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Since the report of Pavlov (66) in the early 1900s, the adaptation of the exocrine pancreas to dietary changes in various species, including the rat (29, 34, 74), dog (4), pig (15, 26), and chicken (41), has been described. The content in both pancreatic tissue and its secretions (5, 7) of the major digestive enzymes, proteases, amylase, and lipase, changes in proportion to the dietary content of their respective substrates, protein, carbohydrate, and fat (29, 34, 0199-9885/90/0715-0085$02.00 BRANNON 35, 74). Pancreatic adaptation occurs through changes in the synthetic rates 07, 75, 76, 99) and mRNA levels (30, 3 1 , 10 1 , 1 02). Cholecystokinin (CCK), through the negative feedback regulation of its secretion by dietary protein and peptides, appears to be the mediator of the adaptation of the proteases. Various hormones and metabolites are proposed mediators of the adaptation of pancreatic amylase and lipase, but the mechanisms by which dietary carbohydrate and fat regulate these enzymes are not yet known. The physiologic significance of pancreatic adaptation to diet is unclear. Teleologically, the coordinate regulation of a digestive enzyme by its dietary substrate would optimize digestion and utilization of that substrate, but the pancreas normally synthesizes and
Annual Review of Nutrition – Annual Reviews
Published: Jul 1, 1990
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