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Dissociation between pancreatic enzyme secretory and synthetic dose-responses to cholecystokinin in man

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Summary

The effect of varying the intensity of pancreatic stimulation on the synthesis of human pancreatic enzymes has not previously been studied. We have measured the secretion and synthesis of pancreatic enzymes in response to either secretin alone (1 Cu·kg−1·h−1) or secretin plus increasing doses of cholecystokinin (CCK) (0.25, 0.5 or 1.0 IDU·kg−1·h−1). Enzyme synthesis was measured using the incorporation of75Se-methionine (0.15 mCi (5.6 kBq)·kg−1·h−1) into the trichloracetic acid-insoluble fraction of the duodenal aspirate. Outputs of trypsin, chymotrypsin, lipase and protein showed a bell-shaped dose response to increasing doses of cholecystokinin, with maximal outputs occurring in response to secretin plus cholecystokinin 0.5 IDU·kg−1·h−1. The rate of incorporation of75Se-methionine increased with increasing doses of cholecystokinin and was maximal in response to secretin plus cholecystokinin 1.0 IDU·kg−1·h−1. There was therefore dissociation between the secretory and synthetic responses to increasing doses of cholecystokinin.

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Boyd, E.J.S., Dunbar, J., Clarke, G. et al. Dissociation between pancreatic enzyme secretory and synthetic dose-responses to cholecystokinin in man. Int J Pancreatol 1, 29–37 (1986). https://doi.org/10.1007/BF02795237

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  • DOI: https://doi.org/10.1007/BF02795237

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