Gastrin

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  • half as potent as CCK in causing emptying of gallbladder
  • release stimulated by acetylcholine (vagus nerve) in stomach - fired during cephalic phase and in reflex response
    to stretching of stomach wall
  • in duodenum and proximal jejunum presence of amino acids and peptides stimulates release
  • presence of amino acids and peptides in blood enhance gastrin release in antrum
  • binds to CCK-B receptor on parietal cell and causes secretion of HCl through PIP2 mechanism
  • potentiates action of histamine and acetylcholine on parietal cells
  • stimulate enterochromaffin-like cells to produce histamine
  • if pH falls too low then this will inhibit gastrin release
  • stimulates gastric contractility
  • promotes constriction of pyloric sphincter
  • increases strength of antral contractions
    • thereby reduces gastric emptying
  • enhances pancreatic secretion during gastric phase
  • stimulates chief cells to produce pepsinogen
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14.6.1 Gastrin

produced in gastric antrum pancreatic gastrin (rel tumours)
actions: gastric acid secretion; relations with histamine H2 actions; pepsin secretion
stimuli for gastrin secretion; H+ negative feedback
dysfunction: gastrinoma
 

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