Cholecystokinin mediation of colonic absorption via peptide YY: foregut-hindgut axis

World J Surg. 1996 Feb;20(2):221-7. doi: 10.1007/s002689900034.

Abstract

Peptide YY (PYY), a 36-amino-acid polypeptide, is found in abundance in the colon, a region where its physiologic roles are unknown. Previous studies have revealed a substantial increase in plasma PYY after cholecystokinin (CCK) administration. PYY is released from the hindgut in response to a meal and inhibits CCK release. In this study we evaluated the effects of CCK and PYY on intestinal absorption of water and electrolytes. Colonic, ileal, or jejunal Thiry-Vella fistulas (TVFs) were created in 12 dogs, and intestinal continuity was reestablished. The TVFs were perfused with an isotonic buffer solution containing [14C] PEG as a volume marker. Electrolyte and water transport were measured every 15 minutes, and plasma PYY and CCK levels were measured by radioimmunoassay. Group 1 dogs received an intravenous bolus of MK329, a specific CCK receptor antagonist, at 20 nmol/kg after a standard mixed meal; group 2 colonic TVF dogs received a meal and an intravenous bolus of PYY polyclonal antibody at 1 mg/kg. Postprandially, all three regions of the bowel became significantly proabsorptive for water, sodium, and chloride. In the colon postprandial absorption was abolished by MK329 starting 60 minutes after a meal, whereas specific CCK receptor blockade blunted ileal absorption. CCK receptor blockade did not affect postprandial absorption in the jejunum. Postprandial PYY levels did not rise in MK329-treated animals. PYY antibody reduced colonic absorption during the postprandial phase. Reduction of meal-induced colonic absorption and PYY release by MK329 in awake dogs suggests an important foregut-hindgut hormonal feedback loop. Foregut-derived CCK stimulates hindgut PYY release, which in turn stimulates colonic absorption while inhibiting further CCK release.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Benzodiazepinones / pharmacology
  • Buffers
  • Carbon Radioisotopes
  • Chlorides / pharmacokinetics
  • Cholecystokinin / analysis
  • Cholecystokinin / blood
  • Cholecystokinin / pharmacology*
  • Colon / drug effects*
  • Colon / metabolism
  • Devazepide
  • Digestion
  • Dogs
  • Electrolytes / pharmacokinetics
  • Feedback / drug effects
  • Female
  • Gastrointestinal Hormones / blood
  • Gastrointestinal Hormones / pharmacology*
  • Hormone Antagonists / pharmacology
  • Ileum / drug effects
  • Ileum / metabolism
  • Intestinal Absorption / drug effects*
  • Isotonic Solutions
  • Jejunum / drug effects
  • Jejunum / metabolism
  • Peptide YY
  • Peptides / blood
  • Peptides / pharmacology*
  • Receptors, Cholecystokinin / analysis
  • Sodium / pharmacokinetics
  • Water / metabolism

Substances

  • Benzodiazepinones
  • Buffers
  • Carbon Radioisotopes
  • Chlorides
  • Electrolytes
  • Gastrointestinal Hormones
  • Hormone Antagonists
  • Isotonic Solutions
  • Peptides
  • Receptors, Cholecystokinin
  • Water
  • Peptide YY
  • Cholecystokinin
  • Sodium
  • Devazepide