Peptide directoryGut, pancreas & liver

Cholecystokinin-33

The classic cholecystokinin, the length first purified from pig gut.

Where it comes from

Made in
I cells of the upper small intestine
Sent out by
Fat and protein after a meal
Acts on
  • Gallbladder
  • Pancreas
  • Vagus nerve

What it does

  • Contracts the gallbladder and drives enzyme secretion, as the shorter forms do
  • Longer-lived in blood than CCK-8, so one meal’s signal lasts longer
  • The predominant cholecystokinin in human plasma and intestine, which form-specific assays settled in 2001 1

In medicine

  • Counted in “total CCK” assays; no medicine copies this form
  • Because it dominates, a “CCK level” reported in a human study is mostly this peptide, whatever the paper calls it 1

Beyond the body’s own use

  • Not studied apart from the CCK family, and no analogue of this length has been taken into a trial
  • What is asked of CCK now is whether its receptors can be used to image and treat tumours that carry them; that work runs through the receptor and not through any one length of the hormone 2

Sources

  1. Rehfeld et al., The predominant cholecystokinin in human plasma and intestine is cholecystokinin-33, Journal of Clinical Endocrinology and Metabolism 2001
  2. Rehfeld, Cholecystokinin: clinical aspects of the new biology, Journal of Internal Medicine 2025

This card describes what a medicine is for and what the evidence says; it recommends nothing. Talk to your clinician about anything you read here.