The concentration of the NH2-terminal fragment of
gastrin-17 in serum was determined by radioimmunochemistry. Two
antisera were used, one specific for the COOH-terminus and the other for the NH2-terminus of
gastrin-17. The NH2-terminal
gastrin-17 immunoreactivity in unfractionated serum correlated well with the amount of fragment found after gel filtration of the same sera (p less than 0.001). In healthy subjects (no. = 100), the NH2- and COOH-terminal
gastrin immunoreactivity was 8 +/- 1 and 20 +/- 1 pmol/l (mean +/- SEM), respectively. In patients with acute
duodenal ulcer (no. = 30) and acute
gastritis (no. = 10) the NH2-terminal immunoreactivity was fourfold increased compared with in healthy subjects (p less than 0.001), whereas the COOH-terminal was identical, the NH2- and COOH-terminal concentrations being 33 +/- 7 and 22 +/- 2 pmol/l in
duodenal ulcer and 35 +/- 6 and 21 +/- 1 pmol/l in acute
gastritis. Other groups of patients had NH2- and COOH-terminal
gastrin concentrations in serum similar to those measured in healthy subjects. The results suggest that gastrin cells process
gastrin-17 abnormally during the acute phase of
duodenal ulcer and
gastritis.