A. Secretin
B. Somatostatin
C. Histamine
D. Gastrin
E. VIP
Answer is C and D. C. Histamine D. Gastrin
Gastrin is a hormone which is produced by G-cells in the lateral wall of glands in the gastric antral mucosa.
- It stimulates gastric acid secretion and pepsin secretion.
- Its stimulates growth of the mucosa of stomach, small and large intestine.
- It promotes gastric emptying
- It stimulates insulin secretion
- Any stimuli that influences gastrin secretion indirectly affects acid secretion in the stomach.
- Luminal: Peptides and amino acids, distension
- Blood borne: Calcium, Epinephrine
- Neural: Increased vagal discharge via Gastrin releasing polypeptide (GRP) which is noncholinergic.
- Luminal: Acid, Somatostatin
- Blood borne: Secretin, GIP, VIP, Glucagon, Calcitoni
- Acid secretion is stimulated by Histamine via H2 receptor and Acetylcholine via M3 receptors
- H2 blockers like ranitidine decrease gastric secretion but proton pump inhibitors like pantoprazole blocks gastric acid secretion.
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