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. 1985 May;26(5):445–449. doi: 10.1136/gut.26.5.445

Is somatostatin a humoral regulator of the endocrine pancreas and gastric acid secretion in man?

F B Loud, J J Holst, E Egense, B Petersen, J Christiansen
PMCID: PMC1432652  PMID: 2860053

Abstract

The effect of low dose infusions of somatostatin on meal stimulated gastric acid secretion was studied in eight healthy volunteers by intragastric titration after a peptone test meal with radioimmunoassay control of the plasma concentrations of somatostatin and the pancreatic hormones glucagon and insulin. Infusion of somatostatin in a dose of 100 ng/kg/h, resulting in a plasma concentration of 13.4 +/- 2.1 pmol/l, inhibited acid secretion significantly, and in a dose of 800 ng/kg/h, with corresponding plasma concentration of 66.5 +/- 12.0 pmol/l the acid secretion was virtually abolished. Plasma concentrations of insulin and pancreatic glucagon decreased significantly during infusion of 200 ng/kg/h (24.5 +/- 7.5 pmol/l) and glucose concentrations increased. Serum gastrin was only significantly decreased during the highest dose of somatostatin. The range of plasma somatostatin concentrations obtained with the lower doses correspond to reported physiological variations. The results support the concept that somatostatin participates in the hormonal control of the pancreatic endocrine and the acid secretion.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Albano J. D., Ekins R. P., Maritz G., Turner R. C. A sensitive, precise radioimmunoassay of serum insulin relying on charcoal separation of bound and free hormone moieties. Acta Endocrinol (Copenh) 1972 Jul;70(3):487–509. doi: 10.1530/acta.0.0700487. [DOI] [PubMed] [Google Scholar]
  2. Barbezat G. O., Kaplan E. R., Bowey F. S., Berelowitz M., Van Hoorn-Hickman R. Kinetics of somatostatin inhibition of pentagastrin-stimualted gastric acid secretion. Eur J Pharmacol. 1979 Jan 15;53(3):255–259. doi: 10.1016/0014-2999(79)90131-6. [DOI] [PubMed] [Google Scholar]
  3. Barros D'Sa A. A., Bloom S. R., Baron J. H. Direct inhibition of gastric acid by growth-hormone release-inhibiting hormone in dogs. Lancet. 1975 Apr 19;1(7912):886–887. doi: 10.1016/s0140-6736(75)91685-2. [DOI] [PubMed] [Google Scholar]
  4. Barros D'sa A. A., Bloom S. R., Baron J. H. Inhibition by somatostatin (growth-hormone release-inhibiting hormone, GH-RIH) of gastric acid and pepsin and G-cell release of gastrin. Gut. 1978 Apr;19(4):315–320. doi: 10.1136/gut.19.4.315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bloom S. R., Mortimer C. H., Thorner M. O., Besser G. M., Hall R., Gomez-Pan A., Roy V. M., Russell R. C., Coy D. H., Kastin A. J. Inhibition of gastrin and gastric-acid secretion by growth-hormone release-inhibiting hormone. Lancet. 1974 Nov 9;2(7889):1106–1109. doi: 10.1016/s0140-6736(74)90869-1. [DOI] [PubMed] [Google Scholar]
  6. Chiba T., Kadowaki S., Taminato T., Chihara K., Seino Y., Matsukura S., Fujita T. Effect of antisomatostatin gamma-globulin on gastrin release in rats. Gastroenterology. 1981 Aug;81(2):321–326. [PubMed] [Google Scholar]
  7. Gomez-Pan A., Reed J. D., Albinus M., Shaw B., Hall R. Direct inhibition of gastric acid and pepsin secretion by growth-hormone release-inhibiting hormone in cats. Lancet. 1975 Apr 19;1(7912):888–890. doi: 10.1016/s0140-6736(75)91686-4. [DOI] [PubMed] [Google Scholar]
  8. Hilsted L., Holst J. J. On the accuracy of radioimmunological determination of somatostatin in plasma. Regul Pept. 1982 Jun;4(1):13–31. doi: 10.1016/0167-0115(82)90105-7. [DOI] [PubMed] [Google Scholar]
  9. Holst J. J. Evidence that glicentin contains the entire sequence of glucagon. Biochem J. 1980 May 1;187(2):337–343. doi: 10.1042/bj1870337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Jansen J. B., Lamers C. B. The effect of somatostatin on bombesin-stimulated serum gastrin and gastric acid secretion in man. Digestion. 1981;21(4):193–197. doi: 10.1159/000198562. [DOI] [PubMed] [Google Scholar]
  11. Konturek S. J., Swierczek J., Kwiecień N., Mikoś E., Oleksy J., Wierzbicki Z. Effect of somatostatin on meal-induced gastric secretion in duodenal ulcer patients. Am J Dig Dis. 1977 Nov;22(11):981–988. doi: 10.1007/BF01076197. [DOI] [PubMed] [Google Scholar]
  12. Konturek S. J., Tasler J., Cieszkowski M., Coy D. H., Schally A. V. Effect of growth hormone release-inhibiting hormone on gastric secretion, mucosal blood flow, and serum gastrin. Gastroenterology. 1976 May;70(5 PT1):737–741. [PubMed] [Google Scholar]
  13. Konturek S. J., Tasler J., Jaworek J., Pawlik W., Walus K. M., Schusdziarra V., Meyers C. A., Coy D. H., Schally A. V. Gastrointestinal secretory, motor, circulatory, and metabolic effects of prosomatostatin. Proc Natl Acad Sci U S A. 1981 Mar;78(3):1967–1971. doi: 10.1073/pnas.78.3.1967. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Larsson L. I., Goltermann N., de Magistris L., Rehfeld J. F., Schwartz T. W. Somatostatin cell processes as pathways for paracrine secretion. Science. 1979 Sep 28;205(4413):1393–1395. doi: 10.1126/science.382360. [DOI] [PubMed] [Google Scholar]
  15. Larsson L. I. Peptide secretory pathways in GI tract: cytochemical contributions to regulatory physiology of the gut. Am J Physiol. 1980 Oct;239(4):G237–G246. doi: 10.1152/ajpgi.1980.239.4.G237. [DOI] [PubMed] [Google Scholar]
  16. Newgard C. B., Holst J. J. Heterogeneity of somatostatin like immunoreactivity (SLI) in extracts of porcine, canine and human pancreas. Acta Endocrinol (Copenh) 1981 Dec;98(4):564–572. doi: 10.1530/acta.0.0980564. [DOI] [PubMed] [Google Scholar]
  17. Penman E., Wass J. A., Medbak S., Morgan L., Lewis J. M., Besser G. M., Rees L. H. Response of circulating immunoreactive somatostatin to nutritional stimuli in normal subjects. Gastroenterology. 1981 Oct;81(4):692–699. [PubMed] [Google Scholar]
  18. Polonsky K. S., Shoelson S. E., Docherty H. M. Plasma somatostatin 28 increases in response to feeding in man. J Clin Invest. 1983 May;71(5):1514–1518. doi: 10.1172/JCI110907. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Raptis S., Dollinger H. C., von Berger L., Schlegel W., Schröder K. E., Pfeiffer E. F. Effects of somatostatin on gastric secretion and gastrin release in man. Digestion. 1975;13(1-2):15–26. doi: 10.1159/000197691. [DOI] [PubMed] [Google Scholar]
  20. Reyl F. J., Lewin M. J. Intracellular receptor for somatostatin in gastric mucosal cells: decomposition and reconstitution of somatostatin-stimulated phosphoprotein phosphatases. Proc Natl Acad Sci U S A. 1982 Feb;79(4):978–982. doi: 10.1073/pnas.79.4.978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Saffouri B., Weir G., Bitar K., Makhlouf G. Stimulation of gastrin secretion from the perfused rat stomach by somatostatin antiserum. Life Sci. 1979 Nov 12;25(20):1749–1753. doi: 10.1016/0024-3205(79)90478-8. [DOI] [PubMed] [Google Scholar]
  22. Schrumpf E., Vatn M. H., Hanssen K. F., Myren J. A small dose of somatostatin inhibits the pentagastrin stimulated gastric secretion of acid, pepsin and intrinsic factor in man. Clin Endocrinol (Oxf) 1978 May;8(5):391–395. doi: 10.1111/j.1365-2265.1978.tb02173.x. [DOI] [PubMed] [Google Scholar]
  23. Schusdziarra V., Zyznar E., Rouiller D., Boden G., Brown J. C., Arimura A., Unger R. H. Splanchnic somatostatin: a hormonal regulator of nutrient homeostasis. Science. 1980 Feb 1;207(4430):530–532. doi: 10.1126/science.7352262. [DOI] [PubMed] [Google Scholar]
  24. Shapiro B., Pienta K., Heldsinger A., Vinik A. I. Somatostatin is an agonist and noncompetitive antagonist of gastrin in oxyntic cell function. Endocrinology. 1981 Oct;109(4):1117–1121. doi: 10.1210/endo-109-4-1117. [DOI] [PubMed] [Google Scholar]
  25. Souquet J. C., Rambliere R., Riou J. P., Beylot M., Cohen R., Mornex R., Chayvialle J. A. Hormonal and metabolic effects of near physiological increase of plasma immunoreactive somatostatin 14. J Clin Endocrinol Metab. 1983 May;56(5):1076–1079. doi: 10.1210/jcem-56-5-1076. [DOI] [PubMed] [Google Scholar]
  26. Stadil F., Rehfeld J. F. Determination of gastrin in serum. An evaluation of the reliability of a radioimmunoassay. Scand J Gastroenterol. 1973;8(2):101–112. [PubMed] [Google Scholar]
  27. Thomas W. E. Inhibitory effect of somatostatin on gastric acid secretion and serum gastrin in dogs with and without duodenogastric reflux. Gut. 1980 Nov;21(11):996–1001. doi: 10.1136/gut.21.11.996. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Thomas W. E. The kinetics of somatostatin inhibition of gastric acid secretion. Regul Pept. 1980 Dec;1(3):245–251. doi: 10.1016/0167-0115(80)90274-8. [DOI] [PubMed] [Google Scholar]
  29. Vatn M. H., Schrumpf E., Hanssen K. F., Myren J. The effect of somatostatin on pentagastrin-stimulated gastric secretion and on plasma gastrin in man. Scand J Gastroenterol. 1977;12(7):833–839. doi: 10.3109/00365527709181727. [DOI] [PubMed] [Google Scholar]
  30. Widdowson G. M., Penton J. R. Determination of serum or plasma glucose on the "AutoAnalyzer II" by use of the hexokinase reaction. Clin Chem. 1972 Mar;18(3):299–300. [PubMed] [Google Scholar]

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