Glucose Stimulates GLP-1 Secretion from Isolated Perfused Rat Small Intestine by SGLT1 and GLUT2 Mediated Uptake, Causing V-gated Calcium Channel Activation

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We characterized the mechanisms of glucose-stimulated glucagon-like peptide-1 (GLP-1) secretion from isolated rat small intestine perfused at constant rate. Luminal glucose (5 and 20 % (w/v)) stimulated secretion dose dependently (ΔGLP-15% (w/v): 4.77 ± 0.8 vs. GLP-120% (w/v): 18.5 ± 2.8 pM, P<0.0001, n = 6) at rates correlating with glucose absorption (R2: 5% (w/v) = 0.68,R2: 20% (w/v) = 0.87, P < 0.001, n = 6), independent of the osmotic load. Vascular glucose stimulated secretion at 15 mM (21.7 ± 0.5 vs. 25.2 ± 0.6 pmol/l, P < 0.001, n = 6), but not at 5 and 10 mM (P > 0.05). Luminal glucose activated voltage-gated calcium channels in the L-cells, as inhibition with nifedipine (NI; 10 μM) or hyperpolarization with diazoxide completely abolished secretory responses (Glu. 9.19 ± 0.6 vs. 25.1 ± 0.56 pM, P < 0.01, Glu.+NI: 7.90 ± 0.56 vs. 10.57 ± 1.92 pM, P > 0.05, n = 6) (Glu.: 12.0 ± 0.6 vs. 31.8 ± 1.9 pM, P < 0.05, Glu. + DZ: 20.1 ± 1.0 vs. 20.9 ± 0.7 pM, P > 0.05, n = 6). Nifedipine also eliminated depolarization driven GLP-1 responses to vascular KCl (50 mM) (KCl: 8.60 ± 0.4 vs. 47.8 ± 13.0 pM, P < 0.05, KCl+NI: 7.83 ± 0.49 vs. 15.23 ±1.32 pM, P < 0.05, n = 6). The non-metabolizable SGLT1 substrate, α-MGP, stimulated release (15.7 ± 0.5 vs. 29.4 ± 0.7 pM, P < 0.0001, n = 6), while both α-MGP and glucose failed to stimulate GLP-1 secretion in presence of the SGTL1 inhibitor phloridzin (10 μM) (P > 0.05). However, glucose-stimulated GLP-1 secretion was also sensitive to luminal GLUT2 inhibition (1 mM phloretin) (Glu. 13.94 ± 2.5 vs. 30.90 ± 10.9 pM, Glu.+PT: 12.44 ± 1.3 vs. 17.18 ± 3.4 pM, P > 0.0001, n = 6), and KATP-channel closure by two sulfonylurea drugs stimulated GLP-1 release (tolbutamide: 14.7 ± 0.2 vs. 28.6 ± 5.2 pM; gliclazide: 15.2 ± 0.3 vs. 24.6 ± 2.4 pM, P < 0.05, n = 8). Our data indicates that SGLT1 activity is the driving force for glucose induced GLP-1 secretion, though secretory responses.
Original languageEnglish
Article numberAbstract no 1915-P
JournalDiabetes
Volume63
Issue numbersuppl 1
Pages (from-to)A491
Number of pages1
ISSN0012-1797
DOIs
Publication statusPublished - Jun 2014

ID: 227782470