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Book Chapter

Regulation of Enzyme, Electrolyte, and Fluid Secretion in the Exocrine Pancreas


Schulz,  Irene
Department of Physiology, Max Planck Institute of Biophysics, Max Planck Society;

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Schulz, I. (1986). Regulation of Enzyme, Electrolyte, and Fluid Secretion in the Exocrine Pancreas. In P. Malfertheiner, & H. Ditschuneit (Eds.), Diagnostic Procedures in Pancreatic Disease (pp. 195-200). Berlin, Heidelberg: Springer-Verlag.

Cite as: https://hdl.handle.net/21.11116/0000-0008-3EEC-A
Enzyme, electrolyte, and fluid secretion from the exocrine pancreas is stimulated by neurotransmitter and peptide hormones [34, 35]. Whereas one group of secretagogues, to which belong β-adrenergic agonists, secretin, and vasoactive intestinal polypeptide (VIP), stimulate secretion by increasing cellular cAMP [6, 22], another group, including acetylcholine, cholecystokinin-pancreozymin, bombesin, and cerulein, act via an increase in the cytosolic-free Ca2+ concentration [21, 34]. We can distinguish two different types of electrolyte and fluid secretion. An isotonic NaCl secretion is produced in acinar cells by those secretagogues, which also release enzymes and whose action is mediated by Ca2+. In duct cells secretion and VIP stimulate a fluid rich in NaHC03 via increase of cellular cAMP. For both secretin and VIP, receptors are also present on acinar cells [8, 35] and stimulation also causes an increase in cAMP [28]. This, however, results in enzyme release, and probably not in secretion of NaHC03 and fluid from this type of cell.