[PDF][PDF] Cellular sites and mechanisms linking reduction of dipeptidyl peptidase-4 activity to control of incretin hormone action and glucose homeostasis

EE Mulvihill, EM Varin, B Gladanac, JE Campbell… - Cell metabolism, 2017 - cell.com
EE Mulvihill, EM Varin, B Gladanac, JE Campbell, JR Ussher, LL Baggio, B Yusta, J Ayala…
Cell metabolism, 2017cell.com
Pharmacological inhibition of the dipeptidyl peptidase-4 (DPP4) enzyme potentiates incretin
action and is widely used to treat type 2 diabetes. Nevertheless, the precise cells and tissues
critical for incretin degradation and glucose homeostasis remain unknown. Here, we use
mouse genetics and pharmacologic DPP4 inhibition to identify DPP4+ cell types essential
for incretin action. Although enterocyte DPP4 accounted for substantial intestinal DPP4
activity, ablation of enterocyte DPP4 in Dpp4 Gut−/− mice did not produce alterations in …
Summary
Pharmacological inhibition of the dipeptidyl peptidase-4 (DPP4) enzyme potentiates incretin action and is widely used to treat type 2 diabetes. Nevertheless, the precise cells and tissues critical for incretin degradation and glucose homeostasis remain unknown. Here, we use mouse genetics and pharmacologic DPP4 inhibition to identify DPP4+ cell types essential for incretin action. Although enterocyte DPP4 accounted for substantial intestinal DPP4 activity, ablation of enterocyte DPP4 in Dpp4Gut−/− mice did not produce alterations in plasma DPP4 activity, incretin hormone levels, and glucose tolerance. In contrast, endothelial cell (EC)-derived DPP4 contributed substantially to levels of soluble plasma DPP4 activity, incretin degradation, and glucose control. Surprisingly, DPP4+ cells of bone marrow origin mediated the selective degradation of fasting GIP, but not GLP-1. Collectively, these findings identify distinct roles for DPP4 in the EC versus the bone marrow compartment for selective incretin degradation and DPP4i-mediated glucoregulation.
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