GLP-2-mediated up-regulation of intestinal blood flow and glucose uptake is nitric oxide-dependent in TPN-fed piglets 1

Research output: Contribution to journalJournal articleResearchpeer-review

Xinfu Guan, Barbara Stoll, Xiaofeng Lu, Kelly A Tappenden, Jens Juul Holst, Bolette Hartmann, Douglas G Burrin

BACKGROUND & AIMS: Our aim was to determine whether the intestinotrophic effects of GLP-2 are mediated by acute up-regulation of intestinal substrate utilization in TPN-fed piglets.

METHODS: Twenty-four 12-day-old pigs, fitted with a portal flow probe and carotid, jugular and portal catheters, were fed by TPN for 7 days. On day 8, a group of pigs (n = 8) was infused intravenously with saline (control) for 4 hours and then with GLP-2 (500 pmol x kg(-1) x hour(-1), GLP-2) for 4 hours. (2)H-glucose and (13)C-phenylalanine were infused to estimate their kinetics and protein turnover. Another group (n = 8) received consecutive intravenous infusions of saline, GLP-2, and GLP-2 plus N(G)-Nitro-L-arginine methyl ester (L-NAME, 50 micromol x kg(-1) x hour(-1)) for 4 hours each.

RESULTS: GLP-2 acutely increased portal-drained visceral (PDV) blood flow rate (+25%) and intestinal blood volume (+51%) in TPN-fed piglets. GLP-2 also increased intestinal constitutive nitric oxide synthase (NOS) activity and endothelial NOS protein abundance. GLP-2 acutely increased PDV glucose uptake (+90%) and net lactate production (+79%). Co-infusion of GLP-2 plus L-NAME did not increase either PDV blood flow rate or glucose uptake. GLP-2 increased PDV indispensable amino acid uptake by 220% and protein synthesis by 125%, but did not decrease protein breakdown or phenylalanine oxidation.

CONCLUSIONS: We conclude that in TPN-fed neonatal pigs, GLP-2 acutely stimulates intestinal blood flow and glucose utilization, and this response is nitric oxide-dependent. These findings suggest that GLP-2 may play an important physiological role in the regulation of intestinal blood flow and that nitric oxide is involved in GLP-2 receptor function.

Original languageEnglish
JournalGastroenterology
Volume125
Issue number1
Pages (from-to)136-47
Number of pages12
ISSN0016-5085
Publication statusPublished - Jul 2003

    Research areas

  • Amino Acids, Animals, Animals, Newborn, Dietary Proteins, Female, Glucagon-Like Peptide 2, Glucagon-Like Peptides, Glucose, Intestines, Liver Circulation, Nitric Oxide, Nitric Oxide Synthase, Oxygen Consumption, Pancreatic Hormones, Parenteral Nutrition, Total, Peptides, Portal System, Regional Blood Flow, Sus scrofa, Up-Regulation

ID: 132055938