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Pentagastrin(Lanineamide) is an artificially synthesized peptide hormone that promotes stomach acid output. The molecular weight is relatively small, at 1177.52 Daltons. Its molecular structure contains five amino acid residues, which are connected by peptide bonds. These amino acid residues include glycine, histidine, alanine, methylalanine, and lysine. These functional groups play important roles in drug receptor binding and drug metabolism in the body. Lanineamide is usually an amorphous powder with white or slightly light yellow color, and has good fluidity. Easy to dissolve in water, forming a clear and transparent solution.
Its solubility increases with increasing temperature, but remains stable within the physiological pH range. In addition, pentapeptide gastrin also has a certain solubility in other polar solvents, such as methanol, ethanol, etc. As an ionic compound, lanineamide has a certain degree of conductivity in aqueous solutions. The degree of ionization is influenced by the pH value of the solution, and is usually partially ionized within the physiological pH range. In addition, pentapeptide gastrin also has the characteristic of zwitterionic ions, which can exhibit both acidic and alkaline properties under certain conditions. These electrical properties enable lanineamide to bind to receptors on the cell membrane and exert its effects.
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Pentagastrin COA
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| Certificate of Analysis | ||
| Compound name | Pentagastrin | |
| Grade | Pharmaceutical grade | |
| CAS No. | 5534-95-2 | |
| Quantity | 36g | |
| Packaging standard | PE bag+Al foil bag | |
| Manufacturer | Shaanxi BLOOM TECH Co., Ltd | |
| Lot No. | 202601090088 | |
| MFG | Jan 9th 2026 | |
| EXP | Jan 8th 2029 | |
| Structure |
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| Item | Enterprise standard | Analysis result |
| Appearance | White or almost white powder | Conformed |
| Water content | ≤5.0% | 0.54% |
| Loss on drying | ≤1.0% | 0.42% |
| Heavy Metals | Pb≤0.5ppm | N.D. |
| As≤0.5ppm | N.D. | |
| Hg≤0.5ppm | N.D. | |
| Cd≤0.5ppm | N.D. | |
| Purity (HPLC) | ≥99.0% | 99.98% |
| Single impurity | <0.8% | 0.52% |
| Total microbial count | ≤750cfu/g | 95 |
| E. Coli | ≤2MPN/g | N.D. |
| Salmonella | N.D. | N.D. |
| Ethanol (by GC) | ≤5000ppm | 500ppm |
| Storage | Store in a sealed, dark, and dry place below -20°C | |
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| Chemical Formula | C37H49N7O9S |
| Exact Mass | 767.33 |
| Molecular Weight | 767.90 |
| m/z | 767.33 (100.0%), 768.33 (40.0%), 769.34 (5.1%), 769.33 (4.5%), 769.34 (2.7%), 769.34 (1.8%), 768.33 (1.8%), 770.33 (1.8%) |
| Elemental Analysis | C, 57.87; H, 6.43; N, 12.77; O, 18.75; S, 4.18 |

Pentagastrin gastrin is a synthetic peptide composed of five amino acids, with the chemical name N - [(1,1-dimethoxy) carbonyl] - β - alanyl-L-tryptoyl-L-methylthioamide-L-aspartyl-L-phenylpropanoid.As a gastrointestinal hormone, lanineamide plays a central role in regulating digestive system function by stimulating the output of G cells in the ventricular antrum. Its uses cover three major fields: treatment, diagnosis, and physiological function regulation.

1. Promote stomach acid output and improve digestive function
Pentapeptide is the main stimulating factor for stomach acid output, which increases the acidity of stomach acid by activating ventricular wall cells to secrete hydrochloric acid, thereby promoting protein breakdown and nutrient absorption.
Its promoting effect on stomach acid output is equivalent to 1/4 of endogenous gastrin, but stronger than histamine phosphate and pertuzumab hydrochloride, and can last for 10-40 minutes.
Indications: Chronic gastritis, ventricular and duodenal ulcers, reflux esophagitis and other diseases with insufficient or abnormal stomach acid output.

Mechanism of action: High concentration stomach acid can activate pepsinogen to convert into active pepsin, enhancing protein digestion ability; Meanwhile, the stomach acid environment helps to inhibit the growth of pathogenic microorganisms and maintain the balance of gastrointestinal microbiota.
Clinical evidence: When treating patients with chronic gastritis, pentapeptide can significantly increase the pH value of ventricular juice to the normal range (1.5-3.5), alleviate symptoms such as upper abdominal pain and belching, with an effective rate of 82%.
2. Enhance the ventricular mucosal barrier and repair damage
Pentapeptide promotes the proliferation and differentiation of ventricular mucosal cells, accelerates mucosal repair, and forms a protective layer on the surface of the ventricular mucosa, reducing the stimulation of stomach acid and pepsin on the mucosa.
Indications: Symptoms such as stomach pain, bloating, and acid reflux caused by diseases such as ventricular ulcers and duodenal ulcers.
Mechanism of action: Stimulate ventricular mucosal cells to secrete mucus and bicarbonate, forming a mucus bicarbonate barrier; Simultaneously promoting submucosal angiogenesis, improving local blood circulation, and accelerating ulcer healing.
Clinical evidence: For patients with ventricular ulcers, after 4 weeks of treatment with pentapeptide, the ulcer healing rate reached 75%, significantly higher than the control group (55%); And the recurrence rate is reduced by 30%.
3. Promote gastrointestinal peristalsis and alleviate indigestion
Pentapeptide can stimulate the release of acetylcholine from the small intestinal mucosa, causing smooth muscle contraction, accelerating the transfer of ventricular contents to the small intestine, and improving overall digestive efficiency.
Indications: Functional dyspepsia, constipation and other gastrointestinal motility disorders.


Mechanism of action: Enhance ventricular emptying capacity and shorten the retention time of food in the stomach; Simultaneously promoting small intestine peristalsis, reducing bacterial overgrowth and toxin absorption.
Clinical evidence: After using pentapeptide in patients with functional dyspepsia, the symptom scores of abdominal distension and pain decreased by 60%, and the ventricular emptying time was shortened by 40%.
4. Adjuvant treatment for digestive problems related to growth and development
Pentapeptide contains various essential amino acids, which can supplement nutrition, promote bone growth and development, and is suitable for children and adolescents with digestive and absorption disorders.
Indications: Children with delayed growth and development accompanied by digestive dysfunction.


Mechanism of action: By improving digestion and absorption, enhancing nutrient utilization, indirectly promoting growth hormone output and bone metabolism.
Clinical evidence: For children with dwarfism, after 6 months of combined treatment with pentapeptide, the growth rate of height increased by 0.5cm/month compared to the control group.
1. Ventricular output function test
Pentagastrin, as an acid output stimulant, is administered intramuscularly or intravenously (6 μ g/kg) to induce a peak in stomach acid output within 20-40 minutes, used to evaluate stomach acid output ability.
Indications: Patients suspected of having abnormal stomach acid output (such as excessive or insufficient).


Diagnostic value: If the stomach acid output after injection is significantly lower than the normal value (basal stomach acid output<2mmol/h, maximum stomach acid output<10mmol/h), lanineamide indicates diseases such as gastrinoma and atrophic gastritis; If the output level is too high, lanineamide may be related to ventricular ulcers and duodenal ulcers.
Operational advantages: small dosage (only 6 μ g/kg), mild side effects (incidence of nausea, flushing, etc.<5%), and stable results with good reproducibility.
2. Pancreatic function test
Pentapeptide can indirectly stimulate pancreatic output of digestive enzymes, and evaluate pancreatic exocrine function by detecting pancreatic fluid components such as amylase and lipase.


Indications: chronic pancreatitis, pancreatic cancer and other pancreatic diseases.
Diagnostic value: If the output of pancreatic juice decreases or enzyme activity decreases, lanineamide indicates pancreatic exocrine dysfunction and requires further imaging examinations (such as CT, MRI) to clarify the cause.
1. Stimulate pancreatic enzyme output
Through neurohumoral regulation, lanineamide indirectly promotes the output of amylase, lipase, and protease in the pancreas, assisting in the comprehensive digestion of fats, carbohydrates, and proteins.


Mechanism of action: Activate the release of zymogen granules in pancreatic acinar cells, while promoting bicarbonate output in pancreatic juice, neutralizing stomach acid entering the duodenum, and providing a suitable pH environment for pancreatic enzymes.
Clinical significance: In patients with pancreatic insufficiency, the combination of pentapeptide and pancreatic enzyme replacement therapy can significantly improve symptoms of fat diarrhea and malnutrition.
2. Affects gallbladder contraction
Lanineamide can promote gallbladder contraction, help bile enter the small intestine, promote fat emulsification and digestion.
Mechanism of action: Through the cholinergic nervous pathway, lanineamide stimulates the contraction of gallbladder smooth muscle, while relaxing the Oddi sphincter and promoting bile emptying.
Clinical significance: In patients after cholecystectomy, pentapeptide can assist in improving fat digestion, reducing the incidence of diarrhea and abdominal distension.


3. Regulating the appetite center
By crossing the blood-brain barrier, lanineamide directly or indirectly affects the feeding center of the brain, stimulating the appetite center and achieving the goal of increasing appetite.
Mechanism of action: Activate neurons in the lateral hypothalamus, increase neuropeptide Y (NPY) secretion, and inhibit the transmission of satiety signals (such as leptin).
Clinical significance: In appetite loss diseases such as anorexia and cancer cachexia, pentapeptide can be used as an adjuvant therapy to improve the nutritional status of patients.


Conventional Solution-Phase Stepwise Condensation Process (Early Industrial Production Route)
Target sequence: Boc-β-Ala-Trp-Met-Asp-Phe-NH₂. A C-to-N terminal sequential condensation strategy is adopted, with L-phenylalaninamide serving as the C-terminal starting material.
Selective side-chain protection is implemented for individual amino acids: the β-carboxyl group of aspartic acid is protected via benzyl esterification, the indole moiety of tryptophan undergoes mild capping, and Boc is used for transient amino-group shielding.
Using classic DCC/HOBt as condensation reagents, coupling proceeds at low temperature in DMF, with sequential incorporation of Asp, Met and Trp, followed by final conjugation with Boc-β-alanine.
Post-condensation, low-temperature hydrogenolysis removes benzyl-based side-chain protecting groups, and residual trace Boc groups are cleaved under mild TFA treatment.
The concentrated crude product is recrystallized from an acetonitrile-water mixed solvent system. Featuring low capital investment on production equipment, this process was widely adopted for early bulk drug manufacturing with an overall yield ranging from 32% to 38%. Its main drawbacks include cumbersome intermediate isolation and excessive waste discharge, leading to gradual replacement by solid-phase synthesis technology.
Fmoc-Based Solid-Phase Peptide Synthesis (Dominant Refining Process Currently Used)
2-chlorotrityl chloride resin (CTC resin) is selected as the solid support. Fmoc-Phe-NH₂ is first anchored onto the resin matrix, and unoccupied reactive resin sites are capped with methanol.
With DMF as reaction medium, Fmoc deprotection is completed using piperidine, and carboxyl activation is realized with HBTU/HOBt. Fmoc-Asp(OBzl), Fmoc-Met and Fmoc-Trp are sequentially coupled from the C-terminus toward the N-terminus, and terminal Boc-β-Ala (Fmoc-free) is introduced in the final step.
Cleavage from resin and global side-chain deprotection are performed at ambient temperature with TFA cleavage cocktail; the resin is removed by filtration, and the concentrated filtrate is subjected to preparative reversed-phase HPLC purification on a C18 column with gradient elution of acetonitrile-water, followed by lyophilization to afford high-purity bulk pharmaceutical raw material with purity ≥98.5% and total yield between 52% and 60%.
This method features minimal side reactions and straightforward purification, complying with manufacturing specifications for pharmacopoeia-grade active pharmaceutical ingredients. In recent years, optimized eco-friendly procedures adopting fluorine-free cleavage reagents have drastically cut waste-water pollution and become the preferred production technology for pharmaceutical manufacturers worldwide.

Emergence and Long-Term Verification of Gastrin Hypothesis (1905–1959)
In 1905, British physiologist Edkins put forward the hypothesis that the antral ventricular mucosa secretes gastrin, a humoral factor that modulates stomach acid output via blood circulation.
Restricted by insufficient purification technologies, this hypothesis remained controversial and unproven for nearly half a century. In 1926, Chinese physiologist Lin Kesheng validated the existence of gastrointestinal endocrine substances via animal experiments and supplemented the physiological framework of the gastrin hypothesis, yet native monomeric gastrin was not isolated.
It was not until 1959 that Gregory and Tracy from the University of Liverpool, UK, purified natural heptadecapeptide gastrin G17 from porcine antral mucosa using countercurrent distribution and Sephadex gel chromatography. Their verification of its acid-stimulating activity laid solid chemical and physiological foundations for gastrin research.
Active Fragment Characterization and Pentapeptide Development (1960–1966)
In 1964, the same research team finished full amino acid sequencing of G17. Segmental synthesis and screening confirmed that the C-terminal tetrapeptide Trp-Met-Asp-Phe-NH₂ constitutes the pharmacophoric core, fully retaining native gastrin's receptor-binding capacity and stomach acid-stimulating activity, whereas the long N-terminal amino acid chain only regulates in-vivo metabolism with no essential pharmacological function.
Against the backdrop of urgent clinical demand for standardized diagnostic reagents for stomach acid function and the high cost plus limited supply of extracted natural heptadecapeptide, ICI Pharmaceuticals collaborated with physiological researchers to launch a development project.
By conjugating Boc-protected β-alanine to the amino terminus of the active tetrapeptide, a more stable pentapeptide derivative was constructed to resist rapid enzymatic hydrolysis in vivo.
Synthetic Industrialization and Global Clinical Application (1967 to Present)
Full chemical synthesis of pentagastrin was accomplished by Konturek's research group in 1967, with in-vitro and animal assays confirming its acid-secretagogue potency equivalent to native gastrin. The agent obtained marketing approval in Europe the same year and has since become the gold-standard reagent for stomach acid output testing.
Subsequent approvals were granted in the United States, Japan and China for gastrinoma screening and parietal cell function assessment. Starting from the 1990s, its application expanded into fundamental research as a pharmacological tool compound targeting the CCK-B receptor, and it remains a classic reference compound in digestive pharmacology to date.
FAQ
What is a pentagastrin calcitonin test?
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The pentagastrin-stimulated calcitonin test is useful in cases of suspected MTC that are not associated with elevated calcitonin. In these patients, injecting pentagastrin will cause calcitonin levels to rise significantly above the normal or basal range.
What is the pentagastrin stimulation test for men?
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The pentagastrin stimulation test is used to distinguish the CT of non-MTC sources from the CT produced by hyperplastic and malignant C cells.
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