Peptide directoryGut, pancreas & liver

Secretin

The first hormone ever named, which tells the pancreas to make bicarbonate.

Related medicinesSecretin

Where it comes from

Made in
S cells of the duodenum and jejunum
Sent out by
Acid arriving in the duodenum
Acts on
  • Pancreatic duct cells
  • Bile duct cells
  • Stomach
  • Hypothalamus

What it does

  • Makes the pancreas and bile ducts pour out bicarbonate-rich fluid 1
  • Slows gastric emptying and acid
  • Takes part in water and salt balance in brain and kidney, in animal studies

In medicine

  • Synthetic human secretin is approved for pancreatic function testing, for finding gastrinomas (the secretin stimulation test) and to help cannulate the pancreatic duct 2
  • Secretin-enhanced MRI shows the pancreatic duct

Beyond the body’s own use

  • Secretin was given to children with autism after a 1998 report, and became one of the most-tested treatments in the condition. A Cochrane review of the randomised trials, covering more than 900 children, found no evidence of benefit and recommended against it 3
  • It has been tried in a small trial for the symptoms of schizophrenia, with nothing established
  • Secretin is a hospital injection with licensed diagnostic uses and no others, and it lasts minutes in the blood 1

Sources

  1. Chey & Chang, Secretin: historical perspective and current status, Pancreas 2014
  2. Secretin human synthetic (ChiRhoStim), FDA application NDA 021256
  3. Williams et al., Intravenous secretin for autism spectrum disorders, Cochrane Database of Systematic Reviews 2012

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.