Paracrine Crosstalk between Intestinal L- and D-cells Controls Secretion of Glucagon-Like Peptide-1 in mice

Sara L. Jepsen, Kaare V. Grunddal, Nicolai J Wewer Albrechtsen, Maja S Engelstoft, Maria B N Gabe, Elisa P Jensen, Cathrine Ørskov, Steen S Poulsen, Mette M Rosenkilde, Jens Pedersen, Fiona M Gribble, Frank Reimann, Carolyn F Deacon, Thue W Schwartz, Andreas D Christ, Rainer E Martin, Jens J Holst

12 Citations (Scopus)

Abstract

DPP-4 inhibitors, used for treatment of type 2 diabetes, act by increasing the concentrations of intact glucagon-like peptide-1 (GLP- 1), but at the same time, they inhibit secretion of GLP-1, perhaps by a negative feedback mechanism. We hypothesized that GLP-1 secretion is feedback regulated by somatostatin (SS) from neighboring D-cells, and blocking this feedback circuit results in increased GLP-1 secretion. We used a wide range of experimental techniques, including gene expression analysis, immunohistochemical approaches, and the perfused mouse intestine to characterize the paracrine circuit controlling GLP-1 and SS. We show that 1) antagonizing the SS receptor (SSTr) 2 and SSTr5 led to increased GLP-1 and SS secretion in the mouse, 2) SS exhibits strong tonic inhibition of GLP-1 secretion preferentially through SSTr5, and 3) the secretion of S was GLP-1 receptor dependent. We conclude that SS is a tonic inhibitor of GLP-1 secretion, and interventions in the somatostain-GLP-1 paracrine loop lead to increased GLP-1 secretion.

Original languageEnglish
JournalA J P: Endocrinology and Metabolism (Online)
ISSN1522-1555
DOIs
Publication statusPublished - Dec 2019

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