The effect of glucagon-like Peptide-2 receptor agonists on colonic anastomotic wound healing

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Heather A Redstone, William D Buie, David A Hart, Laurie Wallace, Pamela J Hornby, Sarah Sague, Jens Juul Holst, David L Sigalet

Background. Glucagon-like peptide 2 (GLP-2) is an intestinal specific trophic hormone, with therapeutic potential; the effects on intestinal healing are unknown. We used a rat model of colonic healing, under normoxic, and stress (hypoxic) conditions to examine the effect of GLP-2 on intestinal healing. Methods. Following colonic transection and reanastomosis, animals were randomized to one of six groups (n = 8/group): controls, native GLP-2, long-acting GLP-2 (GLP-2- MIMETIBODY, GLP-2-MMB), animals were housed under normoxic or hypoxic (11%¿¿O(2)) conditions. Animals were studied five days post-operation for anastomotic strength and wound characteristics. Results. Anastomotic bursting pressure was unchanged by GLP-2 or GLP-2-MMB in normoxic or hypoxic animals; both treatments increased crypt cell proliferation. Wound IL-1ß increased with GLP-2; IFN¿ with GLP-2 and GLP-2-MMB. IL-10 and TGF-ß were decreased; Type I collagen mRNA expression increased in hypoxic animals while Type III collagen was reduced with both GLP-2 agonists. GLP-2 MMB, but not native GLP-2 increased TIMP 1-3 mRNA levels in hypoxia. Conclusions. The effects on CCP, cytokines and wound healing were similar for both GLP-2 agonists under normoxic and hypoxic conditions; anastomotic strength was not affected. This suggests that GLP-2 (or agonists) could be safely used peri-operatively; direct studies will be required.
Original languageEnglish
JournalGastroenterology Research and Practice
Volume2010
Pages (from-to)Article ID 672453
Number of pages12
ISSN1687-6121
DOIs
Publication statusPublished - 1 Jan 2010

ID: 33938905