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Article: Effects of bombesin on gastrin and gastric acid secretion in patients with duodenal ulcer

TitleEffects of bombesin on gastrin and gastric acid secretion in patients with duodenal ulcer
Authors
Issue Date1983
PublisherBMJ Publishing Group. The Journal's web site is located at http://gut.bmjjournals.com/
Citation
Gut, 1983, v. 24 n. 3, p. 231-235 How to Cite?
AbstractThe effect of bombesin, a possible neurotransmitter of gastrin release, upon gastrin and gastric acid secretion was investigated in 25 patients with duodenal ulcer and in 16 normal subjects. In patients with duodenal ulcer bombesin (10 ng/kg/min) produced an increase in plasma gastrin output (median 22.4 (range 7.5-75.8) pmol/l/min) similar to that obtained in normal subjects (median 24.4 (range 5.8-56.5) pmol/l/min), whereas gastrin stimulated by a meal was significantly higher in the group of patients with duodenal ulcer (median 20.7 (range 9.2-42.9) vs 16.2 (range 3.4-22.2) p<0.05). Peak acid output induced by bombesin was significantly higher in patients with duodenal ulcer than in normal subjects (median 24.4 (range 9.0-63.8) vs 14.0 (range 3.0-24.8) mmol/h, p<0.05) despite identical gastrin outputs. The ratio (%) obtained by dividing the acid secretory response to bombesin by the response to pentagastrin, however, was similar in both normal subjects and patients with duodenal ulcer (median 55 (range 20-116) vs 58 (range 31-95) respectively). The difference between the gastrin response to food and bombesin could be explained by the fact that bombesin releases gastrin directly, whereas a protein meal involves several mechanisms (neural, peptidergic, paracrine, endocrine), either stimulatory or inhibitory. The above results indicate that a higher concentration in antral and/or duodenal gastrin is unlikely to be present in patients with duodenal ulcer. An increased parietal cell mass could explain the higher gastric acid response after bombesin infusion in our group of patients with duodenal ulcer.
Persistent Identifierhttp://hdl.handle.net/10722/195297
ISSN
2015 Impact Factor: 14.921
2015 SCImago Journal Rankings: 6.474
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorDelle Fave, G-
dc.contributor.authorKohn, A-
dc.contributor.authorde Magistris, L-
dc.contributor.authorAnnibale, B-
dc.contributor.authorBruzzone, R-
dc.contributor.authorSparvoli, C-
dc.contributor.authorSeveri, C-
dc.contributor.authorTorsoli, A-
dc.date.accessioned2014-02-26T07:03:33Z-
dc.date.available2014-02-26T07:03:33Z-
dc.date.issued1983-
dc.identifier.citationGut, 1983, v. 24 n. 3, p. 231-235-
dc.identifier.issn0017-5749-
dc.identifier.urihttp://hdl.handle.net/10722/195297-
dc.description.abstractThe effect of bombesin, a possible neurotransmitter of gastrin release, upon gastrin and gastric acid secretion was investigated in 25 patients with duodenal ulcer and in 16 normal subjects. In patients with duodenal ulcer bombesin (10 ng/kg/min) produced an increase in plasma gastrin output (median 22.4 (range 7.5-75.8) pmol/l/min) similar to that obtained in normal subjects (median 24.4 (range 5.8-56.5) pmol/l/min), whereas gastrin stimulated by a meal was significantly higher in the group of patients with duodenal ulcer (median 20.7 (range 9.2-42.9) vs 16.2 (range 3.4-22.2) p<0.05). Peak acid output induced by bombesin was significantly higher in patients with duodenal ulcer than in normal subjects (median 24.4 (range 9.0-63.8) vs 14.0 (range 3.0-24.8) mmol/h, p<0.05) despite identical gastrin outputs. The ratio (%) obtained by dividing the acid secretory response to bombesin by the response to pentagastrin, however, was similar in both normal subjects and patients with duodenal ulcer (median 55 (range 20-116) vs 58 (range 31-95) respectively). The difference between the gastrin response to food and bombesin could be explained by the fact that bombesin releases gastrin directly, whereas a protein meal involves several mechanisms (neural, peptidergic, paracrine, endocrine), either stimulatory or inhibitory. The above results indicate that a higher concentration in antral and/or duodenal gastrin is unlikely to be present in patients with duodenal ulcer. An increased parietal cell mass could explain the higher gastric acid response after bombesin infusion in our group of patients with duodenal ulcer.-
dc.languageeng-
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://gut.bmjjournals.com/-
dc.relation.ispartofGut-
dc.rightsGut. Copyright © BMJ Publishing Group.-
dc.rightsThis article has been accepted for publication in Gut. The definitive copyedited, typeset version Gut, 1983, v. 24 n. 3, p. 231-235 is available online at: http://www.ncbi.nlm.nih.gov/pubmed/6826108-
dc.subject.meshDietary Proteins - pharmacology-
dc.subject.meshDuodenal Ulcer - metabolism-
dc.subject.meshGastric Acid - secretion-
dc.subject.meshGastric Mucosa - drug effects - secretion-
dc.subject.meshGastrins - secretion-
dc.titleEffects of bombesin on gastrin and gastric acid secretion in patients with duodenal ulceren_US
dc.typeArticleen_US
dc.identifier.emailBruzzone, R: bruzzone@HKUCC.hku.hk-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid6826108-
dc.identifier.pmcidPMC1419938-
dc.identifier.scopuseid_2-s2.0-0020659604-
dc.identifier.volume24-
dc.identifier.issue3-
dc.identifier.spage231-
dc.identifier.epage235-
dc.identifier.isiWOS:A1983QC91500012-
dc.publisher.placeUnited Kingdom-

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