Physiology

Role of Gut Hormones

Gastrin, Secretin, and CCK

Digestive System

Your digestive system isn’t just mechanical — it’s beautifully hormonal. Three key hormones act as the “chemical messengers” that coordinate digestion, ensuring enzymes, acid, and bile are released right on time.

🍽️ 1️⃣ Gastrin — The Acid Booster

Source: G cells of the stomach (mainly antrum)

Stimuli: Peptides, amino acids, stomach distension, vagal stimulation (ACh)

Main Actions:

  • ↑ Gastric acid (HCl) secretion from parietal cells
  • ↑ Pepsinogen release from chief cells
  • ↑ Gastric motility and mucosal growth
Clinical note: Zollinger–Ellison syndrome (gastrinoma) → excess gastrin → hyperacidity, peptic ulcers.

💧 2️⃣ Secretin — The Acid Neutralizer

Source: S cells of duodenum

Stimuli: Acidic chyme (low pH) entering duodenum

Main Actions:

  • ↑ Bicarbonate secretion from pancreas and bile ducts → neutralizes acid
  • ↓ Gastric acid secretion
  • ↑ Bile flow
Mnemonic: Secretin “secretes” base to fix acid.
Clinical tip: Secretin protects duodenal mucosa from acid injury and creates the right pH for enzyme activity.

🧈 3️⃣ Cholecystokinin (CCK) — The Fat Digester

Source: I cells of duodenum and jejunum

Stimuli: Fatty acids and amino acids in chyme

Main Actions:

  • ↑ Pancreatic enzyme secretion (lipase, amylase, protease)
  • ↑ Gallbladder contraction → bile release
  • ↓ Gastric emptying → gives more time for digestion
  • Relaxes sphincter of Oddi
Mnemonic: “CCK Contracts the gallbladder, Controls gastric emptying, and Kicks pancreatic enzymes.”

🧩 Summary Table

Hormone Source Stimulus Main Actions
Gastrin G cells (stomach) Peptides, distension ↑ HCl, ↑ motility
Secretin S cells (duodenum) Acidic chyme ↑ HCO₃⁻, ↓ HCl
CCK I cells (duodenum, jejunum) Fats, amino acids ↑ Enzymes, ↑ bile, ↓ emptying
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