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1 Department of Medicine, Lund University, S-205 02 Malmö, Sweden; and 2 Institute of Systems Science and Biomedical Engineering (LADSEB-Consiglio Nazionale delle Ricerche), 35217 Padua, Italy
We examined the
dose-related net effects of glucagon-like peptide 1 (GLP-1) on insulin
secretion, insulin sensitivity, and glucose disposal as derived from
the minimal model of glucose disappearance in anesthetized mice. GLP-1
dose dependently potentiated insulin secretion after glucose
administration, with the half-maximal effect at 1 nmol/kg. GLP-1 also
dose dependently reduced the area under the glucose curve
(AUCglucose) and increased the
glucose elimination rate (KG)
but did not affect the glucose effectiveness (SG). Furthermore, the insulin
sensitivity index (SI) was
reduced after administration of GLP-1. Because insulin secretion was
stimulated to a larger degree than
SI was reduced, the peptide
increased the global disposition index (GDI = AUCinsulin × SI). Matching plasma insulin
levels after GLP-1 by exogenous insulin reproduced the influences of
GLP-1 on AUCglucose,
KG,
SI, and GDI. Finally, the GLP-1
receptor antagonist exendin-3-(9
39) inhibited the actions of GLP-1.
We conclude that GLP-1 increases glucose tolerance in the mouse mainly
by potently stimulating insulin secretion.
glucagon-like peptide 1; glucose disposal; mouse
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