[PDF][PDF] Pancreatic α cell-derived glucagon-related peptides are required for β cell adaptation and glucose homeostasis

S Traub, DT Meier, F Schulze, E Dror, TM Nordmann… - Cell reports, 2017 - cell.com
S Traub, DT Meier, F Schulze, E Dror, TM Nordmann, N Goetz, N Koch, E Dalmas…
Cell reports, 2017cell.com
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 …
Summary
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.
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