Role of Gastrointestinal Hormones in the Proliferation of Normal and Neoplastic Tissues
Robert P. Thomas,
Mark R. Hellmich,
Courtney M. Townsend, Jr. and
B. Mark Evers
Department of Surgery, The University of Texas Medical Branch, Galveston, Texas 77555
Correspondence: Address all correspondence and requests for reprints to: B. Mark Evers, M.D., Department of Surgery, The University of Texas Medical Branch, 301 University Boulevard, Galveston, Texas 77555-0536. E-mail: mevers{at}utmb.edu
Gastrointestinal (GI) hormones are chemical messengers thatregulate the physiological functions of the intestine and pancreas,including secretion, motility, absorption, and digestion. Inaddition to these well-defined physiological effects, GI hormonescan stimulate proliferation of the nonneoplastic intestinalmucosa and pancreas. Furthermore, in an analogous fashion tobreast and prostate cancer, certain GI cancers possess receptorsfor GI hormones; growth can be altered by administration ofthese hormones or by blocking their respective receptors. TheGI hormones that affect proliferation, either stimulatory orinhibitory, include gastrin, cholecystokinin, gastrin-releasingpeptide, neurotensin, peptide YY, glucagon-like peptide-2, andsomatostatin. The effects of these peptides on normal and neoplasticGI tissues will be described. Also, future perspectives andpotential therapeutic implications will be discussed.
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