Diazepam-binding inhibitor mediates feedback regulation of pancreatic secretion and postprandial release of cholecystokinin

Recently, we isolated a trypsin-sensitive cholecystokinin-releasing peptide (CCK-RP) from porcine and rat intestinal mucosa. The amino acid sequence o f this peptide was determined to be identical to that of the diazepam-bindi ng inhibitor (DBI). To test the role of DBI in pancreatic secretion and res ponses to feeding, we used pancreaticobiliary and intestinal cannula to div ert bile-pancreatic juice from anesthetized rats. Within 2 hours, this trea tment caused a 2-fold increase in pancreatic protein output and a > 10-fold increase in plasma CCK. Luminal DBI levels increased 4-fold. At 5 hours af ter diversion of bile-pancreatic juice, each of these measures returned to basal levels. Intraduodenal infusion of peptone evoked a 5-fold increase in the concentration of luminal DBI. In separate studies, we demonstrated tha t intraduodenal administration of antiserum to a DBI peptide specifically a bolished pancreatic secretion and the increase in plasma CCK levels after d iversion of bile-pancreatic juice. To demonstrate that DBI mediates the pos tprandial rise in plasma CCK levels, we showed that intraduodenal administr ation of 5% peptone induced dramatic increases in pancreatic secretion and plasma CCK, effects that could be blocked by intraduodenal administration o f anti-DBI antiserum. Hence, DBI, a trypsin-sensitive CCK-RP secreted from the proximal small bowel, mediates the feedback regulation of pancreatic se cretion and the postprandial release of CCK.