GI Hormones Flashcards
Gastrin (Actions)
Increases H+ secretion by the parietal cells; stimulates growth of gastric mucosa
Gastrin (Secreted from)
Secreted from: G cells of the gastric antrum in response to a meal
Gastrin (Stimuli)
- Small peptides and amino acids in lumen of stomach (Phe and Trp);
- Distention of the stomach
- Vagal stimulation, mediated by GRP
Gastrin (Inhibition)
- H+ in the lumen
- Somatostatin
How does the gastric mucosa look in a patient w/ a gastrinoma?
Hypertrophy and hyperplasia of the gastric mucosa
CCK (Actions)
- Stimulates contraction of the gallbladder and causes the relaxation of the sphincter of Oddi for secretion of bile
- Stimulates pancreatic enzyme secretion
- Potentiates secretin-induced stimulation of pancreatic HCO3- secretion
- Stimulates growth of exocrine pancreas
- Inhibits gastric emptying
Fats role on the secretion of CCK
Fats stimulate the secretion of CCK, which slows gastric emptying to allow more time for intestinal digestion and absorption
CCK (Stimuli) and what does not stimulate CCK release?
-Small peptides and AAs
-Fatty acids and monoglycerides
(need to be able to cross the intestinal cell membranes)
TGs do not stimulate release of CCK
What type of cell releases CCK and in what location?
CCK released from the I cells of the duodenal and jejunal mucosa
Secretin (Actions)
Coordinated to reduce the amount of H+ in the lumen of the small intestine
- Stimulates pancreatic HCO3- secretion and increases growth of exocrine pancreas
- Stimulates HCO3- and water secretion by the liver and increases bile production
- Inhibits H+ secretion by gastric parietal cells
Secretin (Stimuli)
- H+ in the lumen of the duodenum
- Fatty acids in the lumen of the duodenum
What cell in what location releases secretin?
S cells of the duodenum
What does GIP stand for?
Glucose-dependent insulinotropic peptide
GIP (actions)
- Stimulates insulin release
- Inhibits H+ secretion by gastric parietal cells
Why is oral glucose more effective than IV glucose in causing insulin release and glucose utilization?
In the presence of an oral glucose load, GIP causes the release of insulin from the pancreas