GLP-1 – a physiological incretin with pharmacological potential

University of Oxford (2008) Proc Physiol Soc 12, SA8

Research Symposium: GLP-1 – a physiological incretin with pharmacological potential

A. M. Habib1, F. Reimann1, G. Tolhurst1, H. E. Parker1, G. J. Rogers1, F. M. Gribble1

1. Cambridge Institute for Medical Research and Department of Clinical Biochemistry, University of Cambridge, Cambridge, United Kingdom.

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Glucagon-like peptide-1 (GLP-1) is an incretin hormone, released from intestinal L-cells in response to food ingestion, which stimulates insulin release and improves glycaemia in type 2 diabetes. Drugs based on mimicking the action of GLP-1 or inhibiting clearance of the endogenous hormone have been licensed recently for the treatment of type 2 diabetic subjects. The idea of therapeutically targeting L-cells to enhance endogenous release of GLP-1 and Peptide YY is increasingly popular, but is hampered by current uncertainties surrounding normal L-cell function. To enable single cell analysis of primary murine L-cells, we generated transgenic mice expressing a yellow fluorescent protein under the control of the proglucagon promoter. These mice exhibit yellow fluorescence in L-cells, pancreatic alpha cells, and populations of brainstem neurones. L-cells, purified from the transgenic mice by flow cytometry and analysed by quantitative RT-PCR, expressed high levels of K-ATP channel subunits, glucokinase and sodium glucose cotransporter 1 (SGLT1). The expression levels of Kir6.2, SUR1 and glucokinase were similar to those found in pancreatic alpha and beta cells. Single L-cells in primary culture, identified by their yellow fluorescence, were electrically active, and stimulated by glucose and tolbutamide. Identified L-cells loaded with fura-2 exhibited intracellular calcium rises in response to application of glucose, alpha-methylglucose or tolbutamide. In mixed primary cultures of upper small intestine or colon, GLP-1 secretion was glucose-dependent with an EC50 in the low millimolar range, and was also stimulated by tolbutamide or alpha-methylglucose. The combined results from expression analysis, electrophysiological recordings, single cell fluorescence calcium imaging and GLP-1 secretion implicate important roles for K-ATP channels and SGLT1 in L-cell glucose-sensing.



Where applicable, experiments conform with Society ethical requirements.

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