Pancreatic Polypeptide

  • 36–amino acid polypeptide secreted by F cells (1-2%, lie peripherally)
    • From islets in HOP from ventral bud
  • Belongs to YY/neuropeptide Y family.
  • Causes loss of appetite and reduced food intake
  • Inhibits exocrine pancreas & biliary emptying
  • Physiologic role is unclear
  • Clinical usefulness is limited to role as a marker for other endocrine tumours of the pancreas
  • Secretion regulated by cholinergic innervation
  • Surgical vagotomy ablates the increased PP response normally observed after meals
  • In diabetes and normal aging, PP secretion is increased
  • Absence of PP may play a role in diabetes observed after total pancreatectomy or after chronic atrophic pancreatitis