. Short fasting dramatically decreases rat duodenal secretory responsiveness to orexin A but not to VIP or melatonin. Am J Physiol Gastrointest Liver Physiol 285: G1091-G1096, 2003. First published July 17, 2003 10.1152/ajpgi.00193.2003Orexins are involved in the central nervous control of appetite and behavior, and in addition, they are present in endocrine cells and/or neurons in the intestine. The role of these peptides in peripheral regulation of intestinal secretion has not been investigated. We thus compared the effects of orexin A and some established secretagogues on duodenal HCO 3 Ϫ secretion in fed rats with effects in rats exposed to short (overnight) food deprivation. Rats were anesthetized with thiobarbiturate, a 12-mm segment of proximal duodenum with intact blood supply was cannulated in situ, and the alkaline secretion was titrated by pH stat. Secretagogues were supplied specifically to the duodenum by close intra-arterial infusion. Orexin A (60-600 pmol ⅐ kg Ϫ1 ⅐ h Ϫ1 ) caused marked and dose-dependent stimulation of the duodenal secretion in fed animals but did not affect secretion in overnight food-deprived animals. Similarly, short fasting caused a 100-fold increase in the amount of the muscarinic agonist bethanechol (from 50 to 5,000 nmol ⅐ kg Ϫ1 ⅐ h Ϫ1 ) required for stimulation of the secretion. In contrast, the secretory responses to VIP (50-1,000 pmol ⅐ kg Ϫ1 ⅐ h Ϫ1 ) and melatonin (20-200 nmol ⅐ kg Ϫ1 ⅐ h Ϫ1 ) were not affected. The appetite-regulating peptide orexin A is thus a stimulant of intestinal secretion, but the response to this peptide as well as the muscarinic agonist bethanechol is markedly dependent on previous intake of food. Overnight fasting is a standard experimental procedure in studies of gastrointestinal function and pathophysiology in humans and animals. Studies made on neuroendocrine control of intestinal secretion may require reevaluation with respect to feeding status.bethanochol; bicarbonate secretion; duodenal mucosal protection; food deprivation; vasoactive intestinal polypeptide OREXINS WERE FIRST ISOLATED as hypothalamic appetiteincreasing peptides (9, 38) and appear to be involved in short-term regulation of feeding rather than long-term regulation of body weight (6, 46). Effects are mediated via two G protein-coupled receptors denoted OX 1 and OX 2 (21, 24). Orexins and receptors were also recently discovered in numerous endocrine (enterochromaffin) cells in the gastrointestinal tract and are present in the enteric nerves (21,24,27). The role of these compounds in peripheral regulation of intestinal function has, however, not been investigated in detail. Orexin cells in the hypothalamus are stimulated by fasting and inhibited by feeding (6). By tradition (32), experimental studies of gastrointestinal physiology and pathophysiology in humans and in intact animals have been conducted after overnight fast. Because the presence of food itself has a considerable effect of intestinal function (14), we have compared the actions of orexins and other intestinal se...