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The concentration increases within 20 min to 3–5 pmol/l during meal stimulation, and then declines gradually only to reach a second peak after 1.5–2 hours. In comparison with most other pancreatic and gastrointestinal hormones (62), the concentrations of CCK in plasma are low. When food-induced CCK in plasma is mimicked by infusion of exogenous CCK, the same degree of gallbladder contraction and release of enzymes as seen during meals occurs (54, 62–64). Therefore, the low circulating concentrations of CCK are sufficient to account for the gallbladder contraction and pancreatic enzyme secretion during meals. The major sites of CCK expression are as mentioned endocrine cells in the gut, the brain, and in peripheral nerves.
Withdrawal Process:
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“CCK peptides stimulate hepatic secretion mainly as bicarbonate from hepatic ductular cells (74) and act on gallbladder muscles with a potency correlated to the low plasma concentrations of sulfated CCK. From the liver and gallbladder, bile is released into the duodenum via CCK-mediated rhythmic contraction and relaxation of muscles in the common bile duct and the sphincter of Oddi. CCK regulates the secretion of pancreatic enzymes so potently that it seems sufficient to account for all enzyme secretion (63–65). CCK is also capable of releasing several small intestinal enzymes such as alkaline phosphatase (75), disaccharidase (76), and enterokinase (77). In addition, CCK stimulates the biosynthesis of pancreatic amylase, chymotrypsinogen, and trypsinogen (78–80). It is worth noting that CCK1R binds and responds to sulfated CCK with a 500- to 1000-fold higher potency than non-sulfated CCK, whereas CCK2R discriminates poorly between sulfated and non-sulfated peptides45.
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