“…acinar cell proliferation; cholecystokinin antagonist; endogenous cholecystokinin release IT IS WELL KNOWN THAT the presence of trypsin and chymotrypsin in the proximal small intestine exerts a negative feedback regulation on pancreatic exocrine secretion in rats (5,8,16,20,40), guinea pigs (15), pigs (11), and humans (13,19,22,32,33). Inhibition of luminal proteolytic activities by intraduodenal infusion of soybean or synthetic trypsin inhibitors (6,8,19,30,31,40) or intact protein (17,18) or by diversion of biliary-pancreatic secretions away from the small intestine (5,8,20) has been shown to increase plasma concentrations of cholecystokinin (CCK) (6,16,30,40) and secretin (31,40) and to strongly stimulate pancreatic exocrine secretion (6,16,30,40). In our previous studies (29,30), we have demonstrated that an oral administration of the synthetic trypsin inhibitor camostat mesylate has two different stimulatory effects, immediate and delayed, on pancreatic fluid secretion.…”