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Gastrin: The Stomach Hormone That Switches On Acid — Its Forms, Its Receptor and What a Blood Test Measures

Gastrin is a peptide hormone made in the lower stomach that tells the stomach lining to secrete acid. It circulates mainly as gastrin-17 and gastrin-34, shares its receptor and its last five amino acids with cholecystokinin, and is measured in blood when a gastrin-making tumour is suspected. Acid-suppressing drugs raise it. No gastrin medicine is approved.

Made by the body17 and 34 amino acids (main forms)No FDA-approved gastrin product (openFDA, 2026-10-06)

Caroline S · Published 2026-10-06

Length

Several lengths cut from one 101-residue precursor: gastrin-71, -52, -34, -17, -14 and -6. Gastrin-17 and gastrin-34 are the two major bioactive forms (UniProt P01350)

Sequence

pE-GPWLEEEEEAYGWMDF-NH2 — gastrin-17 (residues 76–92 of UniProt P01350), with a pyroglutamate at the start, an amidated phenylalanine at the end and a partly sulfated tyrosine

Origin

Made in the G cells of the stomach's lower part, the antrum (UniProt P01350). The idea of a gastric hormone goes back to J. S. Edkins (J Physiol, 1906, PMID 16992839); its synthesis was reported by Anderson, Gregory and colleagues (Nature, 1964-12-05, PMID 14248712)

Last reviewed

2026-10-06

What is it good for?

In the body, switching on stomach acid: UniProt describes gastrin as stimulating the stomach lining to secrete hydrochloric acid and the pancreas to secrete digestive enzymes. It is not a product and no gastrin medicine is approved. Its practical importance is as a blood test, chiefly when a gastrin-making tumour is suspected.

Illustration: A deep green volumetric flask with pale green liquid and a copper stirring bar on a white lab bench.
Illustration

What it is

Gastrin is a peptide hormone made in the lower stomach, and its job is to switch on acid. UniProt's summary (P01350) describes it as stimulating the stomach lining to produce and secrete hydrochloric acid and the pancreas to secrete digestive enzymes.

It is not one fixed length. A 101-residue precursor is cut into a family of peptides — gastrin-71, -52, -34, -17, -14 and -6 — and UniProt names two as the major bioactive forms: gastrin-34 ("big gastrin") and gastrin-17. Gastrin-17 reads:

pE-GPWLEEEEEAYGWMDF-NH2

The "pE" is a pyroglutamate, a ring-closed glutamine; the end is capped as an amide. The tyrosine near the end is only sometimes sulfated: UniProt reports gastrin-6 at almost 73% sulfated and the larger gastrins at under 50%.

Where it is made and what it acts on

UniProt places its production in the G cells of the antrum, the lower part of the stomach. It acts on the CCKBR receptor (also called the CCK2 receptor), which UniProt describes as the receptor for both gastrin and cholecystokinin.

That shared receptor has a visible cause. Lining up the two hormones' sequences from UniProt, gastrin and cholecystokinin end in the same five amino acids:

Peptide (UniProt) Last residues
Gastrin-17 (P01350) …EEEEEAYGWMDF-NH2
Cholecystokinin-8 (P06307) DYMGWMDF-NH2

UniProt places both in the "gastrin/cholecystokinin family".

How it was found

The idea of a gastric hormone goes back to J. S. Edkins, whose paper "The chemical mechanism of gastric secretion" appeared in the Journal of Physiology in 1906 (PMID 16992839). The structure came almost six decades later: two papers in Nature on 5 December 1964 — one by Anderson and colleagues on the synthesis of gastrin, one by Tracy and Gregory on the physiological properties of related synthetic peptides (PMIDs 14248712, 14248713).

What raises it: acid suppression

Gastrin and acid move in opposite directions: suppress the acid and gastrin climbs. The clearest dated statement is on the Prilosec label (Covis, effective 2024-03-19):

  • In studies of more than 200 patients, serum gastrin rose during the first 1–2 weeks of once-daily omeprazole, in parallel with acid suppression, and rose no further with continued treatment.
  • The label adds that raised gastrin causes enterochromaffin-like cell hyperplasia and raises serum chromogranin A.
  • It warns that acid suppression can produce a hyper-response in a secretin stimulation test, "falsely suggesting gastrinoma", and sets a gap of at least 14 days off the drug before gastrin is assessed.

That warning is the practical reason the medicine list matters when a gastrin test is read.

When it is measured: gastrin-making tumours

In 1955 Zollinger and Ellison described ulcers in the jejunum occurring with tumours of the pancreatic islet cells (Annals of Surgery, PMID 13259432). In 1964 Gregory reported on "the nature of the gastrin-like stimulant present in Zollinger–Ellison tumours" (Gut, PMID 14159397). The tumour, a gastrinoma, makes gastrin, and the excess gastrin makes excess acid.

So a gastrin blood test is chiefly a tumour question, and its reading depends on context: whether the person was fasting, whether acid suppressants were in use, and what other tests show. Each of those is decided by the clinician who ordered it; this entry does not give a normal range or say what any individual number means.

Where it stands

  • As a medicine: none. Drugs@FDA returns no application with gastrin as an active ingredient (2026-10-06; the same search returns semaglutide's applications, so the query works). Pentagastrin, sold as Peptavlon (Wyeth-Ayerst, NDA 017048, approved 1974-07-26), is listed as discontinued.
  • Drugs that act on its pathway: acid suppressants raise it; somatostatin analogues lower it — the octreotide and lanreotide labels both list gastrin among the hormones suppressed.
  • Research record: PubMed indexes 17,090 records with "gastrin" in the title or abstract, 459 tagged as randomised trials (2026-10-06) — most measure gastrin as an outcome rather than test it as a treatment.

The hormone that brakes gastrin is in the somatostatin entry, and the drug that copies it — whose label lists gastrin among the hormones it suppresses — is described in the Sandostatin entry, octreotide. The somatostatin analogue lanreotide also suppresses gastrin after meals, per its label.

What the research shows

Stimulates stomach acid secretion

UniProt P01350 function annotation; textbook physiology for over a century

High levels occur with gastrin-secreting tumours (Zollinger–Ellison syndrome)

Zollinger and Ellison's 1955 case report (PMID 13259432); Gregory's 1964 report of a gastrin-like stimulant in the tumours (PMID 14159397)

Rises during acid-suppressing treatment

Prilosec label (Covis, effective 2024-03-19): serum gastrin rose in the first 1–2 weeks of omeprazole in more than 200 patients

Bars show how much of the evidence is in humans, not how well anything works.

Where it stands

United States

No approved product contains gastrin (Drugs@FDA, 2026-10-06). Pentagastrin, sold as Peptavlon (Wyeth-Ayerst, NDA 017048, approved 1974-07-26), is listed as discontinued.

In the clinic

Measured, not given. A fasting serum gastrin is one of the tests used when a gastrinoma is suspected; drug labels for acid suppressants warn that they raise it.

Published record

PubMed: 17,090 records with 'gastrin' in the title or abstract, 459 tagged as randomised controlled trials (2026-10-06).

Frequently asked questions

What is gastrin?

A peptide hormone made in the lower part of the stomach. Its main job, as UniProt describes it, is to make the stomach lining secrete hydrochloric acid; it also prompts the pancreas to release digestive enzymes.

What stimulates gastrin release?

The opposite of what it causes: gastrin rises when stomach acid falls. That is why acid-suppressing drugs raise it — the omeprazole label reports serum gastrin rising in the first one to two weeks of treatment. Octreotide, a copy of the hormone somatostatin, lists gastrin among the hormones it suppresses on its label.

What is a gastrinoma?

A tumour that makes gastrin. Zollinger and Ellison's 1955 report linked ulcers in the small intestine to tumours of the pancreatic islet cells, and Gregory reported a gastrin-like stimulant in those tumours in 1964; the syndrome carries their names.

What does a high gastrin result mean?

On its own, not one thing. Acid-suppressing medicines raise it, which is why the omeprazole label warns that they can make a test falsely suggest a gastrinoma. A result is interpreted by the clinician who ordered it, together with how the sample was taken and what medicines were being used.

Is gastrin the same as cholecystokinin?

No, but they are close relatives. They belong to the same peptide family, end in the same five amino acids, and act on a shared receptor, CCKBR. Cholecystokinin's main role is in the gallbladder and pancreas after a meal; gastrin's is stomach acid.

Is there a gastrin drug?

No approved one. The old synthetic product pentagastrin (Peptavlon) is listed as discontinued in Drugs@FDA. Drugs that act on gastrin's pathway — acid suppressants, somatostatin analogues — are not gastrin.