Although cholecystokinin (CCK) is a potent GI hormone, little is know about its physiology and pathology. With the recent development of sensitive and specific assays for measuring fasting and postprandial plasma levels of CCK, the major stimuli for CCK secretion and the physiologic role of CCK in target tissues can now be determined. This proposed research will study the regulation of CCK secretion by neurotransmitters and hormones and the action of CCK on target tissues. CCK secretion will be correlated with the actions of CCK on gastric emptying, gall bladder contraction, and insulin release in normals and patients with various diseases. Stimulation of CCK secretion by cephalic, gastric, and intestinal mechanisms will be studied and regulation of CCK release by neurohormonal agents will be evaluated. In obesity, the contribution of CCK to altered gasteric emptying, gall bladder contraction, gallstone development, and glucose metabolism will also be studied. Whether CCK secretion and gallbladder contraction are normal in patients with gallstone disease will be investigated. Since CCK potentiates insulin secretion, the role of CCK on insulin secretion and glucose tolerance will be evaluated in normal subjects and in patients with non-insulin dependent diabetes mellitus. In rat models, the dietary and pharmacologic regulation of CCK secretion and CCK synthesis will be studied. The effects of cholinergic, adrenergic, and dopaminergic factors as well as those of the gut hormones bombesin, somatostatin and PYY on CCK release will be determined. The relationship of CCK secretion to intestinal CCK biosynthesis will be evaluated by measuring plasma CCK, intestinal CCK content and CCK mRNA levels. These studies in humans and rats should provide insight into the role of CCK in health and diseases.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK038626-03
Application #
3238044
Study Section
General Medicine A Subcommittee 2 (GMA)
Project Start
1988-07-14
Project End
1991-06-30
Budget Start
1989-07-01
Budget End
1990-06-30
Support Year
3
Fiscal Year
1989
Total Cost
Indirect Cost
Name
Duke University
Department
Type
Schools of Medicine
DUNS #
071723621
City
Durham
State
NC
Country
United States
Zip Code
27705
Bohórquez, Diego V; Liddle, Rodger A (2011) Axon-like basal processes in enteroendocrine cells: characteristics and potential targets. Clin Transl Sci 4:387-91
Chandra, Rashmi; Liddle, Rodger A (2011) Recent advances in pancreatic endocrine and exocrine secretion. Curr Opin Gastroenterol 27:439-43
Bohórquez, Diego V; Chandra, Rashmi; Samsa, Leigh Ann et al. (2011) Characterization of basal pseudopod-like processes in ileal and colonic PYY cells. J Mol Histol 42:3-13
Wang, Yu; Chandra, Rashmi; Samsa, Leigh Ann et al. (2011) Amino acids stimulate cholecystokinin release through the Ca2+-sensing receptor. Am J Physiol Gastrointest Liver Physiol 300:G528-37
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Chandra, Rashmi; Liddle, Rodger A (2009) Neural and hormonal regulation of pancreatic secretion. Curr Opin Gastroenterol 25:441-6
Chandra, Rashmi; Liddle, Rodger A (2007) Cholecystokinin. Curr Opin Endocrinol Diabetes Obes 14:63-7
Liddle, Rodger A (2006) Pathophysiology of SPINK mutations in pancreatic development and disease. Endocrinol Metab Clin North Am 35:345-56, x
Reeve Jr, Joseph R; Liddle, Rodger A; Shively, John E et al. (2006) Sequence variation outside the ""active"" region of dog and rabbit cholecystokinin-58 results in bioactivity differences. Pancreas 32:306-13

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