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1 Physiology and Biophysics, Keck School of Medicine USC, Los Angeles, California, United States
* To whom correspondence should be addressed. E-mail: rbergman{at}usc.edu.
The insulinotropic intestinal hormone GLP-1 is thought to exert one of its effects by direct action on the pancreatic beta-cell receptors. GLP-1 is rapidly degraded in plasma, such that only a small amount of the active form reaches the pancreas, making it questionable whether this amount is sufficient to produce a direct incretin effect. The aim of our study was to assess, in a dog model, the putative incretin action of GLP-1 acting directly on the beta-cell, in the context of postprandial rises in GLP-1 and glucose. Methods: Conscious dogs were fed a high fat-high carbohydrate meal and insulin response was measured. We also infused systemic glucose plus GLP-1, or glucose alone, to simulate the meal test values of these variables, and measured insulin response. Results: During the meal, we measured a robust insulin response (52±9 to 136±14 pmol/l, p<0.05 vs. basal) with increases in portal glucose and GLP-1, but only limited increases in systemic glucose (5.3±0.1 to 5.7±0.1 mmol/l, p=0.1 vs. basal) and GLP-1 (6±0 to 9±1 pmol/l, p=0.5 vs. basal). Exogenous infusion of systemic glucose and GLP-1 produced a moderate increase in insulin (43±5 to 84±15 pmol/l, 43% of the meal insulin). However, infusion of glucose alone, without GLP-1, produced a similar insulin response (37±6 to 82±14 pmol, 53% of the meal insulin, p=0.7 vs. glucose and GLP-1 infusion). Conclusion: In dogs, with postprandial rises in systemic glucose and GLP-1, the hormone might not have a direct insulinotropic effect, and could regulate glycemia via indirect, portohepatic-initiated neural mechanisms.
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