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2.GIT Hormones

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Gastrointestinal Hormones

Gastrin
Is produce by G cells in antral portion of the
gastric mucosa

are flask-shaped with broad base containing


many Gastrin granules and narrow apex
reaches mucosal surface
G34, G17, G14 . G17 and G14 half-lives 2-
. 3min G34 half-life 15min
Gastrin inactivated in kidney and SI

: Action

Stimulation of gastric acid and pepsin -1


. secretion
Stimulation of growth of mucosa of -2
stomach ,small and large intestines
.(trophic action )

. Stimulation of gastric motility-3

Stimulation insulin secretion only after -4


a protein and not after carbohydrate
.meal
Stimuli that affect gastrin secretion

Stimuli that increase gastrin secretion


Luminal :Peptides and amino acids, Distention
Neural :Increase vagal discharge via GRP
Blood – borne
Calcium
Epinephrine

Stimuli that inhibit gastrin secretion


Luminal
Acid
Somatostatin
Blood – borne
Secretin, GIP, VIP, glucagon , Calcitonin
Cholecystokinin –Pancreozymin
, CCK 58, CCK 39, CCK 33, CCK 12, CCK8, CCK4

produce I cells in the upper intestine , in distal


. ileum and colon

in neurons in brain
cerebral cortex and in nerve in many parts of (
)the body
: Action
Contraction of the gallbladder-1

Secretion of a pancreatic juice rich in -2


enzymes

CCK augments of the action secretin in -3


producing secretion of an alkaline pancreatic
. juice

Inhibits gastric emptying ,exerts trophic-4


effect on the pancreas
Increase the secretion of enterokinase and-5
.enhance the motility of small intestine and colon

Augments the contraction of pyloric sphincter -6


with secretin ,thus prevent the reflux of duodenal
. contents into stomach
Gastrin and CCK stimulate glucagon -7
. secretion

In the brain is involved in regulation of food-8


.intake and related to anxiety
Control of secretion
Is increased by contact of the intestinal-1
.mucosa with peptides and amino acids

also by presence in the duodenum of fatty


acids containing more than 10 carbon atoms
.
Bile and pancreatic juice stimulate further -2
. CCK secretion .positive feedback control
Secretin
Is secreted by S cells are located in the gland of
mucosa of upper portion of small intestine
Action
Increase the secretion of bicarbonate by duct cells-1
of pancreas and biliary tract ,it cause the secretion
. of watery ,alkaline pancreatic juice

Augment the action on of CCK in producing-2


. pancreatic secretion of digestive enzymes

2-It decreases gastric acid secretion and cause


contraction of the pyloric sphincter .
Control of secretion
Secretion increase by the product of protein -1
.digestion and by acid
GIP
Produce by K cells in the mucosa of the duodenum
. and jejunum
Its secretion is stimulated by glucose and fat in
duodenum ,and in large dose inhibit gastric secretion
and motility
also stimulate insulin ,). gastric inhibitory peptide (
. secretion
VIP
, It found in nerve in GIT and in blood
stimulate intestinal secretion of electrolyte and of
.water

relaxation of smooth muscle including


.. sphincters ,dilatation of peripheral blood vessels
Peptide Y Y
It inhibits gastric acid and motility ,it release
from jejunum is stimulated by fat
Somatostatin
Is secreted by D cells in pancreatic islets and
gastrointestinal mucosa ,also from
, hypothalamus
its inhibit secretion of
gastrin ,VIP,GIP ,secretin , motilin , motility
and gallbladder contraction and the
absorption of glucose ,amino acids ,and
. triglyceride

.It secretion is stimulated by acid in lumen

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