producing cells are
enteroendocrine (enterochromaffin or enterochromaffin-like (ECL)) cells
Secretory granules are at the base of the cells - suggesting release of products into the extracellular space below (tissue side) rather than apical into lumen of gut
Gastrointestinal Hormones, Gland
"enteroendocrine (enterochromaffin or enterochromaffin-like (ECL)) cells" These, and related cells in other systems, sometimes referred to as the "Diffuse Neuroendocrine System"
Have endocrine function
Derived from embryonic nervous system
Widespread
Approximately 35 cell types; includes respiratory, urinary, and G.I. systems
Many of their signaling molecules have both neural and endocrine function
Typically found in between non-endocrine epithelial cells
Altogether, the endocrine cells of the mucosal layer of the gastrointestinal tract may be considered to be the largest endocrine gland in the body
Gastrointestinal Hormones, Gland: Isolated cell distribution makes the initial characterization of these cells and the hormones they produce difficult
Digestive system function is controlled by the nervous system, but modulated by locally produced hormones
Hormones produced by cells in the digestive tract function to promote the various digestive processes
In 1905, J.S. Edkins describes effect of gastric mucosal extracts on acidification of stomach contents a "Gastric Secretin" he called Gastrin
As Edkins found, this hormone is produced by enteroendocrine G cells in the pyloric region, but not in other parts of the gastric mucosa
Hormones:
Some grouped into two families based upon shared amino acid sequences:
Gastrin family consisting of the
Gastrins and Cholecystokinin
Secretin family consisting of Secretin, Glucagon, Glucagon-like Polypeptides, Vasoactive Intestinal Polypeptide, Gastric Inhibitory Peptide
Gastrin: a polypeptide with several forms
At least 3 forms circulate in most mammals
Major form of 34 aa; also forms of 95 aa, 17 aa, and 14 aa
All share 5 aa's @ the amino terminus with cholecystokinin = "pentagastrin"
Sulfation near amino terminus important for activity
Gastrins
Component
Component I = Big Big = 95 aa's, Probably a preprohormone, does not circulate
Component II = Big = 34 aa's, hormonal form, probably a prohormone for the smaller forms, circulates
Component III = Little = 17 aa's, circulates, hormonal form secreted by some cells
Component IV = Mini = 14 aa's, circulates, may be a degradative fragment
Cholecystokinin: 33 / 39 aa polypeptide is primary form
Shares 5 aa pentagastrin sequence @ amino terminus + 3 more aa within the molecule with gastrin
Sulfation near the amino terminus is required for activity
Secretin: 27 aa polypeptide
Produced in the duodenum and jejunum
Released in response to the arrival of acidic material in the duodenum
Gastric Inhibitory Peptide 43 aa polypeptide
Found in the small intestine
Ghrelin 28 aa polypeptide
Produced in the stomach
Function
General
These hormones are secreted in response to food; function in promoting
the digestion and movement of food throughout the G.I. tract
Gastrin, Primary:FunctionStomach: Stimulates acid production
a. Causes the release of histamine near the parietal cells of the stomach mucosa
b. Histamine causes parietal cells to secrete Hydrochloric Acid
2. Stomach: Stimulates pepsinogen secretion by the chief cells of the stomach via HCl
3. Stomach: Stimulates growth of the gastric mucosa (stomach & intestine) via release of EGF

4. Gut: Stimulates smooth muscle contraction
Gall bladder: Stimulates contraction
Pancreas: Stimulates secretions:
Pancreatic juice = enzymes, bicarbonate
Insulin
Glucagon
Cholecystokinin: function1. Primary: Gall Bladder: Stimulates contraction (Name)
Additonal:
2. Stomach: Stimulates contraction of the antrum (near pyloric end)
3. Liver: Stimulates bile production
4. Pancreas: Stimulates secretions
Pancreatic juice (Indirect in human)
Insulin
Glucagon
Stimulates growth of acinar cells
5. Intestine:
Contraction of smooth muscle
Stimulates secretion of mucus (Brunner's glands)
Gastrointestinal Hormones
Secretin:
Primary: Pancreas:
Stimulates the release of bicarbonate
Potentiates the cholecystokinin stimulated release of enzymes
Gastric Inhibitory peptide: function Pancreas: Stimulates the release of insulin (via glucose)
Intestine: Inhibits secretion of gastrin by the mucosa (inhibiting gastric acid secretion)
Stimulates healing of the mucosa
Stimulates electrolyte and fluid secretions
Stimulates mucus secretions from duodenal glands of Brunner
Ghrelin: functionStimulates release of Growth Hormone and other hormones from the anterior pituitary
Regulates feeding behavior by modulating expression levels of orexigenic (appetite stimulating) peptides in the hypothalamus.
May function in the coordination of energy balance and weight regulation, and its dysregulation may be important in obesity.
Has several other physiologic actions besides potential regulation of food intake
May also function in sleep
Gastrointestinal Hormones
Regulation
General:
Secretion regulated by the presence of food in the gut
Gastrointestinal Hormones Regulation
Stimulating secretion: Protein, Amino acids, Fatty acids, Ca++, Acidic pH
E.g.:
Cholecystokinin levels rise in response to a meal, and drop when food moves further on
Innervation (Vagus - Autonomic)
Inhibiting secretion (Negative):
Acidity in the stomach
Other hormones: Secretin, Vasoactive intestinal peptide, Gastric Inhibitory Peptide
Other GI Hormones:All are peptides; Many are found both in the GI tract and in the central nervous system Motilin
Vasoactive Intestinal Peptide
Substance P
Gastrin Releasing Peptide
Neurotensin
Peptide YY
Pancreatic Polypeptide
Enkephalins
Somatostatin

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