Pancreatic α Cell-Derived Glucagon-Related Peptides Are Required for β Cell Adaptation and Glucose Homeostasis.

Abstract:

:Pancreatic α cells may process proglucagon not only to glucagon but also to glucagon-like peptide-1 (GLP-1). However, the biological relevance of paracrine GLP-1 for β cell function remains unclear. We studied effects of locally derived insulin secretagogues on β cell function and glucose homeostasis using mice with α cell ablation and with α cell-specific GLP-1 deficiency. Normally, intestinal GLP-1 compensates for the lack of α cell-derived GLP-1. However, upon aging and metabolic stress, glucose tolerance is impaired. This was partly rescued with the DPP-4 inhibitor sitagliptin, but not with glucagon administration. In isolated islets from these mice, glucose-stimulated insulin secretion was heavily impaired and exogenous GLP-1 or glucagon rescued insulin secretion. These data highlight the importance of α cell-derived GLP-1 for glucose homeostasis during metabolic stress and may impact on the clinical use of systemic GLP-1 agonists versus stabilizing local α cell-derived GLP-1 by DPP-4 inhibitors in type 2 diabetes.

journal_name

Cell Rep

journal_title

Cell reports

authors

Traub S,Meier DT,Schulze F,Dror E,Nordmann TM,Goetz N,Koch N,Dalmas E,Stawiski M,Makshana V,Thorel F,Herrera PL,Böni-Schnetzler M,Donath MY

doi

10.1016/j.celrep.2017.03.005

subject

Has Abstract

pub_date

2017-03-28 00:00:00

pages

3192-3203

issue

13

issn

2211-1247

pii

S2211-1247(17)30322-4

journal_volume

18

pub_type

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