Elevation of plasma neurotensin during lipid perfusion of rat small intestine.

Perfusion of the small intestine with a lipid solution results in elevated plasma neurotensin-like immunoreactivity in blood collected from the superior mesenteric vein. Perfusion of amino acids, glucose, hyperosmotic saline, acidified saline, bile salt and diluted rat bile had no effect. Neurotensin-like immunoreactivity in portal plasma was significantly higher than that measured concomitantly in peripheral arterial plasma. Neurotensin, as identified by high pressure liquid chromatography, rose from 4 to 9 fm/ml (n = 4) and 9 to 18 fm/ml (n = 9) extracted plasma during lipid stimulation as compared to the saline control. These results demonstrate that intraintestinal lipid is an effective and specific stimulus for the release of neurotensin from the small intestine into the portal circulation. However, until a target organ can be shown to respond to these modest levels of plasma neurotensin, it is unsettled whether the peptide is a hormone or whether its elevation in plasma is due to "overflow" of a paracrine agent.