Abstract
We investigated the physiological role of cholecystokinin (CCK) on gastric emptying and acid secretion in seven conscious dogs with gastric cannulae. Two hundred milliliters of a 4% amino acid meal was given via the cannula, and both gastric emptying and acid output were measured concurrently using a dye-dilution technique. Gastric emptying of the liquid amino acid meal was exponential, and the acid output and plasma concentrations of CCK, gastrin, and somatostatin peaked within 30 min after the meal. Intravenous infusion of CCK-8 at 28 and 56 pmol/kg/hr but not 14 pmol/kg/hr increased plasma levels of the peptide and inhibited gastric emptying as well as acid output. Plasma gastrin was not affected significantly by the CCK infusion, whereas plasma somatostatin increased significantly in response to 56 pmol/kg/hr of CCK-8. Loxiglumide, 22 µmol/kg/hr, significantly enhanced gastric emptying and augmented acid output, as well as plasma gastrin response, whereas it abolished the postprandial rise in plasma somatostain. We concluded that in dogs, CCK plays an important role in the physiologic regulation of postprandial gastric emptying of a liquid caloric meal and acid output. Its inhibitory effect on gastric acid secretion appears to be mediated, at least in part, by somatostatin.
Similar content being viewed by others
References
Anika MS: Effects of cholecystokinin and caerulein on gastrin emptying. Eur J Pharmacol 85:195–199, 1982
Chey WY, Hitanant S, Hendricks J, Lorber SH: Effect of secretin and cholecystokinin on gastric emptying and gastric output in man. Gastroenterology 58:820–827, 1970
Lotti VJ, Pendelton RG, Gould RJ, Hanson HM, Chang RSL, Clineschmidt BV:In vivo pharmacology of L364,718 a new potent nonpeptide peripheral cholexystokinin antagonist. J Pharmacol Exp Ther 241:103–109, 1987
Mangel AW, Koegel A: Effects of peptides on gastric emptying. Am J Physiol 246(Gastrointest Liver Physiol 9): G342-G345, 1984
Moran TH, McHugh PR: Cholecystokinin suppresses food intake by inhibiting gastric emptying. Am J Physiol (Regul Integr Comp Physiol 11):R491–R497, 1982
Debas HT, Farooq O, Grossman MI: Inhibition of gastric emptying is a physiological action of cholecystokinin. Gastroeneterology 68:1211–1217, 1975
Kleibeuker JH, Beekhuis HJ, Jansen JBMJ, Piers DA, Lamers CBHW: Cholecytokinin is a physiological hormonal mediator of fat-induced inhibition of gastric emptying in man. Eur J Clin Invest 18:173–177, 1988
Liddle RA, Morite ED, Conrad CK, Williams JA: Regulation of gastric emptying in humans by cholecystokinin. J Clin Invest 117:992–996, 1986
Valenzuela JE, Defilippi C: Inhibition of gastric emptying in humans by secretin, the octapeptide of cholecystokinin, and intraduodenal fat. Gastroenterology 68:1211–1217, 1975
Johnson, LR, Berstad A: Analysis of inhibition of acid secretion by cholecystokinin in dogs. Am J Physiol 218:550–554, 1970
Peterson H, Berstad A: Effect of commercial cholecystokinin (CCK-PZ) on acid. Acta Hepatogastroenterol 20:330–337, 1973
Zdon MJ, Ballantyne GH, Schafer DE, et al: The effects of cholecystokinin on parietal cell secretion in isolated gastric glands. Surgery 98:1038–1044, 1985
Lotti VJ, Chang RS, Kling PJ, Cerino DJ: Evidence that cholecystokinin octapeptide (CCK-8) acts as a potent, full agonist on gastrin receptors for acid secretion in the isolated mouse stomach: Lack of antagonism by the specific CCK antagonist asperlicin. Digestion 35:170–174, 1986
Chey WY, Sivasomboon B, Hendricks J, Lorber SH: Effect of secretin and cholecystokinin on gastric secretion in rats. Gastroenterology 58:1037A, 1970
Way LW: Effect of cholecystokinin and caerulein on gastrin secretion in cats. Gastroenterology 60:560–565, 1971
Dubois A, Natelson BH, Van Eerdewegh D, Gardner JD: Gastric emptying and output in the Rhesus monkey. Am J Physiol 232:E186-E192, 1976
Dubois A, Nompleggi D, Castell DO: Histamine H2-receptor stimulation increases gastric emptying in monkeys. Am J Physiol 255:G767-G771, 1988
Chang TM, Chey WY: Radioimmunoassay of cholecystokinin. Dig Dis Sci 28:456–468, 1983
Rhee JC, Chang TM, Lee KY, Jo YH, Chey WY: Mechanism of oleic-acid induced inhibition of gastric acid secretion in rats. Am J Physiol 260:G564-G570, 1991
Tai HH, Chey WY: Simultaneous radioimmunoassay of secretin and gastrin. Anal Biochem 74:12–24, 1976
Arimura A, Sato H, Coy DH and Shally AV: Radioimmunoassay for GH-release inhibiting hormone. Proc Soc Exp Biol Med 148:784–789, 1975
Dubois A, Mizrahi M: A new PC-based program to calculate gastric secretion and emptying using a marker dilution technique. Dig Dis Sci 37:1302–1304, 1992
Gower JG: Measures of similarity, dissimilarity and distance.In Encyclopedia of Statistical Sciences, Vol. 5. S Kotz, NL Johnson (eds). New York, John Wiley & Sons, 1985
Dubois A, Bruley des Varannes S, Mizrahi M, Fiala N, Solomon T, Turkelson C: Role of cholecystokinin in the regulation of gastric function after caloric meals. Gastroeneterology 100:A439, 1991
Lloyd KCK, Maxwell V, Chuong CN, Wang HC, Soll AN, Walsh JH: Somatostatin is released in response to cholecystokinin by activation of Type A CCK receptors. Peptides 15(2):223–227, 1994
Soll AH, Amirian DA, Park J, Elashoff JD, Yamada T: Cholecystokinin potently releases somatostatin from canine fundic mucosal cells in short-term culture. Am J Physiol 248:G569-G573, 1985
Bengtsson P, Lundqvist G, Nilsson G: Inhibition of acid formation and stimulation and somatostatin release by cholecystokinin-related peptides in rabbit gastric glands. J Physiol London 419:765–774, 1989
Liddle RA, Gertzx BJ, Kanayama S, Beccaria L, Coker LD, Turnbull TA, Morita ET: Effect 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, 1989
Lloyd KCK, Mawell TO, Kovacs TOG, Miller J, Walsh JH: Cholecystokinin receptor antagonist MK-329 blocks intestinal fat-induced inhibition of meal-stimulated gastric acid secretion. Gastroenterology 102:131–138, 1992
Hildebrand P, Beglinger C, Gry K, Jansen JBMJ, Rovati LC, Zuercher M, Lamers CBHW, Stetikar I, Stadler GA: Effect of cholecystokinin receptor antagonist on intestinal phase of pancreatic and biliary responses in man. J Clin Invest 85:640–646, 1990
Schwarzendrube J, Neiderau M, Luthen R, Neiderau C: Effects of cholecystokinin-receptor blockade on pancreatic and biliary function in healthy volunteers. Gastroenterology 100:1683–1690, 1991
Meyer BM, Werth BA, Beglinger C, Hildebrand P, Jansen JBMJ, Zach D, Rovati LC, Stalder GA: Role of cholecystokinin in regulation of gastrointestinal motor function. Lancet 2:12–15, 1989
Fried M, Erlacher U, Schwizer W, Lochner C, Koerfer J, Beglinger C, Jansen JB, Lamers CB, Harder F, Bischof-Delalye A, Stadler GA, Rovati L: Role of cholecystokinin in the regulation of gastric emptying and pancreatic enzyme secretion in humans. Studies with the cholecystokinin antagonist loxiglumide. Gastroenterology 101:503–511, 1991
Raybould HE, Tache Y: Cholecystokinin inhibits gastric motility and emptying via a capsaicin-sensitive vagal pathway in rats. Am J Physiol 255(Gastrointest LIver Physiolol 18):G242-G246, 1988
Fraser R, Fone D, Horowitz J: Dose related stimulation of pyloric motility in humans by cholecystokinin octapeptide. Gastroenterology 98:A275, 1990
Fisher RS, Lipshutz W, Cohen S: The hormonal regulation of pyloric sphincter function. J Clin Invest 52:1289–1296, 1973
Yamagishi T, Debas HT: Cholecystokinin inhibits gastric emptying by acting on both proximal stomach and pylorus. Am J Physiol 234:E375-E378, 1978
Merlo A, Cohen S: Mechanics and neuropeptide responses of feline pylorus and gastric musclein vitro. Am J Physiol 256:G862-G867, 1989
Burckhardt B, Delco F, Aufgerhaar U, Ketterer S, Beglinger C: Effect of a CCK-A receptor antagonist on gastric acid secretion in man. Gastroenterology 102:A46, 1992
Konturek SJ, Kwiecin N, Obtulowicz W, Kopp B, Oleksy J, Robati L: Cholecystokinin in the inhibition of gastric secretion and gastric emptying in humans. Digestion 45:1–9, 1990
Debas HT: Peripheral regulation of gastric acid secretion. In Physiology of the Gastrointestinal Tract. Vol 2, 2nd ed. (ed). LR Johnson, New York, Raven Press, 1987, pp 931–945
Corazziari E, Solomon TE, Grossman MI: Effect of 95% pure cholecystokinin on gastrin-stimulated acid secretion in man and dogs. Gastroenterology 77:91–95, 1979
Bengtsson P, Nilsson G, Lundquist G: Inhibitory effects of gastric acid CCK-like peptides on aminopyrine accumulation in isolated fundic glands from rabbits. Acta Physiol Scand 124(suppl 542):310, 1985
Park J, Chiba T, Yamada T: Mechanisms for direct inhibition of canine gastric parietal cells by somatostatin. J Biol Chem 262:14190–14196, 1987
Rabyould HE, Tache Y: Capsaicin-sensitive vagal afferent fibers and stimulation of gastric acid secretion in anesthetized rats. Eur J Pharmacol 167:237–243, 1989
Greenberg GR: Differential neural regulation of circulating somatostatin-14 and-28 in conscious dogs. Am J Physiol 264(6):G902-G909, 1993
Seal A, et al: Somatastatin-14 and -28: Clearance and potency on gastric function in dogs. Am J Physiol 243(6):G97-G102, 1982
Lloyd KCK, Raybould HE, Walsh JH: Cholecystokinin inhibits gastric acid secretion through type “A” cholecystokinin receptors and somatostatin in rats. Am J Physiol 263(Gastrointest Liver Physiol 26):G287-G292, 1992
Chew CS: Inhibitory action of somatostatin on isolated gastric glands and parietal cell. Am J Physiol 245:G221-G229, 1983
Loud FB, Holst JJ, Egense E, Petersen B, Christiansen J: Is somatostatin a humoral regulator of the endocrine pancreas and gastric acid secretion in man? Gut 26:445–449, 1985
Burkhardt B, Meier R, Bauerfeind P, Gyr K, Beglinger C: Blocking CCK-A receptors stimulates gastric acid secretion in man. Gastroenterology 102:A724, 1992
Koop I, Meloche RM, Buchan AMJ: amino acids stimulate gastrin and CCK release from isolated human antral and duodenal mucosal cells in short-term culture. Gastroenterology 100:A649, 1991
Jebbink MCW, Jansen JBMJ, Mooy DM, Rovati LC, Lamers CBHW: Effect of loxiglumide on basal, gastrin-and bombesin-stimulated gastric acid output and serum gastrin in man. Gastroenterology 100:A91, 1991
Konturek SJ, Bilski J, Tasler J, Cieszkowski M: Role of cholecystokinin in the inhibition of gastric acid secretion in dogs. J Physiol 451:477–489, 1992
Beglinger JC, Hildebrand P, Meier R, Bauerfeind P, Hasslocher H, Urscheler N, Delco F, Eberle A, Gyr K. A physiologic role of cholecystokinin (CCK) as a regulator of gastrin secretion. Gastroenterology 103:490–495, 1992
Author information
Authors and Affiliations
Additional information
The opinions and assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the Department of Defense or the Uniformed Services University of the Health Science.
The experiments reported herein were conducted according to the principles set forth in the “Guide for the Care and Use of Laboratory Animals,” Institute of Laboratory Animal Resources, National Research Council, HHS/NIH, Publ. No. 85-23.
Rights and permissions
About this article
Cite this article
Jin, H.O., Lee, K.Y., Chang, T.M. et al. Physiological role of cholecystokinin on gastric emptying and acid output in dogs. Digest Dis Sci 39, 2306–2314 (1994). https://doi.org/10.1007/BF02087643
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02087643