gastrins and Coronary-Disease

Proper absorption of vitamin B12 requires gastric corpus mucosa that functions appropriately and secretes intrinsic factor needed as an essential cofactor for the absorption of dietary vitamin B12 in the small bowel. Here we describe the prevalence of vitamin B12 deficiency and atrophic corpus gastritis (ACG) in patients with coronary heart disease. Fasting serum was obtained from patients who were admitted for cardiovascular diseases at the Coronary Care Unit in Nijmegen, the Netherlands. The status of gastric mucosa was assessed by using the serum levels of pepsinogens I and II, gastrin-17, and Helicobacter pylori IgG antibodies and analyzed over vitamin B12 level subgroups. The study population consisted of 376 patients (mean age, 65 years [SD, 13 years], 227 [60%] males). Low vitamin B12 levels (<150 pM) were detected in 28 patients (7%). Of these 28 patients, 5 (18%) had ACG according to the biomarker assays. Altogether, another 140 patients (37%) had vitamin B12 levels between 150 and 250 pM, of whom 10 (7%) had ACG. Of the remaining patients, five (2%) had ACG. Deficiency of vitamin B12 is common among subjects with coronary heart disease. Up to 20% of these deficiencies are related to ACG.

Topics: Aged; Biomarkers; Coronary Disease; Enzyme-Linked Immunosorbent Assay; Female; Gastric Mucosa; Gastrins; Gastritis; Humans; Male; Middle Aged; Pepsinogens; Retrospective Studies; Vitamin B 12

Populations eating low-fat or low-fat, high-fiber diets have lower mortality rates for many cancers and coronary heart disease. The importance of nutrient composition in the lumen on absorption and on function of the gastrointestinal tract as a factor in the development of these diseases has not been studied. We investigated the plasma levels of gut-CNS peptide hormones in lean and obese Dutch women fed a high-fat meal and administered cholecystokinin (CCK). After a high-fat meal the increase in plasma CCK was similar in lean and obese women. CCK administration significantly decreased insulin release in lean and obese women, decreased glucagon release in obese women, but caused a rapid increase in plasma glucagon in lean women. Although the CCK response was similar to a fat meal in lean and obese women, differences in the control of peptide hormone release occurred in response to fat meals and CCK administration.

Topics: beta-Endorphin; Cholecystokinin; Cholesterol; Coronary Disease; Diet; Diet, Vegetarian; Dietary Fiber; Female; Gastrins; Glucagon; Humans; Insulin; Lipids; Middle Aged; Neoplasms; Obesity; Risk Factors

Topics: Aged; Coronary Disease; Gastrins; Glucagon; Humans; Liver Neoplasms; Male; Pancreatic Neoplasms; Pancreatic Polypeptide

Topics: Adolescent; Adult; Aged; Animals; Blood Group Antigens; Child; Coronary Disease; Disease Models, Animal; Disease Susceptibility; Diseases in Twins; Ethnicity; Female; Gastric Emptying; Gastrins; Genetic Markers; Humans; Kidney Calculi; Lung Diseases; Male; Mice; Mice, Inbred NZB; Middle Aged; Models, Genetic; Multiple Endocrine Neoplasia; Pepsinogens; Peptic Ulcer; Urticaria Pigmentosa; Zollinger-Ellison Syndrome

Topics: Aged; Animals; Coronary Disease; Dogs; Female; Gastric Juice; Gastrins; Humans; Hyperlipidemias; Male; Middle Aged; Nicotinic Acids; Pyrazoles

Topics: Aged; Blood Glucose; Bronchial Neoplasms; Carcinoma; Coronary Disease; Gastrins; Humans; Insulin; Liver Cirrhosis; Middle Aged; Osteochondritis; Peptides