GIT HORMONES 1 OVERVIEW OF GIT HORMONES We will discuss the following hormones: - - Gastrin Secretin CCK Motilin Somatostatin GIP VIP 2 GASTRIN Produced by G-cells in the stomach. Functions: 1) Stimulates the release of Pepsinogen in the stomach. HCL and 2) Increases gastric motility. 3) Increases ileal motility. 4) Relaxes Ileocecal Sphincter. 5) Induces mass movements in colon [help the contents moving through GIT on arrival of new meal in the stomach]. 3 SECRETIN It is released from small intestine when stomach acidic contents come to duodenum. Functions: 1) It inhibits gastric emptying to delay the acid contents of stomach to enter in the duodenum. 2) It inhibits gastric secretion. 3) It acts on pancreatic duct to produce large volume of watery, alkaline NaHCO3 secretion. 4) It stimulates the secretion of NaHCO3 rich bile in the liver by acting on the bile ducts. 4 CCK (Cholecystokinin) CCK is released from the duodenum in response mainly to fat, to a lesser extent to protein products. Functions: 1) Inhibition stomach of motility and secretion of 2) Stimulates pancreatic acinar cells to secrete pancreatic enzymes [amylase, lipase, Trypsinogen, Chymotrypsinogen]. 3) Causes contraction of gall-bladder and relaxation of sphincter of Oddi. 5 MOTILIN It is a polypeptide and secreted by Entrochromaffin cells and Mo cells in the stomach, small intestine and colon. Functions: 1) Causes contraction of smooth muscles in the stomach and intestine. 2) Increases during inter-digestive state and controls GIT motility between the meals. 6 SOMATOSTATIN Secreted by D-Cells in pancreatic islets and by similar D-cells in GIT mucosa. Functions: 1) Inhibits secretion of Gastrin, VIP, GIP, Secretin and Motilin. 2) Somatostatin secretion is stimulated by acid in the lumen of intestine. 3) It acts in a paracrine fashion. 7 GIP [Glucose Dependent Insulinotorphic Peptide] GIP is released from the duodenum. Functions: 1) GIP causes release of insulin (=Insulinotorphic). Insulin causes uptake and storage of glucose. 2) GIP was called Gastric Inhibitory Peptide [this role is minimum]. 8 VIP [Vasoactive Intestinal Peptide] VIP is found in nerves in the GIT. VIP is also found in the brain, blood & autonomic nerves. Functions: 1) VIP stimulates intestinal electrolytes and water. secretion of 2) Relaxation of intestinal smooth muscle including sphincters. 3) Inhibition of gastric acid secretion. 4) VIP potentiates the action of acetylcholine in salivary glands. 9 Ghrelin Ghrelin is secreted by endocrine cells in the stomach, especially when one is hungry. Ghrelin acts on the hypothalamus to stimulate feeding. This action counteracts the inhibition of feeding by leptin. 10 PeptideYY (PYY) It is released by cells in the intestine after meals. It is a potent feeding inhibitor. The amount secreted increases with the number of calories ingested and especially when these are derived from proteins rather than carbohydrates or fats. PYY acts on the hypothalamus to suppress appetite. It increases pancreatic exocrine secretion & bile. 11 REFERENCES Human physiology by Lauralee Sherwood, seventh edition Text book physiology by Guyton &Hall,11th edition Text book of physiology by Linda .s contanzo,third edition 12