[HTML][HTML] Hematopoietic cell–versus enterocyte-derived dipeptidyl peptidase-4 differentially regulates triglyceride excursion in mice

EM Varin, AA Hanson, JL Beaudry, MA Nguyen… - JCI insight, 2020 - ncbi.nlm.nih.gov
EM Varin, AA Hanson, JL Beaudry, MA Nguyen, X Cao, LL Baggio, EE Mulvihill, DJ Drucker
JCI insight, 2020ncbi.nlm.nih.gov
Postprandial triglycerides (TGs) are elevated in people with type 2 diabetes (T2D). Glucose-
lowering agents, such as glucagon-like peptide-1 (GLP-1) receptor agonists and dipeptidyl
peptidase-4 (DPP-4) inhibitors, also reduce postprandial TG excursion. Although the
glucose-lowering mechanisms of DPP-4 have been extensively studied, how the reduction
of DPP-4 activity improves lipid tolerance remains unclear. Here, we demonstrate that gut-
selective and systemic inhibition of DPP-4 activity reduces postprandial TG excursion in …
Abstract
Postprandial triglycerides (TGs) are elevated in people with type 2 diabetes (T2D). Glucose-lowering agents, such as glucagon-like peptide-1 (GLP-1) receptor agonists and dipeptidyl peptidase-4 (DPP-4) inhibitors, also reduce postprandial TG excursion. Although the glucose-lowering mechanisms of DPP-4 have been extensively studied, how the reduction of DPP-4 activity improves lipid tolerance remains unclear. Here, we demonstrate that gut-selective and systemic inhibition of DPP-4 activity reduces postprandial TG excursion in young mice. Genetic inactivation of Dpp4 simultaneously within endothelial cells and hematopoietic cells using Tie2-Cre reduced intestinal lipoprotein secretion under regular chow diet conditions. Bone marrow transplantation revealed a key role for hematopoietic cells in modulation of lipid responses arising from genetic reduction of DPP-4 activity. Unexpectedly, deletion of Dpp4 in enterocytes increased TG excursion in high-fat diet–fed (HFD-fed) mice. Moreover, chemical reduction of DPP-4 activity and increased levels of GLP-1 were uncoupled from TG excursion in older or HFD-fed mice, yet lipid tolerance remained improved in older Dpp4–/–and Dpp4 EC–/–mice. Taken together, this study defines roles for specific DPP-4 compartments, age, and diet as modifiers of DPP-4 activity linked to control of gut lipid metabolism.
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