GLP-1 and GLP-2 as yin and yang of intestinal lipoprotein production: evidence for predominance of GLP-2-stimulated postprandial lipemia in normal and insulin-resistant states.

GLP-1 and GLP-2 as yin and yang of intestinal lipoprotein production: evidence for predominance of GLP-2-stimulated postprandial lipemia in normal and insulin-resistant states.
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DOI:
10.2337/db12-0202
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发表时间:
2013-02
期刊:
影响因子:
7.7
通讯作者:
Adeli K
Adeli K
中科院分区:
医学1区
文献类型:
--
作者:
Hein GJ;Baker C;Hsieh J;Farr S;Adeli K

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胰高血糖素样肽(GLP-1和GLP-2)由胰高血糖素原多肽加工而成,并以等摩尔量分泌,但对乳糜微粒(CM)产生相反的作用,GLP-1显著降低餐后乳糜微粒血症,GLP-2增加餐后乳糜微粒血症。在本研究中,我们评价了GLP-1和GLP-2在生理条件下在叙利亚金仓鼠(一种在脂蛋白代谢方面与人类非常相似的模型)中的明显矛盾作用。短时间(30分钟)静脉输注GLP-2导致餐后载脂蛋白B48(apoB 48)和富含TG的脂蛋白(TRL)组分中的甘油三酯(TG)水平显著增加,而GLP-1输注降低了脂质吸收和TRL-TG和apoB 48水平。GLP-1和GLP-2共输注导致脂质吸收净增加以及TRL-TG和apoB 48增加。然而,GLP-1和GLP-2的长时间(120分钟)共输注降低了餐后脂血。阻断二肽基肽酶-4活性导致餐后脂血减少。有趣的是,果糖喂养的胰岛素抵抗仓鼠表现出更明显的反应,包括可能对GLP-2过敏或对GLP-1敏感性降低。总之,在正常生理条件下,GLP-2的作用占主导地位;然而,当GLP-1活性持续时,GLP-1的降血脂作用占主导地位。GLP-1降解的药理学抑制作用使平衡向对致动脉粥样硬化CM颗粒的肠道产生的抑制作用倾斜。
The glucagon-like peptides (GLP-1 and GLP-2) are processed from the proglucagon polypeptide and secreted in equimolar amounts but have opposite effects on chylomicron (CM) production, with GLP-1 significantly reducing and GLP-2 increasing postprandial chylomicronemia. In the current study, we evaluated the apparent paradoxical roles of GLP-1 and GLP-2 under physiological conditions in the Syrian golden hamster, a model with close similarity to humans in terms of lipoprotein metabolism. A short (30-min) intravenous infusion of GLP-2 resulted in a marked increase in postprandial apolipoprotein B48 (apoB48) and triglyceride (TG) levels in the TG-rich lipoprotein (TRL) fraction, whereas GLP-1 infusion decreased lipid absorption and levels of TRL-TG and apoB48. GLP-1 and GLP-2 coinfusion resulted in net increased lipid absorption and an increase in TRL-TG and apoB48. However, prolonged (120-min) coinfusion of GLP-1 and GLP-2 decreased postprandial lipemia. Blocking dipeptidyl peptidase-4 activity resulted in decreased postprandial lipemia. Interestingly, fructose-fed, insulin-resistant hamsters showed a more pronounced response, including possible hypersensitivity to GLP-2 or reduced sensitivity to GLP-1. In conclusion, under normal physiological conditions, the actions of GLP-2 predominate; however, when GLP-1 activity is sustained, the hypolipidemic action of GLP-1 predominates. Pharmacological inhibition of GLP-1 degradation tips the balance toward an inhibitory effect on intestinal production of atherogenic CM particles.
DOI: 10.1210/en.140.11.5356
发表时间: 1999-11-01
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