GLP-1 and GLP-2 as yin and yang of intestinal lipoprotein production: evidence for predominance of GLP-2-stimulated postprandial lipemia in normal and insulin-resistant states

Diabetes. 2013 Feb;62(2):373-81. doi: 10.2337/db12-0202. Epub 2012 Oct 1.

Abstract

The glucagon-like peptides (GLP-1 and GLP-2) are processed from the proglucagon polypeptide and secreted in equimolar amounts but have opposite effects on chylomicron (CM) production, with GLP-1 significantly reducing and GLP-2 increasing postprandial chylomicronemia. In the current study, we evaluated the apparent paradoxical roles of GLP-1 and GLP-2 under physiological conditions in the Syrian golden hamster, a model with close similarity to humans in terms of lipoprotein metabolism. A short (30-min) intravenous infusion of GLP-2 resulted in a marked increase in postprandial apolipoprotein B48 (apoB48) and triglyceride (TG) levels in the TG-rich lipoprotein (TRL) fraction, whereas GLP-1 infusion decreased lipid absorption and levels of TRL-TG and apoB48. GLP-1 and GLP-2 coinfusion resulted in net increased lipid absorption and an increase in TRL-TG and apoB48. However, prolonged (120-min) coinfusion of GLP-1 and GLP-2 decreased postprandial lipemia. Blocking dipeptidyl peptidase-4 activity resulted in decreased postprandial lipemia. Interestingly, fructose-fed, insulin-resistant hamsters showed a more pronounced response, including possible hypersensitivity to GLP-2 or reduced sensitivity to GLP-1. In conclusion, under normal physiological conditions, the actions of GLP-2 predominate; however, when GLP-1 activity is sustained, the hypolipidemic action of GLP-1 predominates. Pharmacological inhibition of GLP-1 degradation tips the balance toward an inhibitory effect on intestinal production of atherogenic CM particles.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apolipoprotein B-48 / biosynthesis
  • Chylomicrons / biosynthesis
  • Chylomicrons / drug effects
  • Cricetinae
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacology
  • Fructose / administration & dosage
  • Glucagon-Like Peptide 1 / administration & dosage*
  • Glucagon-Like Peptide 2 / administration & dosage*
  • Hyperlipidemias / blood
  • Hyperlipidemias / metabolism*
  • Insulin Resistance / physiology*
  • Intestinal Absorption / drug effects
  • Intestines / drug effects*
  • Lipid Metabolism / drug effects
  • Lipoproteins / biosynthesis*
  • Male
  • Mesocricetus
  • Postprandial Period / drug effects*
  • Triglycerides / blood
  • Triglycerides / metabolism

Substances

  • Apolipoprotein B-48
  • Chylomicrons
  • Dipeptidyl-Peptidase IV Inhibitors
  • Glucagon-Like Peptide 2
  • Lipoproteins
  • Triglycerides
  • Fructose
  • Glucagon-Like Peptide 1