As of last year, new insight into the function of secretin was brought about as rodent studies showed secretin to possess potential body weight-regulating effects. In these studies, secretin was shown to increase non-shivering thermogenesis in brown adipose tissue (BAT), decrease meal size and promote meal discontinuation. The mechanisms behind these regulatory effect of secretin on energy homeostasis are unclear,
Secretin was - as the first hormone - identified in 19021, but was not isolated until the 1960s. Secretin is produced in and secreted form small intestinal S cells. In the 1970s, the primary endocrine effects of secretin were unequivocally confirmed, namely potentiation of bicarbonate and pepsin secretion from the pancreas as well as stimulation of bile production in the liver. In the 1990s, the biosynthesis of secretin was delineated and its receptor was discovered. In the 2000s the pancreatic regulation of intestinal pH was shown to be secretin-mediated. As of last year, new insight into the function of secretin was brought about as rodent studies showed secretin to possess potential body weight-regulating effects. In these studies, secretin was shown to increase non-shivering thermogenesis in brown adipose tissue (BAT), decrease meal size and promote meal discontinuation. The primary aim of this study is to evaluate the effect of a 5-hour intravenous infusion with the naturally occurring hormone secretin on ad libitum food intake (primary endpoint) compared to a double-blinded placebo (isotonic saline) infusion in 25 healthy young males.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
25
Herlev- Gentofte Hospital, Center for Clinical Metabolic Research
Hellerup, Copenhagen, Denmark
Food intake on ad libitum meal
Kilojoule
Time frame: 300 minutes
Duration of ad libitum meal
Duration in minutes
Time frame: 300 minutes
Water intake during ad libitum meal
mL
Time frame: 300 minutes
resting energy expenditure
Indirect calorimetry of respiration
Time frame: Baseline, 90 minutes and 270 minutes
Supraclavicular Brown adipose activity
Evaluated by neck skin temperature assessed using a non-invasive thermal imaging camera)
Time frame: -15 to 15 , 90 and 270 minutes
Appetite and satiety sensations (assessed by VASs),
Visual analogue scales with a scale of 1-10 (Direction of scale varies)
Time frame: Every 15 minutes after infusion, until time-point 90, hereafter every 30 minutes
Heart rate
heart rate .
Time frame: every 15 minutes from from -15 to 300 minutes
systolic blood pressure
Systolic blood pressure
Time frame: every 15 minutes from from -15 to 300 minutes
Diastolic blood pressure
Diastolic blood pressures
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Time frame: every 15 minutes from from -15 to 300 minutes
Gallbladder motility
Gallbladder motility measured by Ultrasound
Time frame: Timepoint -30, 10,20,45,60,75,90,120,210,300 minutes