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Section of Gastroenterology, Boston University School of Medicine, Boston, Massachusetts 02118
Glucose-dependent insulinotropic polypeptide
(GIP) and glucagon-like peptide 1 (GLP-1) are potent insulinotropic
peptides released from the small intestine. To examine their relative
contribution to postprandial insulin release, a specific GIP antagonist
(ANTGIP) and a GLP-1 antagonist,
exendin-(9
39)-NH2, were infused
into rats after an intragastric glucose meal. In control rats, plasma glucose and insulin levels rose gradually during the first 20 min and
then decreased.
Exendin-(9
39)-NH2 administration
inhibited postprandial insulin secretion by 32% at 20 min and
concomitantly increased plasma glucose concentrations. In contrast,
ANTGIP treatment not only induced a 54% decrease in insulin secretion
but also a 15% reduction in plasma glucose levels 20 min after the
glucose meal. In vivo studies in rats demonstrated that glucose uptake in the upper small intestine was significantly inhibited by the ANTGIP,
an effect that might account for the decrease in plasma glucose levels
observed in ANTGIP-treated rats. When the two antagonists were
administered to rats concomitantly, no potentiating effect on either
insulin release or plasma glucose concentration was detected. Glucose
meal-stimulated GLP-1 release was not affected by ANTGIP
administration, whereas postprandial glucagon levels were diminished in
rats receiving
exendin-(9
39)-NH2. The results of these studies suggest that GIP and GLP-1 may share a common mechanism in stimulating pancreatic insulin release. Furthermore, the
GIP receptor appears to play a role in facilitating glucose uptake in
the small intestine.
glucose tolerance test; exendin; glucose-dependent insulinotropic polypeptide antagonist; glucagon
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