Pentagastrin increases pepsin secretion without increasing its fractional synthetic rate. Corbett, Mary E., Eric J. S. Boyd, James G. Penston, Kenneth G. Wormsley Peter W. Watt, and Michael J. Rennie. Department of Anatomy & Physiology, University of Dundee, Department of Clinical Pharmacology, Ninewells Hospital & Medical School, Dundee
APStracts 2:0068E, 1995.
We have studied the effects of increasing doses of pentagastrin on gastric secretion of pepsin, and on incorporation of L-[1-13C]leucine into gastric aspirate protein as an index of pepsin synthesis. Pentagastrin (0.25-4.0 [mu]g.kg-1.h-1) significantly increased pepsin output from basal 76 mg.h-1 to up to 181 mg.h-1, but did not significantly alter incorporation of L-[1-13C]leucine from the basal fractional synthetic rate of 3.63 +/- 0.05 %.h-1. In 4 subjects in whom infusion of tracer leucine was continued for over 1 day, aspiration of pepsin between 24 and 27 h demonstrated that plateau 13C-labelling of leucine in pepsin had been attained, but at a value which was only 48% of the 13C-labelling of plasma [alpha]-KIC (0.730 +/- 0.02 vs 1.520 +/- 0.14 APE (means +/- SEM)). This suggests that actual rates of pepsin synthesis were approximately double those calculated on the basis of [alpha]-KIC labelling. The results are consistent with an interpretation that increasing doses of pentagastrin cause increased secretion of pepsinogen by recruitment of gastric chief cells each synthesising pepsinogen at an unaltered rate. Plateau 13C-enrichment of [alpha]-KIC may not be a valid surrogate for plateau 13C-leucine enrichment when calculating fractional synthetic rates of some secreted proteins.

Received 22 September 1994; accepted in final form 29 March 1995.
APS Manuscript Number E389-4.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 19 April 1995.