Cholecystokinin, a satiety signal in newborn infants?

G Marchini1, A Lindén

  • 1Department of Pediatrics KS-St Göran, Karolinska Hospital, Stockholm, Sweden.

Journal of Developmental Physiology
|May 1, 1992
PubMed

Insights

Newborn infants show increased cholecystokinin (CCK) levels after breastfeeding, correlating with milk intake. This suggests CCK plays a role in regulating infant feeding behavior and satiety.

Area of Science:

  • Neonatal physiology
  • Gastrointestinal hormones
  • Infant nutrition

Background:

  • Infant feeding behavior is complex, involving hunger and satiety cues.
  • Hormonal regulation of feeding in newborns is not fully understood.

Purpose of the Study:

  • To investigate circulating glucose and cholecystokinin (CCK) levels in relation to feeding behavior in newborn infants.
  • To determine the role of CCK in satiety regulation in neonates.

Main Methods:

  • Studied 83 healthy 3-day-old infants during breastfeeding.
  • Collected blood samples pre-feeding, and at 5, 10 minutes, and post-feeding.
  • Measured plasma glucose and CCK concentrations.

Main Results:

  • Plasma CCK significantly increased 5 and 10 minutes post-sucking initiation and after feeding (P<0.05).
  • A positive correlation was observed between CCK levels and milk intake at 10 minutes (Rs=0.51, P<0.02).
  • No significant changes in glucose concentration were found in relation to breastfeeding.

Conclusions:

  • Cholecystokinin (CCK) may be a key satiety factor in newborn infant feeding.
  • CCK levels rise with milk consumption, signaling fullness to the infant.
  • Glucose levels do not appear to be directly linked to satiety signals during breastfeeding in newborns.

Related Concept Videos

Lipid Digestion01:16

Lipid Digestion

Lipids are large molecules that are generally not water-soluble. Since most of the digestive enzymes in the human body are water-based, there are specific steps the body must take to break down lipids and make them available for use.
Neural Regulation01:47

Neural Regulation

Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
Hormonal Regulation02:03

Hormonal Regulation

Hormones regulate a significant portion of digestion through activation of the neuroendocrine system. The neuroendocrine system of digestion contains many different hormones all with multiple functions that are both, directly and indirectly, involved in digestion.The ProcessStarting in the stomach, when proteins are detected by sensory neurons of the enteric nervous system, the pyloric gland is stimulated to release gastrin. In turn, this hormone induces the release of histamine. Combined, they...
Role Of Notch Signalling In Intestinal Stem Cell Renewal01:12

Role Of Notch Signalling In Intestinal Stem Cell Renewal

Notch signaling was first discovered in Drosophila melanogaster, where it is involved in cell lineage differentiation. Notch signaling regulates the maintenance and differentiation of intestinal stem cells or ISCs by controlling the expression of atonal homolog 1 or Atoh1. Atoh1 directs cells to differentiate into secretory cells.
Direct cell-to-cell contact is needed for the activation of Notch signaling. The signal is initiated when a notch ligand binds to a receptor on an adjacent cell, also...
Intestinal Phase of Digestion01:29

Intestinal Phase of Digestion

The intestinal phase of digestion is the third and final stage of the digestive process, occurring after the cephalic and gastric phases. It begins when chyme, a partially digested mixture of food and digestive enzymes, enters the small intestine from the stomach. This phase is crucial for nutrient absorption and involves complex hormonal and enzymatic interactions.
The arrival of the chyme in the small intestine distends the duodenum, which triggers the enterogastric reflex. This distension...
Regulation of Food Intake01:30

Regulation of Food Intake

Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...