Impact of High-Fat Feeding on Basic Helix-Loop-Helix Transcription Factors

Total Page:16

File Type:pdf, Size:1020Kb

Impact of High-Fat Feeding on Basic Helix-Loop-Helix Transcription Factors International Journal of Obesity (2014),1–9 © 2014 Macmillan Publishers Limited All rights reserved 0307-0565/14 www.nature.com/ijo ORIGINAL ARTICLE Impact of high-fat feeding on basic helix–loop–helix transcription factors controlling enteroendocrine cell differentiation This article has been corrected since online publication and a corrigendum appears in this issue Y Sakar1,2, FA Duca1,2, B Langelier1,2, F Devime1,2, H Blottiere1,2, C Delorme1,2, P Renault1,2 and M Covasa1,2,3,4 BACKGROUND AND OBJECTIVES: Gut hormones secreted by enteroendocrine cells (EECs) play a major role in energy regulation. Differentiation of EEC is controlled by the expression of basic helix–loop–helix (bHLH) transcription factors. High-fat (HF) feeding alters gut hormone levels; however, the impact of HF feeding on bHLH transcription factors in mediating EEC differentiation and subsequent gut hormone secretion and expression is not known. METHODS: Outbred Sprague–Dawley rats were maintained on chow or HF diet for 12 weeks. Gene and protein expression of intestinal bHLH transcription factors, combined with immunofluorescence studies, were analyzed for both groups in the small intestine and colon. Gut permeability, intestinal lipid and carbohydrate transporters as well as circulating levels and intestinal protein expression of gut peptides were determined. RESULTS: We showed that HF feeding resulted in hyperphagia and increased adiposity. HF-fed animals exhibited decreased expression of bHLH transcription factors controlling EEC differentiation (MATH1, NGN3, NEUROD1) and increased expression of bHLH factors modulating enterocyte expression. Furthermore, HF-fed animals had decreased number of total EECs and L-cells. This was accompanied by increased gut permeability and expression of lipid and carbohydrate transporters, and a decrease in circulating and intestinal gut hormone levels. CONCLUSIONS: Taken together, our results demonstrate that HF feeding caused decreased secretory lineage (that is, EECs) differentiation through downregulation of bHLH transcription factors, resulting in reduced EEC number and gut hormone levels. Thus, impaired EEC differentiation pathways by HF feeding may promote hyperphagia and subsequent obesity. International Journal of Obesity advance online publicatin, 25 February 2014; doi:10.1038/ijo.2014.20 Keywords: intestinal chemosensation; enteroendocrine cells; gut peptides; GLP-1 INTRODUCTION in Notch signaling in the intestine downregulate the absorptive The gastrointestinal tract constitutes the largest endocrine organ enterocyte lineage and increase cell numbers of the secretory 10 in the body.1 Enteroendocrine cells (EECs) secrete a variety of gut lineage. Three specific Notch-regulated basic helix–loop–helix hormones in response to intestinal nutrients, which play a major (bHLH) transcription factors are sequentially involved in the role in the control of food intake and regulation of energy different stages of secretory and absorptive cell differentiation: homeostasis.2,3 Obesity is associated with altered gut hormone MATH1, neurogenin 3 (NGN3) and neurogenic differentiation 1 11 levels, and therefore EECs have been proposed as possible targets (NEUROD1). for treatment of this disease.4 The intestinal epithelium is rapidly The proneural transcription factor mouse atonal homolog 1 regenerating and proliferating. This constant turnover is governed (also known as MATH1) is present in the GI tract throughout by an active pluripotent intestinal stem cell population, giving rise development and has been localized in intestinal epithelial villi 12 to five types of epithelial cells, which are represented by an and immature crypts. MATH1 null mice lack three secretory cell 12 absorptive enterocyte lineage or a secretory lineage composed of types: goblet, paneth and EECs. Transgenic MATH1 mice exhibit goblet cells, enteroendocrine cells, paneth cells and tuft cells.5,6 a large expansion in secretory cells and near-complete loss of Importantly, Notch and Wnt signaling pathways appear to play a absorptive cells, further indicating that MATH1 is a key transcrip- critical role in the fate between differentiation into the absorptive tion factor in directing intestinal progenitors to adopt the or secretory lineages.7,8 This effect is mediated through hairy/ secretory lineage.13 Second, NGN3, expressed in endocrine enhancer of split (HES1), a transcription factor whose expression is progenitor cells, is essential for the sequential differentiation of initiated by the Notch signaling pathway and is a repressor of cell secretory cells into endocrine lineage specification, as evidenced cycle inhibitors.9 Activation of Notch/HES1 signaling promotes by mice carrying a NGN3 null mutation failing to develop differentiation of the absorptive lineage and decreases differentia- intestinal endocrine cells.14,15 Although NGN3 is not expressed tion of the secretory lineage.8 Therefore, it follows that disruptions in mature endocrine cells, it is known to stimulate pro-endocrine 1UMR1913-MICALIS, INRA Centre de Recherche de Jouy-en-Josas, Jouy-en-Josas, France; 2UMR1913-MICALIS, AgroParisTech, Jouy-en-Josas, France; 3Department of Basic Medical Sciences, College of Osteopathic Medicine, Western University of Health Sciences, Pomona, CA, USA and 4Department of Human Health and Development, University of Suceava, Suceava, Romania. Correspondence: Dr M Covasa, UMR1913-MICALIS, INRA Centre de Recherche de Jouy-en-Josas, Domaine de Vilvert, Jouy-en-Josas Cedex 78350, France. E-mail: [email protected] Received 18 October 2013; revised 3 December 2013; accepted 17 January 2014; accepted article preview online 31 January 2014 Dietary fat and enteroendocrine cells Y Sakar et al 2 transcription factors, such as NEUROD1, paired box 4 and 6 (PAX4 reverse transcribed into 100 μl complementary DNA using the cDNA kit and PAX6), winged helix factors 1/2 (FOXA 1/2) and transcriptional (Applied Biosystem, Courtabeouf, France). Subsequent complementary regulatory factor 6 (RFX6).16–18 These and other pro-endocrine DNA was diluted fivefold and used for quantitative real-time PCR using Taqman gene expression master mix and inventoried Taqman gene transcription factors are thought to be responsible for differentia- 26 1 expression assays in an ABI Prism as previously described. Relative mRNA tion and maintenance of the mature endocrine cell populations. −ΔΔ expression was quantified using the 2 CT method with β-actin as For example, NEUROD1 regulates transcription of secretin and internal control. cholecystokinin (CCK), as NEUROD1 − / − mice lack secretin and CCK cells (S and I cells, respectively), although they maintain many other EECs, including glucagon-like peptide-expressing L-cells Western blotting (GLP-1, GLP-2).19 However, mice with a FOXA1/2 null mutation Isolated intestinal epithelial cell (n = 6 per group) aliquots were suspended have a reduced number of GLP-1 and polypeptide YY (PYY) in 500 ml of radioimmunoprecipitation assay buffer containing protease expressing L-cells via PAX6 downregulation.16 Additionally, the inhibitor cocktails (Sigma). Intestinal cells were lysed, homogenized and centrifuged for 30 min at 13 000 g at 4 °C. Soluble protein (50–100 μg) was transcription regulatory factor RFX6 plays a major role in K-cell- − – mediated gastric inhibitory polypeptide (GIP) expression,18 as run on SDS PAGE gels containing 8 12% bis/acrylamide, transferred to nitrocellulose membranes, and incubated with anti-GLP-1/2, PYY, CCK, deletion of RFX6 abolishes K-cell differentiation and GIP 20 secretin, GIP, NGN3, MATH1, PAX6, HES1, E74-like factor 3 (ELF3), CR6- expression. interacting factor 1 (CRIF1), SGLT1, glucose transporter 2/5 (GLUT2/5), fatty High-fat (HF) feeding is known to promote the development of acid transporter protein (FATP), Zonula-1 (ZO-1), phosphorylating myosin obesity, and is associated with reduction in circulating gut light chain (p-MLC) and occludin antibodies (Santa Cruz Biotechnology, hormone levels. Few studies have directly examined the effect Santa Cruz, CA, USA) and FOXA1/2 (Thermo Scientific-Pierce, Rockford, IL, of HF feeding on EEC changes, with conflicting results.21,22 Two USA). Immune complexes were detected by chemiluminescence (GE studies indicate no significant changes in EEC number after HF Healthcare, Saclay, France). Quantification was performed by scanning β feeding,22,23 while one recent study showed a significant increase densitometry using ImageJ (NIH, Bethesda, MD, USA) against -actin as in K- and L-cell number, in spite of reduced GLP-1 secretion.24 We internal control. have demonstrated that feeding a HF diet resulted in decrease in L cells of obese-prone rats and circulating GLP-1 levels.4 However, Immunofluorescence the mechanisms by which HF diet modulates EEC differentiation The small intestine (n = 4 per group) and colon (n = 5 per group) were fixed remain unclear. To our knowledge, only one study has examined and cut into 4-μm-thick sections using standard procedures.27 After the effect of HF feeding on EEC differentiation, demonstrating that deparaffinizing and rehydrating, slides were placed in 6% hydrogen diet-induced obesity is associated with increased RFX6 and, peroxide for 20 min, and blocked with phosphate-buffered saline/3% accordingly, increased GIP expression in enteroendocrine K-cells.25 bovine serum albumin/6% goat serum for 1 h. Sections were incubated Therefore, in the current study, we examined the effects of overnight at 4 °C with rabbit polyclonal antibody raised against MATH1 (1:100, Santa
Recommended publications
  • Cells Using Gene Expression Profiling and Insulin Gene Methylation
    RESEARCH ARTICLE Comparison of enteroendocrine cells and pancreatic β-cells using gene expression profiling and insulin gene methylation ☯ ☯ Gyeong Ryul Ryu , Esder Lee , Jong Jin Kim, Sung-Dae MoonID, Seung-Hyun Ko, Yu- Bae Ahn, Ki-Ho SongID* Division of Endocrinology & Metabolism, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea ☯ These authors contributed equally to this work. a1111111111 * [email protected] a1111111111 a1111111111 a1111111111 a1111111111 Abstract Various subtypes of enteroendocrine cells (EECs) are present in the gut epithelium. EECs and pancreatic β-cells share similar pathways of differentiation during embryonic develop- ment and after birth. In this study, similarities between EECs and β-cells were evaluated in OPEN ACCESS detail. To obtain specific subtypes of EECs, cell sorting by flow cytometry was conducted Citation: Ryu GR, Lee E, Kim JJ, Moon S-D, Ko S- from STC-1 cells (a heterogenous EEC line), and each single cell was cultured and pas- H, Ahn Y-B, et al. (2018) Comparison of saged. Five EEC subtypes were established according to hormone expression, measured enteroendocrine cells and pancreatic β-cells using by quantitative RT-PCR and immunostaining: L, K, I, G and S cells expressing glucagon-like gene expression profiling and insulin gene methylation. PLoS ONE 13(10): e0206401. https:// peptide-1, glucose-dependent insulinotropic polypeptide, cholecystokinin, gastrin and doi.org/10.1371/journal.pone.0206401 secretin, respectively. Each EEC subtype was found to express not only the corresponding Editor: Wataru Nishimura, International University gut hormone but also other gut hormones. Global microarray gene expression profiles of Health and Welfare School of Medicine, JAPAN revealed a higher similarity between each EEC subtype and MIN6 cells (a β-cell line) than Received: March 29, 2018 between C2C12 cells (a myoblast cell line) and MIN6 cells, and all EEC subtypes were highly similar to each other.
    [Show full text]
  • Enteric Nervous System (ENS): 1) Myenteric (Auerbach) Plexus & 2
    Enteric Nervous System (ENS): 1) Myenteric (Auerbach) plexus & 2) Submucosal (Meissner’s) plexus à both triggered by sensory neurons with chemo- and mechanoreceptors in the mucosal epithelium; effector motors neurons of the myenteric plexus control contraction/motility of the GI tract, and effector motor neurons of the submucosal plexus control secretion of GI mucosa & organs. Although ENS neurons can function independently, they are subject to regulation by ANS. Autonomic Nervous System (ANS): 1) parasympathetic (rest & digest) – can innervate the GI tract and form connections with ENS neurons that promote motility and secretion, enhancing/speeding up the process of digestion 2) sympathetic (fight or flight) – can innervate the GI tract and inhibit motility & secretion by inhibiting neurons of the ENS Sections and dimensions of the GI tract (alimentary canal): Esophagus à ~ 10 inches Stomach à ~ 12 inches and holds ~ 1-2 L (full) up to ~ 3-4 L (distended) Duodenum à first 10 inches of the small intestine Jejunum à next 3 feet of small intestine (when smooth muscle tone is lost upon death, extends to 8 feet) Ileum à final 6 feet of small intestine (when smooth muscle tone is lost upon death, extends to 12 feet) Large intestine à 5 feet General Histology of the GI Tract: 4 layers – Mucosa, Submucosa, Muscularis Externa, and Serosa Mucosa à epithelium, lamina propria (areolar connective tissue), & muscularis mucosae Submucosa à areolar connective tissue Muscularis externa à skeletal muscle (in select parts of the tract); smooth muscle (at least 2 layers – inner layer of circular muscle and outer layer of longitudinal muscle; stomach has a third layer of oblique muscle under the circular layer) Serosa à superficial layer made of areolar connective tissue and simple squamous epithelium (a.k.a.
    [Show full text]
  • S41467-019-14258-Z.Pdf
    ARTICLE https://doi.org/10.1038/s41467-019-14258-z OPEN Erythroid differentiation regulator-1 induced by microbiota in early life drives intestinal stem cell proliferation and regeneration Hirohito Abo1, Benoit Chassaing 1,2,3,4, Akihito Harusato 1, Miguel Quiros5, Jennifer C. Brazil5, Vu L. Ngo1, Emilie Viennois6, Didier Merlin6,7, Andrew T. Gewirtz1, Asma Nusrat5 & Timothy L. Denning1* 1234567890():,; Gut microbiota and their metabolites are instrumental in regulating intestinal homeostasis. However, early-life microbiota associated influences on intestinal development remain incompletely understood. Here we demonstrate that co-housing of germ-free (GF) mice with specific-pathogen free (SPF) mice at weaning (exGF) results in altered intestinal gene expression. Our results reveal that one highly differentially expressed gene, erythroid dif- ferentiation regulator-1 (Erdr1), is induced during development in SPF but not GF or exGF mice and localizes to Lgr5+ stem cells and transit amplifying (TA) cells. Erdr1 functions to induce Wnt signaling in epithelial cells, increase Lgr5+ stem cell expansion, and promote intestinal organoid growth. Additionally, Erdr1 accelerates scratch-wound closure in vitro, increases Lgr5+ intestinal stem cell regeneration following radiation-induced injury in vivo, and enhances recovery from dextran sodium sulfate (DSS)-induced colonic damage. Col- lectively, our findings indicate that early-life microbiota controls Erdr1-mediated intestinal epithelial proliferation and regeneration in response to mucosal damage. 1 Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, 100 Piedmont Ave, Atlanta, GA 30303, USA. 2 Neuroscience Institute and Institute for Biomedical Sciences, Georgia State University, Atlanta, Georgia, USA. 3 INSERM, U1016, Paris, France. 4 Université de Paris, Paris, France.
    [Show full text]
  • Neural and Neuroendocrine Control of Digestion: Regulation of Gastrointestinal Hormone Secretion
    Neural and Neuroendocrine Control of Digestion: Regulation of Gastrointestinal Hormone Secretion (Chapter 15 in “Eckert Animal Physiology) (Chapter 4 in Hill, Wise & Anderson: “Animal Physiology”) (Chapter 10 in Hadley: “Endocrinology”) General Concepts Covered: — neural and neuroendocrine integration of a complex physiological process — co-ordination of endocrine and exocrine secretion — exocrine secretion affecting endocrine status — endocrine influences on neural, muscle and secretory functions — paracrine and autocrine effects — local influences — positive and negative “feed-back” actions — enzymatic cascades — integration of carbohydrate, fat and protein digestion and appetite control General Introduction — digestion requires co-ordination of movement of food particles, mechanical and chemical digestion of food — opening and closing of sphincter muscles to contain food particles in certain gut compartments for appropriate processing, also control passage through compartments — proper sequential enzymatic processing General Introduction (cont.) — peristaltic action to move food through gut — kneading movement to mix food particles with enzymes and to expose new surfaces for digestion, as well as for absorption From Eckert Secretin - first proposed hormone — 1902, WM Baylist and EH Starling (observations in dogs) — addition of food or acid in stomach is usually followed by pancreatic enzyme secretion into intestine — dennervate and tie off duodenum from stomach, then 1) add acid to stomach - no pancreatic enzyme secretion 2) add acid to
    [Show full text]
  • Pancreatic Amylase
    1. Functional Anatomy • The pancreas which lies parallel to and beneath the stomach is composed of: 1. The endocrine islets of Langerhans which secrete: Hormone Type of cell % of secretion Insulin Beta cells 60% crucial for normal regulation of glucose, Glucagon Alpha cells ~25% lipid & protein metabolism Somatostatin delta cells ~10% 1. Acinar gland tissues which produce pancreatic juice (the main source of digestive enzymes). • The pancreatic digestive enzymes are secreted by pancreatic acini. • Large volumes of sodium Bicarbonate solution are secreted by the small ductules and larger ducts leading from the acini. • Pancreatic juice is secreted in Response to the presence of Chyme in the upper portions of the small intestine. 2. Major Components of Pancreatic Secretion and Their Physiologic Roles & 5. Activation of Pancreatic Enzymes • The major functions of pancreatic secretion: 1. To neutralize the acids in the duodenal chyme to optimum range (pH= 7.0-8.0) for activity of pancreatic enzymes. 2. To prevent damage to duodenal mucosa by acid & pepsin. 3. To produce enzymes involved in the digestion of dietary carbohydrate, fat, and protein. Pancreatic Enzymes: The pancreas secrests enzymes that act on all major types of food stuffs. 1. Pancreatic Proteolytic Enzymes (Trypsin, Chymotrypsin, Carboxypolypeptidase, Elastase) • Trypsin & Chymotrypsin split whole and partially digested proteins into peptides of various sizes but do not cause release of individual amino acids. • Carboxypolypeptidase splits some peptides into individual amino acids, thus completing digestion of some proteins to amino acids. • When first synthesized in the pancreatic cells, digestive enzymes are in the inactive forms; these enzymes become activated only after they are secreted into the intestinal tract.
    [Show full text]
  • Secretin Stimulates the Secretion of Bile from the Liver. It Also Increases Watery Bicarbonate Solution from Pancreatic Duct Epithelium
    Name Secretin acetate Cat # PP-1670 Size 1 g, 10 g, 100, g and bulk custom packages CAS# 17034-35-4 Mol. Mass 3055.47 Formula C130H220N44O41 Sequence H-His-Ser-Asp-Gly-Thr-Phe-Thr-Ser-Glu-Leu-Ser-Arg-Leu-Arg-Asp-Ser- Ala-Arg-Leu-Gln-Arg-Leu-Leu-Gln-Gly-Leu-Val-NH2 Purity >95% Secretin is a peptide hormone produced in the S cells of the duodenum in the crypts of Lieberkühn. Its primary effect is to regulate the pH of the duodenal contents via the control of gastric acid secretion and buffering with bicarbonate. Secretin stimulates the secretion of bile from the liver. It also increases watery bicarbonate solution from pancreatic duct epithelium. Pancreatic acinar cells have secretin receptors in their plasma membrane. As secretin binds to these receptors, it stimulates adenylate cyclase activity and converts ATP to cyclic AMP.[12] Cyclic AMP acts as second messenger in intracellular signal transduction and leads to increase in release of watery carbonate.It is known to promote the normal growth and maintenance of the pancreas. Secretin increases water and bicarbonate secretion from duodenal Brunner's glands in order to buffer the incoming protons of the acidic chyme.[13] It also enhances the effects of cholecystokinin to induce the secretion of digestive enzymes and bile from pancreas and gallbladder, respectively. It counteracts blood glucose concentration spikes by triggering increased insulin release from pancreas, following oral glucose intake.<[14] It also reduces acid secretion from the stomach by inhibiting gastrin release from G cells.[citation needed] This helps neutralize the pH of the digestive products entering the duodenum from the stomach, as digestive enzymes from the pancreas (eg, pancreatic amylase and pancreatic lipase) function optimally at neutral pH.[citation needed] In addition, secretin simulates pepsin secretion which can help break down proteins in food digestion.
    [Show full text]
  • Cellular Localization of Gastric Inhibitory Polypeptide in the Duodenum and Jejunum
    Gut: first published as 10.1136/gut.14.4.284 on 1 April 1973. Downloaded from Gut, 1973, 14, 284-288 Cellular localization of gastric inhibitory polypeptide in the duodenum and jejunum JULIA M. POLAK, S. R. BLOOM', MARION KUZIO, J. C. BROWN, AND A. G. E. PEARSE From the Department ofHistochemistry, Royal Postgraduate Medical School, Hammersmith Hospital, London, and the Department ofPhysiology, University ofBritish Columbia, Vancouver, Canada SUMMARY Indirect immunofluorescence studies using an antiserum to purified porcine gastric inhibitory polypeptide indicate, in the gastrointestinal tract of dog and man, that this polypeptide is present in cells situated predominantly in the mid-zone of the glands in the duodenum and, to a lesser extent, in the jejunum. Absolute correlation of the gastric inhibitory polypeptide cell with one or other of the known endocrine-like cells identified by electron microscopy awaits confirmation by electron immunocytochemistry. It is here identified as an endocrine polypeptide cell of the APUD series and, provisionally, as the D, cell. While the hormonal status of a given polypeptide depends ultimately on physiological experiments the present results strengthen the view that gastric inhibitory polypeptide is indeed a hormone. In 1969 Brown, Pederson, Jorpes, and Mutt described We report here the results of immunofluorescence an enterogastrone, extractable from porcine intestine, studies on the localization of GIP in human and http://gut.bmj.com/ which strongly inhibited gastric acid secretion. The canine intestine. purification of an apparently similar enterogastrone was reported in the same year by Lucien, Itoh, Sun, Material and Methods Meyer, Carlton, and Schally. The first of these poly- peptides, named gastric inhibitory polypeptide Operative samples of duodenal and jejunal mucosa (GIP) by Brown, Mutt, and Pederson (1970), was from seven human subjects were studied.
    [Show full text]
  • Stomach, Duodenum, and Jejunum
    Gut, 1970, 11, 649-658 The endocrine polypeptide cells of the human Gut: first published as 10.1136/gut.11.8.649 on 1 August 1970. Downloaded from stomach, duodenum, and jejunum A. G. E. PEARSE, I. COULLING, B. WEAVERS, AND S. FRIESEN' From the Department of Histochemistry, Royal Postgraduate Medical School, London SUMMARY Thirty specimens of stomach, duodenum, and jejunum, removed at operation, were examined by optical microscopical, cytochemical, and electron microscopical techniques. The overall distribution of four types of endocrine polypeptide cell in the stomach, and three in the intestine, was determined. The seven cell types are described by names and letters belonging to a scheme for nomenclature agreed upon at the 1969 Wiesbaden conference o* gastrointestinal hormones. The gastrin-secreting G cell was the only cell for which firm identification with a known hormone was possible. Although there was wide variation in the distribution of the various cells, from one case to another, striking differences were never- theless observable, with respect to the G cell, between antra from carcinoma and from ulcer cases. http://gut.bmj.com/ This study was undertaken with a view to estab- tive shorthand terminology. Correlation with the lishing the overall topographical distribution of terminology used by Solcia, Vassallo, and Capella the various types of endocrine polypeptide cells (1969b) and by Vassallo, Solcia, and Capella in the human stomach and upper intestine. (1969) had to be equated, if possible, with the Adequate sampling was regarded as a pre- scheme used by Forssmann, Orci, Pictet, Renold, on September 28, 2021 by guest. Protected copyright.
    [Show full text]
  • 19780525 Gr Im.Pdf
    0 0 0 2 TABLE OF CONTENTS I INTRODUCTION II HISTORICAL BACKGROUND III ORIGIN AND NATURE OF GI HORMONES: NEUROENDOCRINE SECRETION AND RELEASE OF PEPTIDES IV ANATOMIC AND CELLULAR DISTRIBUTION OF GI HORMONES V CHEMICAL AND BIOLOGICAL FEATURES OF GI HORMONES: STRUCTURE AS A GUIDE TO BIOLOGICAL ACTION VI GI HORMONES IN PHYSIOLOGY 1. Secretin 7. Pancreatic Polypeptide 2 .. Gastrin 8. Vasoactive Intestinal Polypeptide 3. Cholecystokinin-Pancreozymin 9. Somatostatin 4. Gastric Inhibitory Polypeptide 1o. Substance P 5. Motilin 11. Bombesin 6. Glucagon, Enteroglucagon 12. Other Peptides VII GI HORMONES IN DISEASE A. GI Hormone-Secreting Tumors: Gastrinoma (Zollinger-Ellison Syndrome), and other causes of Hypergastrinemia; MEA Syndromes; VIP-oma (Watery­ Diarrhea, WDHH or Werner-Morrison Syndrome); Glucagonoma; Somatostatinoma; Pancreatic Polypeptide in Tumors; Substance P (Carcinoid). B. GI Hormones in Other Pathologic States. C. Diagnostic & Therapeutic Uses. VIII CONCLUSION 3 GLOSSARY ACTH - Corticotropin (adrenocorticotropic hormone) AMP - Adenosine monophosphate APUD - Amine precursor uptake and decarboxylation CCK, CCK- PZ - Cholecystokinin-pancreozymin EC - Enterochromaffin EG - Enteroglucagon GI - Gastrointestinal GIP - Gastric-inhibitory polypeptide LES - Lower esophageal sphincter MEA - Multiple endocrine adenomatosis MSH - Melanocyte-stimulating hormone (melanotropin) PP - Pancreatic polypeptide PZ - Pancreozymin RIA - Radioimmunoassay SP - Substance P STM - Standard test meal VIP - Vasoactive intestinal polypeptide WDHH (or WDHA) - Watery
    [Show full text]
  • Pancreas and Fat/Lipid Digestion
    Exocrine Pancreas Physiology Pancreatic Anatomy Pancreatic secretion Pancreatic enzymes Daniel S. Kamin MD Boston Children’s Hospital [email protected] Content Reviewers: Sohail Z. Husain, MD Veronique Morinville MD, FRCP(C) NASPGHAN Physiology Education Series Series Editors: Christine Waasdorp Hurtado, MD, MSCS, FAAP [email protected] Daniel Kamin, MD [email protected] Learning Objectives • Understand the normal development and anatomy of the pancreas • Understand the stimuli and cellular factors giving rise to pancreatic secretion • Know the mechanisms by which pancreatic enzymes are activated and remain functional • Be aware of age-related deficiency in exocrine pancreatic function Night blindness • A young man with morbid obesity undergoes roux-en-y gastric bypass. • 1 year later he notices that in the evening he falls down his stairs. • Vitamin A deficiency is diagnosed. Understanding the physiology of pancreatic and bile secretion, Used with permission intraluminal lipolysis, and micellar function explains why this happens! http://www.citelighter.com/science/surgery/knowledgecards/gastric-bypass Pancreas Physiology Overview • Bulk of bicarbonate secretion (more than what secreted in bile and from duodenum) • Enzymes for intra- luminal digestion • Secretin and CCK regulate • Maturational pancreatic insufficiency Used with permission Image from http://www.aboutcancer.com/pancreas1.htm Pancreatic Development • See Embryology and Anatomy of the Gastrointestinal Tract Pancreatic Microanatomy Pancreatic Acinar Secretory Products A • Proteases • Trypsinogen* • Chymotrypsinogen* A • Proelastase* • Procarboxypeptidase* • Procarboxypeptidase B* • Amylolytic enzyme • Amylase A • Lipases • Lipase • B Nonspecific esterase • Prophospholipase A2* • Nucleases • Deoxyribonuclease • Ribonuclease • Others • Pro-colipase* • Trypsin inhibitors A. Exocrine pancreas-- ascinar cells filled • Monitor peptid with secretory granules, cuboidal duct Stored and secreted in inactive form cells secrete bicarbonate-rich fluid B.
    [Show full text]
  • Secretin: Structure of the Precursor and Tissue Distribution of the Mrna (Intestine/Preprohormone/Cdna/Polymerase Chain Reaction) ALAN S
    Proc. Nati. Acad. Sci. USA Vol. 87, pp. 2299-2303, March 1990 Biochemistry Secretin: Structure of the precursor and tissue distribution of the mRNA (intestine/preprohormone/cDNA/polymerase chain reaction) ALAN S. KoPIN*, MICHAEL B. WHEELER, AND ANDREW B. LEITER Division of Gastroenterology, Department of Medicine, New England Medical Center, Boston, MA 02111 Communicated by Donald F. Steiner, January 5, 1990 (receivedfor review, November 17, 1989) ABSTRACT Secretin is a 27-amino acid gastrointestinal denum, while the levels reported for hypothalamus, thala- hormone that stimulates the secretion of bicarbonate-rich mus, and olfactory lobe were comparable to those in small pancreatic fluid. The unusually high number ofserine, leucine, intestine (9). Others report that brain contains either small and arginine residues in secretin has precluded the use of amounts (10, 11) or no secretin-like immunoreactivity (12). oligonucleotides to screen cDNA libraries to isolate a secretin In the present study, we have isolated cDNAs encoding the cDNA. In the present study, a short cDNA encoding porcine rat and porcine secretin precursors.t The deduced amino acid secretin was amplified from duodenal mucosal first-strand sequence includes a signal peptide, an N-terminal peptide, cDNA template by using 16,384- and 4096-fold degenerate secretin, and a 72-amino acid C-terminal peptide. We have primers in the DNA polymerase chain reaction. From the used the secretin cDNA as a probe in Northern blot hybrid- sequence of the amplified cDNA, an unambiguous oligonucle- izations to address unresolved questions regarding the tissue otide probe was designed to screen a cDNA library. Here we localization of secretin biosynthesis in the rat CNS and report the sequences of cDNAs encoding the porcine and rat gastrointestinal tract.
    [Show full text]
  • Secretin Cells in Coeliac Disease
    Gut: first published as 10.1136/gut.14.11.870 on 1 November 1973. Downloaded from Gut, 1973, 14, 870-874 Secretin cells in coeliac disease JULIA M. POLAK, A. G. E. PEARSE, SUSAN VAN NOORDEN, S. R. BLOOM, AND MARY A. ROSSITER From the Department of Histochemistry, Royal Postgraduate Medical School, London, the Department of Clinical Research, Middlesex Hospital, London, and the Department of Gastroenterology, Queen Elizabeth Hospital, London SUMMARY Immunofluorescence (anti-secretin), cytochemical, and ultrastructural studies were carried out on jejunal biopsies from 16 children with coeliac disease and from 17 controls with suspected malabsorption but normal jejunal morphology. In 11 of the 16 coeliacs there was generalized hyperplasia of endocrine cells and, specifically, of the secretin (S) cells. Further studies, on adult coeliacs as well as on children, combined with serum secretin assays, may establish whether the S cells are abnormally storing hormone because of inability to release it or because of excess production. Present observations suggest that abnormal secretion children with coeliac disease only minimal changes in of certain gut hormones may be involved in the serum insulin were observed during a glucose toler- malfunction of the intestine in coeliac disease. ance test (Grant, 1973). In this disorder the secretory response of the The evidence summarized above points to the http://gut.bmj.com/ exocrine pancreas to a standard meal is reduced conclusion that the pancreas itself is capable of (Worming, Mullertz, Thaysen, and Bang, 1967), as normal function in coeliac disease but that normal it also is after perfusion of the intestine with amino stimulation by secretin and/or CCK/PZ is not acids (which stimulate cholecystokinin secretion).
    [Show full text]