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Gastrin signaling in cardiovascular pathophysiology: From molecular crosstalk to clinical implications
Chunmei Xu1,2, Zhuxin Li1,2, Yongchun Zeng1,2,3
1Department of Cardiology, Daping Hospital, Third Military Medical University, Chongqing, People's Republic of China.
Insights
Gastrin, a gastrointestinal hormone, is linked to cardiovascular diseases like coronary heart disease and hypertension. Elevated gastrin levels may increase the risk of heart conditions and offer cardioprotective effects.
Area of Science:
- Endocrinology
- Cardiovascular Physiology
- Gastroenterology
Background:
- Gastrin is a gastrointestinal hormone regulating gastric acid and intestinal nutrition.
- Gastrin is implicated in cardiovascular conditions such as coronary heart disease, ischemia-reperfusion injury, and hypertension.
Purpose of the Study:
- To systematically review the association between gastrin and cardiovascular diseases.
- To elucidate the mechanisms underlying gastrin's cardioprotective effects and its role in hypertension.
Main Methods:
- Systematic literature retrieval from major scientific databases (PubMed, Web of Science, CNKI).
- Analysis of existing studies on gastrin's physiological roles and clinical associations.
Main Results:
- High serum gastrin levels correlate with increased coronary heart disease risk and myocardial infarction.
- Gastrin administration improves myocardial contractility via CCKBR and protects against ischemia-reperfusion injury through STAT3 signaling.
- Gastrin may influence blood pressure via central nervous system or direct vasodilation.
Conclusions:
- Gastrin is significantly associated with cardiovascular diseases, potentially acting as a risk factor or protective agent.
- Gastrin exerts cardioprotective effects and plays a role in regulating blood pressure.
Abstract:
As a gastrointestinal hormone, gastrin stimulates gastric acid secretion and intestinal mucosal nutrition. Evidence links it closely to coronary heart disease, ischemia‒reperfusion injury and hypertension. The relevant literature was systematically retrieved from PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), and other scientific databases, as well as other sources. Gastrin is a polypeptide hormone that is synthesized mainly by G cells in the antrum and proximal small intestine. Its secretion is controlled by neural regulation and humoral regulation. Gastrin is significantly associated with coronary heart disease, cardiac ischemia-reperfusion injury, hypertension and other cardiovascular diseases. The risk of coronary heart disease in patients with high serum gastrin levels is greater than that in the general population, and the serum gastrin level is higher in patients with myocardial infarction, which further suggests that hypergastrinemia may be an important risk factor for CHD. Myocardial cells express CCKBR, and intracoronary gastrin administration improves myocardial contractility through CCKBR. Several studies have shown that gastrin can also protect the myocardium against ischemia-reperfusion injury through the STAT3 signaling pathway. Gastrin may regulate blood pressure through the central nervous system or directly dilate blood vessels. Gastrin can promote the secretion of gastric acid and nutrition of intestinal mucosa. Gastrin exerts cardioprotective effects and regulates the occurrence of hypertension.
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