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. 1976 Feb;57(2):291–300. doi: 10.1172/JCI108280

Is gastrin a major determinant of basal lower esophageal sphincter pressure? A double-blind controlled study using high titer gastrin antiserum.

R K Goyal, J E McGuigan
PMCID: PMC436653  PMID: 1254724

Abstract

Studies were performed in anesthetized opossums to determine the influence of binding of circulating gastrin with a high titer gastrin antiserum on lower esophageal sphincter pressure. Gastrin antiserum or control antiserum was administered intravenously in successive doses of 0.02, 0.1, and 0.5 ml/kg on separate days. The lower esophageal sphincter pressures were measured for 1 h before and for 1 h after antiserum administration. The control serum caused no binding of opossum circulating gastrin, nor did it modify lower esophageal sphincter pressure. On the other hand, the administration of gastrin antiserum resulted in the binding of 85-90% of circulating gastrin, but it did not reduce sphincter pressure. A continuous infusion of 0.25 mug-kg-1-h-1 of synthetic human gastrin I caused a significant (P less than 0.05) increase in the sphincter pressure, a 30-fold increase in gastric acid output, and a fourfold increase in immunoreactive gastrin in the opossum blood. Prior treatment with 0.1 ml/kg of gastrin antiserum antagonized and 0.2 ml/kg of the antiserum abolished the gastrin-stimulated gastric acid secretion and the stimulating effect of gastrin on lower esophageal sphincter pressure. However, neither dose of antiserum modified basal lower esophageal sphincter pressure. It is concluded that circulating gastrin may be an important determinant of basal sphincter pressure.

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Selected References

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

  1. Biancani P., Goyal R. K., Phillips A., Spiro H. M. Mechanics of sphincter action. Studies on the lower esophageal sphincter. J Clin Invest. 1973 Dec;52(12):2973–2978. doi: 10.1172/JCI107494. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Castell D. O. Changes in lower esophageal sphincter pressure during insulin-induced hypoglycemia. Gastroenterology. 1971 Jul;61(1):10–15. [PubMed] [Google Scholar]
  3. Castell D. O., Harris L. D. Hormonal control of gastroesophageal-sphincter strength. N Engl J Med. 1970 Apr 16;282(16):886–889. doi: 10.1056/NEJM197004162821602. [DOI] [PubMed] [Google Scholar]
  4. Castell D. O., Levine S. M. Lower esophageal sphincter response to gastric alkalinization. A new mechanism for treatment of heartburn with antacids. Ann Intern Med. 1971 Feb;74(2):223–227. doi: 10.7326/0003-4819-74-2-223. [DOI] [PubMed] [Google Scholar]
  5. Cohen S., Fisher R., Lipshutz W., Turner R., Myers A., Schumacher R. The pathogenesis of esophageal dysfunction in scleroderma and Raynaud's disease. J Clin Invest. 1972 Oct;51(10):2663–2668. doi: 10.1172/JCI107084. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Cohen S. Hypogastrinemia and sphincter incompetence. N Engl J Med. 1973 Jul 26;289(4):215–217. doi: 10.1056/NEJM197307262890413. [DOI] [PubMed] [Google Scholar]
  7. Cohen S. Letter: "What is physiological?" an answer. Gastroenterology. 1974 Mar;66(3):479–480. [PubMed] [Google Scholar]
  8. Cohen S., Lipshutz W. Hormonal regulation of human lower esophageal sphincter competence: interaction of gastrin and secretin. J Clin Invest. 1971 Feb;50(2):449–454. doi: 10.1172/JCI106512. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Cohen S., Lipshutz W., Hughes W. Role of gastrin supersensitivity in the pathogenesis of lower esophageal sphincter hypertension in achalasia. J Clin Invest. 1971 Jun;50(6):1241–1247. doi: 10.1172/JCI106601. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dodds W. J., Hogan W. J., Miller W. N., Barreras R. F., Arndorfer R. C., Stef J. J. Relationship between serum gastrin concentration and lower-esophageal sphincter pressure. Am J Dig Dis. 1975 Mar;20(3):201–207. doi: 10.1007/BF01070722. [DOI] [PubMed] [Google Scholar]
  11. Fordtran J. S., Walsh J. H. Gastric acid secretion rate and buffer content of the stomach after eating. Results in normal subjects and in patients with duodenal ulcer. J Clin Invest. 1973 Mar;52(3):645–657. doi: 10.1172/JCI107226. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Giles G. R., Mason M. C., Humphries C., Clark C. G. Action of gastrin on the lower oesophageal sphincter in man. Gut. 1969 Sep;10(9):730–734. doi: 10.1136/gut.10.9.730. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Goyal R. K. Letter: Does gastrin act via cholinergic neurons to maintain basal lower esophageal sphincter pressure? N Engl J Med. 1974 Oct 17;291(16):849–850. doi: 10.1056/NEJM197410172911616. [DOI] [PubMed] [Google Scholar]
  14. Goyal R. K., Rattan S., Hersh T. Comparison of the effects of prostaglandins E1, E2, and A2, and of hypovolumic hypotension on the lower esophageal sphincter. Gastroenterology. 1973 Oct;65(4):608–612. [PubMed] [Google Scholar]
  15. Grossman M. I. Letters: What is physiological? Gastroenterology. 1973 Dec;65(6):994–994. [PubMed] [Google Scholar]
  16. Higgs R. H., Smyth R. D., Castell D. O. Gastric alkalinization. Effect on lower-esophageal-sphincter pressure and serum gastrin. N Engl J Med. 1974 Sep 5;291(10):486–490. doi: 10.1056/NEJM197409052911002. [DOI] [PubMed] [Google Scholar]
  17. Jaffe B. M., McGuigan J. E., Newton W. T. Gastrin resistance following immunization to the C-terminal tetrapeptide amide of gastrin. Surgery. 1971 Feb;69(2):232–237. [PubMed] [Google Scholar]
  18. Jaffe B. M., Newton W. T., McGuigan J. E. Inhibition of endogenous gastrin activity by antibodies to the carboxyl-terminal tetrapeptide amide of gastrin. Gastroenterology. 1970 Feb;58(2):151–156. [PubMed] [Google Scholar]
  19. Lipshutz W. H., Gaskins R. D., Lukash W. M., Sode J. Pathogenesis of lower-esophageal-sphincter incompetence. N Engl J Med. 1973 Jul 26;289(4):182–184. doi: 10.1056/NEJM197307262890404. [DOI] [PubMed] [Google Scholar]
  20. Lipshutz W., Hughes W., Cohen S. The genesis of lower esophageal sphincter pressure: its identification through the use of gastrin antiserum. J Clin Invest. 1972 Mar;51(3):522–529. doi: 10.1172/JCI106840. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Lipshutz W., Tuch A. F., Cohen S. A comparison of the site of action of gastrin I on lower esophageal sphincter and antral circular smooth muscle. Gastroenterology. 1971 Oct;61(4):454–460. [PubMed] [Google Scholar]
  22. MOORE E. W., SCARLATA R. W. THE DETERMINATION OF GASTRIC ACIDITY BY THE GLASS ELECTRODE. Gastroenterology. 1965 Aug;49:178–188. [PubMed] [Google Scholar]
  23. McGuigan J. E. Immunochemical studies with synthetic human gastrin. Gastroenterology. 1968 Jun;54(6):1005–1011. [PubMed] [Google Scholar]
  24. Pope C. E., 2nd A dynamic test of sphincter strength: its application to the lower esophageal sphincter. Gastroenterology. 1967 May;52(5):779–786. [PubMed] [Google Scholar]
  25. Pope C. E., 2nd Effect of infusion on force of closure measurements in the human esophagus. Gastroenterology. 1970 May;58(5):616–624. [PubMed] [Google Scholar]
  26. Stef J. J., Dodds W. J., Hogan W. J., Linehan J. H., Stewart E. T. Intraluminal esophageal manometry: an analysis of variables affecting recording fidelity of peristaltic pressures. Gastroenterology. 1974 Aug;67(2):221–230. [PubMed] [Google Scholar]
  27. Sturdevant R. A. Editorial: Is gastrin the major regulator of lower esophageal sphincter pressure? Gastroenterology. 1974 Sep;67(3):551–553. [PubMed] [Google Scholar]
  28. Walker C. O., Frank S. A., Manton J., Fordtran J. S. Effect of continuous infusion of pentagastrin on lower esophageal sphincter pressure and gastric acid secretion in normal subjects. J Clin Invest. 1975 Jul;56(1):218–225. doi: 10.1172/JCI108070. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Walsh J. H. Circulating gastrin. Annu Rev Physiol. 1975;37:81–104. doi: 10.1146/annurev.ph.37.030175.000501. [DOI] [PubMed] [Google Scholar]
  30. Walsh J. H., Debas H. T., Grossman M. I. Pure human big gastrin. Immunochemical properties, disappearance half time, and acid-stimulating action in dogs. J Clin Invest. 1974 Aug;54(2):477–485. doi: 10.1172/JCI107783. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Yalow R. S., Wu N. Additional studies on the nature of big big gastrin. Gastroenterology. 1973 Jul;65(1):19–27. [PubMed] [Google Scholar]

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