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FFA3 Activation Stimulates Duodenal Bicarbonate Secretion and Prevents NSAID-Induced Enteropathy via the GLP-2 Pathway in Rats
Open accessAbstract
Background Therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with enteropathy in humans and experimental animals, a cause of considerable morbidity. Unlike foregut NSAID-associated mucosal lesions, most treatments for this condition are of little efficacy. We propose that the endogenously released intestinotrophic hormone glucagon-like peptide-2 (GLP-2) prevents the development of NSAID-induced enteropathy. Since the short-chain fatty acid receptor FFA3 is expressed on enteroendocrine L cells and on enteric nerves in the gastrointestinal tract, we further hypothesized that activation of FFA3 on L cells protects the mucosa from injury via GLP-2 release with enhanced duodenal HCO 3- secretion. We thus investigated the effects of synthetic selective FFA3 agonists with consequent GLP-2 release on NSAID-induced enteropathy. Methods We measured duodenal HCO 3- secretion in isoflurane-anesthetized rats in a duodenal loop perfused with the selective FFA3 agonists MQC or AR420626 (AR) while measuring released GLP-2 in the portal vein (PV). Intestinal injury was produced by indomethacin (IND, 10 mg/kg, sc) with or without MQC (1-10 mg/kg, ig) or AR (0.01-0.1 mg/kg, ig or ip) treatment. Results Luminal perfusion with MQC or AR (0.1-10 µM) dose-dependently augmented duodenal HCO 3- secretion accompanied by increased GLP-2 concentrations in the PV. The effect of FFA3 agonists was inhibited by co-perfusion of the selective FFA3 antagonist CF3-MQC (30 µM). AR-induced augmented HCO 3- secretion was reduced by iv injection of the GLP-2 receptor antagonist GLP-2(3-33) (3 nmol/kg), or by pretreatment with the cystic fibrosis transmembrane conductance regulator (CFTR) inhibitor CFTR inh-172 (1 mg/kg, ip). IND-induced small intestinal ulcers were dose-dependently inhibited by intragastric administration of MQC or AR. GLP-2(3-33) (1 mg/kg, ip) or CF3-MQC (1 mg/kg, ig) reversed AR-associated reduction in IND-induced enteropathy. In contrast, ip injection of AR had no effect on enteropathy. Conclusion These results suggest that luminal FFA3 activation enhances mucosal defenses and prevents NSAID-induced enteropathy via the GLP-2 pathway. The selective FFA3 agonist may be a potential therapeutic candidate for NSAID-induced enteropathy.
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“SCFAs can enhance the mucosal barrier through the stimulation of mucus production (Barcelo et al., 2000;Finnie et al., 1995;Jung et al., 2015;Willemsen et al., 2003), which is likely mediated through FFAR3 (Said et al., 2017).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Said et al., 2017
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Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., et al. (2019) · Physiological Reviews · doi:10.1152/physrev.00018.2018 · Cited by 5,286
Metadata
- Authors
- Said, H., Akiba, Y., Narimatsu, K., Maruta, K., Kuri, A., Iwamoto, K.-I., Kuwahara, A., & Kaunitz, J. D.
- Affiliations
- University of California, Los Angeles (US)
- Shizuoka University (JP)
- Corresponding author
- Kaunitz, Jonathan D.
- ORCID
- Venue
- Digestive Diseases and Sciences
- Published
- 2017-05-18
- Volume
- 62
- Issue
- 8
- Pages
- 1944-1952
- ISSN
- 0163-2116 (ISSN-L)
- 1573-2568
- PMC
- PMC5511769
- OpenAlex
- W2576993281
- Cited by
- 23
- References
- 0
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 4 · 2018: 2 · 2017: 1
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Digestive Diseases and Sciences (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK54221)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Inflammatory mediators and NSAID effects
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Keywords
- glucagon-like peptide-2, NSAID-induced enteropathy, duodenal bicarbonate secretion, indomethacin, CFTR, enteroendocrine L cells, intestinal mucosal protection, CFTRinh-172
- MeSH terms
- Animals, Anti-Inflammatory Agents, Non-Steroidal, Bicarbonates, Duodenum, Fatty Acids, Nonesterified, Indomethacin, Intestinal Diseases, Intestinal Mucosa, Male, Ulcer, Quinolones, Signal Transduction, Rats, Sprague-Dawley, Cystic Fibrosis Transmembrane Conductance Regulator, Receptors, G-Protein-Coupled, Rats, Glucagon-Like Peptide 2
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- Said, H., Akiba, Y., Narimatsu, K., Maruta, K., Kuri, A., Iwamoto, K.-I., Kuwahara, A., & Kaunitz, J. D. (2017). FFA3 Activation Stimulates Duodenal Bicarbonate Secretion and Prevents NSAID-Induced Enteropathy via the GLP-2 Pathway in Rats. Digestive Diseases and Sciences. https://doi.org/10.1007/s10620-017-4600-4