A, Diagram of the co- and posttranslational modifications of proCCK. Activation of the CCK amidation site (FGRR, sequence 83–86 of proCCK) occurs via a series of carboxyterminal cleavages and modifications. An early modification is tyrosyl O-sulfation by sulfotransferases of Y77, Y91, and Y93. In addition to ensuring binding to the CCK-A receptor, tyrosyl sulfation also increases endoproteolytic cleavage (39). Endoproteolytic cleavage by a PC (PC1/3, PC2, PC5/6, or other PCs) produces the carboxypeptidase E substrate. Carboxypeptidase E then acts to remove the C-terminal arginyl residue yielding glycine-extended CCK, which by peptidylglycine α-amidating monooxygenase (PAM) results in the production of bioactive CCK (F-NH2). Concomitant N-terminal cleavages by PCs produce bioactive CCKs of varying length. In combination with in vitro endoprotease treatment (trypsinization), a library of sequence-specific antibodies was used to measure bioactive CCK and precursor peptides, as described in the text. Although the text enlists only CCK-58, -33, -22, and -8 as bioactive CCKs, small amounts of CCK-83 and -5 may also be synthesized in the brain and gut (12). B, Binding sites of antibodies (AB) for the study of endoproteolytic proCCK processing: AB 92128 binds proCCK sequence 76–83 in its derivatized form, i.e. Tyr76 is O sulfated (marked with an asterisk) and Phe83 carboxyamidated. This structure constitutes the C terminus of the bioactive cholecystokinins (CCK-83,-58,-33,-22, and -8). AB 2609 binds the same sequence as AB 92128 but is independent of tyrosyl O-sulfation. Consequently, it binds both sulfated and nonsulfated CCK-peptides. AB 3208 binds proCCK sequence 76–84, i.e. the glycine-extended forms of CCK that constitute the immediate precursors of the bioactive carboxyamidated CCKs. AB 89009 binds proCCK sequence 62–68, corresponding to the N terminus of human CCK-22. Consequently, AB 89009 binds both CCK-22 and C-terminal extended forms of CCK-22 such as glycine-extended CCK-22. Further details of the epitope specificity of the antibodies are given elsewhere (8,25,26,27).