Digestive hormones cholecystokinin

Most pancreatic secretion takes place during the intestinal phase. The intestinal hormone secretin stimulates release of a large volume of pancreatic juice with a high concentration of bicarbonate ion. Secretin is released in response to acidic chyme in the duodenum (maximal release at pH < 3.0). The intestinal hormone cholecystokinin is released in response to the presence of the products of protein and lipid digestion. Cholecystokinin then stimulates the release of digestive enzymes from the pancreas. 

The flow of bile is lowest during fasting, mostly being diverted to the gall bladder for concentrating. When chyme from an ingested meal enters the small intestine, acid and partially digested fats and proteins stimulate secretion of the enteric hormones cholecystokinin and secretin. 

The chemical phase of digestion also involves the hormone cholecystokinin (CCK). Dietary fats and proteins elicit the release of CCK from cells of the intestines. The versatility of this hormone in digestion is revealed, later in this chapter, via studies involving dogs, rats, and humans. These studies address the influence of CCK on the release of pancreatic enzymes, bile salts, and pancreatic bicarbonate into the lumen of the small intestines. 

Dietary fat leaves the stomach and enters the small intestine, where it is emulsified (suspended in small particles in the aqueous environment) by bile salts (Fig. 32.2). The bile salts are amphipathic compounds (containing both hydrophobic and hydrophilic components), synthesized in the liver (see Chapter 34 for the pathway) and secreted via the gallbladder into the intestinal lumen. The contraction of the gallbladder and secretion of pancreatic enzymes are stimulated by the gut hormone cholecystokinin, which is secreted by the intestinal cells when stomach contents enter the intestine. Bile salts act as detergents, binding to the globules of dietary fat as they are broken up by the peristaltic action of the intestinal muscle. This emulsified fat, which has an increased surface area as compared with unemulsified fat, is attacked by digestive enzymes from the pancreas (Fig. 32.3). 

The duodenum releases secretin, which is a hormone that suppresses gastric acid secretion. This results in the intestinal juices having a higher pH than the gastric juices in the stomach. The hormone cholecystokinin is also released. It simulates the flow of bile into the duodenum. Hormones, bile, and pancreatic enzymes tr5 sin, chymotrypsin, lipase, and amylase digest carbohydrates, protein, and fat in preparation for absorption in the small intestine. 

Release of zymogens The release and activation of the pancreatic zymogens is mediated by the secretion of cholecystokinin and secretin, two polypeptide hormones of the digestive tract (see p. 174). 

Know the action of hormones involved in the digestion and metabolism of food substances insulin, glucagon, secretin, gastrin, and cholecystokinin. Know their chemical and physiologic properties and what controls their blood levels. 

Both the stomach and the small intestine elaborate peptide hormones into the bloodstream, which is crucial in initiating food digestion. The most important hormones of this class are gastrin, secretin, and cholecystokinin. Their structures are displayed in Figure 16.13. 

In addition to growth factors, it has been shown that countless other molecules have multiple functions. Cholecystokinin, for example, is a peptide that acts as a hormone in the intestine, where it increases the bile flow during digestion, whereas in the nervous system it behaves as a neurotransmitter. Encephalins are sedatives in the brain, but in the digestive system are hormones that control the mechanical movements of food. Insulin is universally known for lowering the sugar levels in the blood, but it also controls fat metabolism and in other less known ways it affects almost every cell of the body. 

Cholecystokinin, pancreozymin a tissue hormone consisting of 33 amino acids (porcine), Jlf, 3,838. It is formed in the mucosa of the upper intestine in response to the presence of chyme (add mixture of partially digested food) or to a nervous stimulus, and promotes contraction of the gall bladder and secretion of pancreatic juice. [F.Ctecelebi L.J. Miller J. Biol. Chem. 270 (1995) 3435-3441]... 

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