Overview
Secretin is a 27-amino-acid peptide hormone released by S-cells of the duodenal mucosa when acidic chyme enters the small intestine. Its discovery in 1902 by William Bayliss and Ernest Starling at University College London is a landmark in physiology: by showing that a chemical messenger carried in the blood could stimulate pancreatic secretion without nerve involvement, they established the concept of hormonal signalling, and Starling introduced the word hormone in 1905.
Secretin was the founding member of the secretin/glucagon peptide family, which also includes VIP, PACAP, GLP-1, incretin hormone from intestinal K cells; its receptor is a target of dual and triple agonists.">GIP and glucagon, and its receptor gives its name to the class B, or secretin-family, G protein-coupled receptors. Synthetic human secretin is an approved prescription product for diagnostic purposes, including assessment of pancreatic exocrine function, aiding the diagnosis of gastrinoma and improving visualisation of pancreatic ducts during magnetic resonance cholangiopancreatography. In research, secretin is used to study pancreatic ductal physiology, bicarbonate transport, receptor pharmacology and central functions of the peptide.
Mechanism studied
- Duodenal S-cells
- Secretin
- Pancreatic bicarbonate
- Diagnostic readout
Secretin binds the secretin receptor, a class B G protein-coupled receptor expressed on pancreatic ductal cells, cholangiocytes, gastric cells and in parts of the brain. Receptor activation couples to Gs, increasing cAMP and activating protein kinase A, which phosphorylates and opens the cystic fibrosis transmembrane conductance regulator (CFTR) chloride channel. Coupled with chloride-bicarbonate exchangers, this produces a large volume of bicarbonate-rich fluid that neutralises gastric acid in the duodenum. Secretin also inhibits gastric acid secretion and gastrin release. In gastrinoma cells, which aberrantly express secretin receptors, secretin paradoxically stimulates gastrin release, the basis of the diagnostic stimulation test.
Research highlights
- 01Discovered in 1902 by Bayliss and Starling, the first substance recognised as a hormone.
- 02Its receptor was the first cloned member of the class B, or secretin-family, G protein-coupled receptors.
- 03Diagnostic applications include pancreatic function testing, gastrinoma provocation testing and secretin-enhanced MRCP.
- 04Anecdotal reports in the 1990s prompted controlled trials in autism that did not show an effect, a frequently cited example of evidence evaluation.
- 05Open questions include secretin's roles in the brain, including water homeostasis and neural development in rodent models.
Latest published research
7,353 papers on PubMed →A generalizable method for the purification and biophysical characterization of bacterial membrane receptors
Bosetto F et al. · Protein science : a publication of the Protein Society · 2026 Nov · PMID 42876396
Structural and functional insights into rhodopsin-like and secretin-like GPCR-arrestin interactions and regulation
Gupta V et al. · The FEBS journal · 2026 Oct 27 · PMID 42936877
Endoscopic ultrasound in the diagnosis of chronic pancreatitis: a structured state-of-the-art review
Iglesias-García J et al. · Revista espanola de enfermedades digestivas · 2026 Oct 26 · PMID 42929253
Evaluation of Pirfenidone for Recurrent Acute Pancreatitis: Protocol for a Randomized Trial
Jain T et al. · The Journal of surgical research · 2026 Oct 22 · PMID 42913268
Beyond Digestion: Secretin as a Key Regulator of Systemic pH
Andersen JF et al. · Annual review of physiology · 2026 Oct 16 · PMID 42887002
Extensive polycystic pancreas in a child: A rare congenital lesion
De Grande B et al. · Journal of pediatric gastroenterology and nutrition · 2026 Oct 13 · PMID 42865194
Osteopathic manipulative treatment as an adjunct therapy in a pediatric patient with chronic pancreatitis and visceral hyperalgesia: a case report
Levy A et al. · Frontiers in medicine · 2026 · PMID 42920523
Intestinal FXR agonism synergizes with leptin to improve obesity by reducing appetite via secretin
Zhu X et al. · EMBO reports · 2026 Oct 5 · PMID 42834123
Live feed from PubMed (NCBI) for “Secretin”, updated 2026-10-30. Listing a paper is not an endorsement of its findings.
Registered studies
53 on ClinicalTrials.gov →- Active not recruitingPhase 4
A Study Of Effect Of Secretin For In Injection (Chirostim) On Pancreatic Fluid Composition In Healthy Subjects
NCT07285863 · Mayo Clinic · 2026-03-11
- RecruitingPhase 3
The Cancer of the Pancreas Screening-5 CAPS5)Study
NCT02000089 · Johns Hopkins University · 2014-01-06
- Enrolling by invitation
The LINFU® U.S. Registry in Patients With IPMN (Intraductal Papillary Mucinous Neoplasm of the Pancreas)
NCT06276764 · Adenocyte, LLC · 2024-10-15
- Enrolling by invitationPhase 1Phase 2
Secretin in Ex-situ Liver Perfusion
NCT07651748 · Erasmus Medical Center · 2025-04-26
- Enrolling by invitationPhase 4
Imaging Biomarkers of Pancreatic Function and Disease
NCT05659147 · Children's Hospital Medical Center, Cincinnati · 2023-01-18
- Recruiting
Secretin in Refeeding
NCT05235867 · University of California, Los Angeles · 2022-02-01
- Recruiting
Prospective Evaluation of Chronic Pancreatitis for Epidemiologic and Translational Studies
NCT03099850 · M.D. Anderson Cancer Center · 2017-02-28
- RecruitingEarly Phase 1
The Effects of Bariatric Surgeries on Glucose Metabolism
NCT02823665 · The University of Texas Health Science Center at San Antonio · 2015-07
From the public ClinicalTrials.gov registry for “Secretin”, updated 2026-10-30. Shown for research context only; Purity Peptides products are not for human use.
Key references
- [1]Manufacturer's prescribing information — FDA / EMA / ANVISA
- [2]PubMed — reviews on secretin and pancreatic function tests
FAQ
Secretin was the first hormone identified. Bayliss and Starling's 1902 experiments showed that duodenal extracts could trigger pancreatic secretion through the bloodstream rather than nerves, establishing endocrinology as a discipline and introducing the concept of chemical messengers.
Synthetic human secretin is approved to stimulate pancreatic secretion for assessing exocrine function, to aid gastrinoma diagnosis through a paradoxical gastrin response, and to enhance pancreatic duct visualisation during MRCP. Each application relies on secretin's predictable effect on pancreatic or tumour cells.
The secretin family groups structurally related hormones and neuropeptides including secretin, glucagon, GLP-1, GLP-2, GIP, VIP, PACAP and growth hormone-releasing hormone. They act on related class B G protein-coupled receptors that share a large extracellular N-terminal domain.
FOR RESEARCH USE ONLY.Not for human or veterinary use. Not intended to diagnose, treat, cure, or prevent any disease.



