Cited by 140Diabetes Treatment and ManagementPancreatic function and diabetesRegulation of Appetite and Obesity

Gut-Proglucagon-Derived Peptides Are Essential for Regulating Glucose Homeostasis in Mice

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Song, Youngmi, Koehler, Jacqueline A., Baggio, Laurie L., Powers, Alvin C., Sandoval, Darleen A., Drucker, Daniel J.·2019·Cell Metabolism

Abstract

The importance of pancreatic versus intestinal-derived GLP-1 for glucose homeostasis is controversial. We detected active GLP-1 in the mouse and human pancreas, albeit at extremely low levels relative to glucagon. Accordingly, to elucidate the metabolic importance of intestinal proglucagon-derived peptides (PGDPs), we generated mice with reduction of Gcg expression within the distal (Gcg DistalGut-/-) or entire (Gcg Gut-/-) gut. Substantial reduction of gut Gcg expression markedly reduced circulating levels of GLP-1, and impaired glucose homeostasis, associated with increased levels of GIP, and accelerated gastric emptying. Gcg DistalGut-/- mice similarly exhibited lower circulating GLP-1 and impaired oral glucose tolerance. Nevertheless, plasma levels of insulin remained normal following glucose administration in the absence of gut-derived GLP-1. Collectively, our findings identify the essential importance of gut-derived PGDPs for maintaining levels of circulating GLP-1, control of gastric emptying, and glucose homeostasis.

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Crossref · 10.1016/j.cmet.2019.08.009

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  • The intestine is a primary site of endogenous GLP-1 production and likely responds to high local GLP-1 signaling in a paracrine manner, acting as both a sensor and a modulator of intestinal inflammation.

    “The intestine is a primary site of endogenous GLP-1 production (81), and likely responds to high local GLP-1 signaling in a paracrine manner, acting as both a sensor and a modulator of intestinal inflammation.”
  • Mechanistic studies in rodents manipulating endogenous peripheral GLP-1 signaling show conflicting evidence, with reports of impaired glucose handling but no effect on cumulative food intake or body weight following deletion of the glucagon gene from L-cells.

    “However, there is conflicting evidence from mechanistic studies manipulating endogenous peripheral GLP-1 signaling in rodents, with reports of impaired glucose handling, but no effect on cumulative food intake or body weight, following deletion of the glucagon gene from L-cells (28, 29).”

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Authors
Song, Y., Koehler, J. A., Baggio, L. L., Powers, A. C., Sandoval, D. A., & Drucker, D. J.
Affiliations
  • Mount Sinai Hospital (CA)
  • Vanderbilt University (US)
  • University of Michigan (US)
Corresponding author
Drucker, Daniel J.
Venue
Cell Metabolism
Publisher
Elsevier BV
Published
2019-11
Volume
30
Issue
5
Pages
976-986.e3
ISSN
1550-4131 (ISSN-L)
OpenAlex
W2972217240
Cited by
140
References
47
Citations by year
2026: 13 · 2025: 19 · 2024: 28 · 2023: 15 · 2022: 22 · 2021: 22 · 2020: 19 · 2019: 2
FWCI
13.19
Type
journal article
Language
en
Open access
Locations
  • Cell Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Canadian Institutes of Health Research (154321)
  • Banting and Best Diabetes Centre, University of Toronto
  • Novo Nordisk
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Keywords
proglucagon-derived peptides, glucagon-like peptide-1, glucose homeostasis, glucagon, glucose-dependent insulinotropic polypeptide, gastric emptying, oral glucose tolerance, insulin, intestinal endocrine cells
MeSH terms
Gastrointestinal Microbiome, Animals, Glucose, Homeostasis, Humans, Insulin, Peptides, Mice, Proglucagon

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