Gastrointestinal hormones and regulation of gastric emptying

Curr Opin Endocrinol Diabetes Obes. 2022 Apr 1;29(2):191-199. doi: 10.1097/MED.0000000000000707.

Abstract

Purpose of review: In this review, we evaluate recent findings related to the association between gastrointestinal hormones and regulation of gastric emptying.

Recent findings: Motilin and ghrelin, which act during fasting, promote gastric motility, whereas most of the hormones secreted after a meal inhibit gastric motility. Serotonin has different progastric or antigastric motility effects depending on the receptor subtype. Serotonin receptor agonists have been used clinically to treat dyspepsia symptoms but other hormone receptor agonists or antagonists are still under development. Glucagon-like peptide 1 agonists, which have gastric motility and appetite-suppressing effects are used as a treatment for obesity and diabetes.

Summary: Gastrointestinal hormones play an important role in the regulation of gastric motility. Various drugs have been developed to treat delayed gastric emptying by targeting gastrointestinal hormones or their receptors but few have been commercialized.

Publication types

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

MeSH terms

  • Fasting
  • Gastric Emptying
  • Gastrointestinal Agents / pharmacology
  • Gastrointestinal Diseases* / drug therapy
  • Gastrointestinal Hormones* / physiology
  • Gastrointestinal Motility / physiology
  • Ghrelin
  • Humans
  • Motilin / pharmacology
  • Motilin / physiology
  • Motilin / therapeutic use

Substances

  • Gastrointestinal Agents
  • Gastrointestinal Hormones
  • Ghrelin
  • Motilin