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1 Medicine, Medical College of Georgia, Augusta, Georgia, United States
2 Medicine, Yale University, New Haven, Connecticut, United States
3 Endocrinology and Metabolism, Sun Yat-Sen University, Guangzhou, China; Medicine, Medical College of Georgia, Augusta, Georgia, United States
4 Orthopedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
5 Pathology, Medical College of Georgia, Augusta, Georgia, United States
6 Cell Biology and Anatomy, Medical College of Georgia, Augusta, Georgia, United States
7 Specialty Care, Augusta VA Hospital, Augusta, Georgia, United States; Medicine, Medical College of Georgia, Augusta, Georgia, United States; Orthopedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
* To whom correspondence should be addressed. E-mail: cisales{at}mcg.edu.
Acute nutrient ingestion leads to a rapid inhibition of bone resorption while effects on makers of bone formation are less marked or absent suggesting that there is a transient shift towards skeletal accretion in the immediate post-prandial period. The cellular bases for these effects are not clear. Glucose-dependent insulinotropic peptide (GIP), a known modulator of glucose-induced insulin secretion, is secreted from intestinal endocrine cells in response to nutrient ingestion. In addition to GIPs effect on pancreatic beta cells, GIP receptors are expressed by osteoblastic cells in bone suggesting a role for this incretin hormone in bone formation. To determine if GIP also plays a role in the antiresorptive effect of nutrient ingestion, osteoclasts were analyzed for the presence of GIP receptors by PCR, immunohistochemical and immunocytochemical analyses of bone tissue, freshly isolated mature osteoclasts and osteoclast-like cells cultured in vitro. Osteoclast function was assessed by fetal long bone resorption assay and by use of the Osteologic disc assay. Our results demonstrate that GIP receptor transcripts and protein are present in osteoclasts. In addition using an in vitro organ culture system and mature osteoclasts GIP was found to inhibit bone resorption in the organ culture system and the resorptive activity of mature osteoclasts. These data are consistent with the hypothesis that GIP inhibits bone breakdown through a direct effect on osteoclast resorptive activity and suggest one mechanism for the postprandial reduction in markers of bone breakdown.
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