Skip to main content

Biological Actions of CCK in the Gastrointestinal Tract

  • Chapter
Cholecystokinin Antagonists in Gastroenterology

Abstract

CCK was first described over 60 years ago as a putative hormone that caused gallbladder contraction in response to fat in the intestine [1]. Thirty-five years later, it was shown that CCK was chemically identical with pancreozymin [2], another putative hormone thought to cause pancreatic enzyme secretion in response to fat and protein in the intestine [3]. In the years since the discoveries of these two major actions, CCK has been found to have many additional effects in the gastrointestinal tract and other organ systems. Early progress consisted mainly of describing the effects of increasingly pure preparations of CCK (including synthetic forms) and determining responses of many target organs. These approaches provided a wealth of data on the potential effects of CCK and continue to do so today, but they do not define which of these many responses of the gastrointestinal tract to exogenous stimulation are in fact regulated by endogenous CCK. Table 1 summarizes many of the reported actions of exogenous CCK.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ivy AC, Oldberg E (1928) A hormone mechanism for gallbladder contraction and evacuation. Am J Physiol 86:599–613

    CAS  Google Scholar 

  2. Jorpes E, Mutt V (1966) Cholecystokinin and pancreozymin, one single hormone? Acta Physiol Scand 66:196–202

    Article  PubMed  CAS  Google Scholar 

  3. Harper AA, Raper HS (1943) Pancreozymin, a stimulant of the secretion of pancreatic enzymes in extracts of the small intestine. J Physiol (Lond) 102: 115–125

    CAS  Google Scholar 

  4. Dale WE, Turkelson CM, Solomon TE (1989) Role of cholecystokinin in intestinal phase and meal-induced pancreatic secretion. Am J Physiol 257: G782–G790

    PubMed  CAS  Google Scholar 

  5. Eysselein VE, Eberlein GA, Hesse WH, Singer MV, Goebell H, Reeve JR Jr (1987) Cholecystokinin-58 is the major circulating form of cholecystokinin in canine blood. J Biol Chem 262:214–217

    PubMed  CAS  Google Scholar 

  6. Eberlein GA, Eysselein VE, Hesse WH, Goebell H, Schaefer M Reeve JR Jr (1987) Detection of cholecystokinin-58 in human blood by inhibition of degradation. Am J Physiol 253:G477–G482

    PubMed  CAS  Google Scholar 

  7. Turkelson CM, Reeve JR Jr, Solomon TE (1990) Low immunoreactivity of canine cholecystokinin-58. Gastroenterology 99:646–651

    PubMed  CAS  Google Scholar 

  8. Reeve JR Jr, Eysselein VE, Liddle RA (1988) CCK-8 is more potent than CCK-58 for pancreatic amylase release in vitro. Gastroenterology 94:A372

    Google Scholar 

  9. Konturek SJ, Tasler J, Cieszkowski M, Szewczyk K, Hladij M (1988) Effect of cholecystokinin receptor antagonist on pancreatic responses to exogenous gastrin and cholecystokinin and to meal stimuli. Gastroenterology 94:1014–1023

    PubMed  CAS  Google Scholar 

  10. Liddle RA, Goldfine ID, Rosen MS, Taplitz RA, Williams JA (1985) Cholecystokinin bioactivity in human plasma. Molecular forms, responses to feeding, and relationship to gallbladder contraction. J Clin Invest 75:1144–1152

    Article  PubMed  CAS  Google Scholar 

  11. Liddle RA, Rushakoff RJ, Morita ET, Beccaria L, Carter JD, Goldfine ID (1988) Physiological role for cholecystokinin in reducing postprandial hyperglycemia in humans. J Clin Invest 81:1675–1681

    Article  PubMed  CAS  Google Scholar 

  12. Reimers J, Nauck M, Creutzfeldt W, Strietzel J, Ebert R, Cantor P, Hoffmann G (1988) Lack of insulinotropic effect of endogenous and exogenous cholecystokinin in man. Diabetologia 14:271–280

    Google Scholar 

  13. Singer MV, Niebel W, Jansen JBMJ (1989) Pancreatic secretory response to intravenous caerulein and intraduodenal tryptophan: studies before and after stepwise removal of the extrinsic nerves of the pancreas in dogs. Gastroenterology 96:925–934

    PubMed  CAS  Google Scholar 

  14. Go VLW, Hofmann AF, Summerskill WHJ (1970) Pancreozymin bioassay in man based on pancreatic enzyme secretion: potency of specific amino acids and other digestive products. J Clin Invest 49:1558–1564

    Article  PubMed  CAS  Google Scholar 

  15. Meyer JH, Kelly GA, Spingola LJ, Jones RS (1976) Canine gut receptors mediating pancreatic responses to luminal L-amino acids. Am J Physiol 231: 669–677

    PubMed  CAS  Google Scholar 

  16. Stephens JR, Woolson RF, Cooke AR (1975) Effects of essential and nonessential amino acids on gastric emptying in the dog. Gastroenterology 69: 920–927

    PubMed  CAS  Google Scholar 

  17. MacGragor IL, Knill JR, Meyer JH (1976) Similar sensitivities of pancreatic and biliary secretion to cholecystokinin plus secretin infusion. Am J Dig Dis 21: 641–644

    Article  Google Scholar 

  18. Kerstens PJSM, Lamers CBHW, Jansen JBMJ, de Jong AJL, Hesseis M, Hafkenscheid JCM (1985) Physiological plasma concentrations of cholecystokinin stimulate pancreatic enzyme secretion and gallbladder contraction in man. Life Sci 36:565–569

    Article  PubMed  CAS  Google Scholar 

  19. Cantor P, Petronijevic L, Pedersen JF, Worning H (1986) Cholecystokinin and pancreozymic effect of O-sulfated gastrin compared with nonsulfated gastrin and cholecystokinin. Gastroenterology 91:1154–1163

    PubMed  CAS  Google Scholar 

  20. Hildebrand P, Beglinger C, Gyr K, Jansen JBMJ, Rovati LC, Zuercher M, Lamers CBHW, Setnikar I, Stalder GA (1990) Effects of a cholecystokinin receptor antagonist on intestinal phase of pancreatic and biliary responses in man. J Clin Invest 85:640–646

    Article  PubMed  CAS  Google Scholar 

  21. Liddle RA, Morita ET, Conrad CK, Williams JA (1986) Regulation of gastric emptying in humans by cholecystokinin. J Clin Invest 77:992–996

    Article  PubMed  CAS  Google Scholar 

  22. Rushakoff RJ, Goldfine ID, Carter JD, Liddle RA (1987) Physiological concentrations of cholecystokinin stimulate amino acid-induced insulin release in humans. J Clin Endocrinol Metab 65:395–401

    Article  PubMed  CAS  Google Scholar 

  23. Kellow JE, Miller LJ, Phillips SF, Haddad AC, Zinsmeister AR, Charboneau JW (1987) Sensitivities of human jejunum, ileum, proximal colon, and gallbladder to cholecystokinin octapeptide. Am J Physiol 252:G345–G356

    PubMed  CAS  Google Scholar 

  24. Hopman WPM, Kerstens PJSM, Jansen JBMJ, Rosenbusch G, Lamers CBHW (1985) Effect of graded physiologic doses of cholecystokinin on gallbladder contraction measured by ultrasonography. Determination of threshold, dose-response relationships and comparison with intraduodenal bilirubin output. Gastroenterology 89:1242–1247

    PubMed  CAS  Google Scholar 

  25. Beglinger C, Fried M, Whitehouse I, Jansen JB, Lamers CB Gyr K (1985) Pancreatic enzyme response to a liquid meal and to hormonal stimulation. Correlation with plasma secretin and cholecystokinin levels. J Clin Invest 75: 1471–1476

    Article  PubMed  CAS  Google Scholar 

  26. Kleibeuker JH, Beekhuis H, Jansen JBMJ, Piers DA, Lamers CBHW (1988) Cholecystokinin is a physiological hormonal mediator of fat-induced inhibition of gastric emptying in man. Eur J Clin Invest 18:173–177

    PubMed  CAS  Google Scholar 

  27. Schmid R, Schusdziarra V, Schulte-Frohlinde E, Maier V, Classen M (1989) Effect of CCK on insulin, glucagon, and pancreatic polypeptide levels in humans. Pancreas 4:653–661

    Article  PubMed  CAS  Google Scholar 

  28. Meyer BM, Werth BA, Beglinger C, Hildebrand P, Jansen JBMJ, Zach D, Rovati L, Stalder GA (1989) Role of cholecystokinin in regulation of gastrointestinal motor functions. Lancet 2:12–15

    Article  PubMed  CAS  Google Scholar 

  29. Malesci A, de Fazio C, Festorazzi S, Bonato C, Valentini A, Tacconi M, Rovati L, Setnikar I (1990) Effect of loxiglumide on gallbladder contractile response to cerulein and food in humans. Gastroenterology 98:1307–1310

    PubMed  CAS  Google Scholar 

  30. O’Rourke MF, Reidelberger RD, Solomon TE (1990) Effect of CCK antagonist L-364718 on meal-induced pancreatic secretion in rats. Am J Physiol 258: G179–G184

    PubMed  Google Scholar 

  31. Chariot J, Nagain C, Hugonet F, Tsocas A, Roze C (1990) Control of interdigestive and intraduodenal meal-stimulated pancreatic secretion in rats. Am J Physiol 259:G198–G204

    PubMed  CAS  Google Scholar 

  32. Meier R, Hildebrand P, Thumshirn M, Albrecht C, Studer B, Gyr K, Beglinger C (1990) Effect of loxiglumide, a cholecystokinin antagonist, on pancreatic polypeptide release in humans. Gastroenterology 99:1757–1762

    PubMed  CAS  Google Scholar 

  33. Liddle RA, Gertz BJ, Kanayama S, Beccaria L, Gettys TW, Taylor IL, Rushakoff RJ, Williams VC, Coker LD (1990) Regulation of pancreatic endocrine function by cholecystokinin: studies with MK-329, a nonpeptide cholecystokinin receptor antagonist. J Clin Endocrinol Metab 70:1312–1318

    Article  PubMed  CAS  Google Scholar 

  34. Hosotani R, Chowdhury P, Rayford PL (1989) L-364718, a new CCK antagonist, inhibits postprandial pancreatic secretion and PP release in dogs. Dig. Dis. Sci. 34:462–467

    Article  PubMed  CAS  Google Scholar 

  35. Liddle RA, Gertz BJ, Kanayama S, Beccaria L, Coker LD, Turnbull TA, Morita ET (1989) Effects of a novel cholecystokinin (CCK) receptor antagonist, MK-329, on gallbladder contraction and gastric emptying in humans. Implications for the physiology of CCK. J Clin Invest 84:1220–1225

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Solomon, T.E. (1991). Biological Actions of CCK in the Gastrointestinal Tract. In: Adler, G., Beglinger, C. (eds) Cholecystokinin Antagonists in Gastroenterology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76362-5_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-76362-5_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76364-9

  • Online ISBN: 978-3-642-76362-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics