Effects of glucagon‐like peptide‐1 and sympathetic stimulation on gastric accommodation in humans1
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Abstract In humans, glucagon‐like peptide‐1 (GLP‐1) delays gastric emptying by inhibiting vagal activity and also increases gastric volumes, by unclear mechanisms. Because GLP‐1 inhibits intestinal motility by stimulating the sympathetic nervous system in rats, we assessed the effects of a GLP‐1 agonist and yohimbine, an α2‐adrenergic antagonist, on gastric volumes in humans. In this double‐blind study, 32 healthy volunteers were randomized to placebo, a GLP‐1 agonist, yohimbine or GLP‐1 and yohimbine. Gastric volumes (fasting predrug and postdrug, and postprandial postdrug) were measured by 99m Tc single photon emission computed tomography imaging. Plasma catecholamines and haemodynamic parameters were assessed. Compared with placebo, GLP‐1 increased (P = 0.03) but yohimbine did not affect fasting gastric volume. However, GLP‐1 plus yohimbine increased (P < 0.001) postprandial gastric accommodation vs placebo and vs GLP‐1 alone [postprandial volume change = 542 ± 29 mL (mean ± SEM, placebo), 605 ± 31 mL (GLP‐1), 652 ± 54 mL (yohimbine) and 810 ± 37 mL (GLP‐1 and yohimbine)]. Plasma noradrenaline and dihydroxyphenylglycol concentrations were higher for yohimbine vs placebo and for GLP‐1 and yohimbine vs GLP‐1. Yohimbine stimulates central sympathetic activity and in combination with GLP‐1, augments postprandial accommodation in humans.
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In healthy subjects, this GLP-1 dose inhibited antro-duodenal contractility, increased pyloric tone, and increased fasting gastric volumes.
“In healthy subjects, this dose inhibited antro-duodenal contractility, increased pyloric tone, and also increased fasting gastric volumes (1, 40).”
From Effects of glucagon-like peptide-1, yohimbine, and nitrergic modulation on sympathetic and parasympathetic activity in humans (2008) · cites this paper as [1]
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- Authors
- Andrews, C. N., Bharucha, A. E., Camilleri, M., Low, P. A., Seide, B. M., Burton, D. D., Nickander, K. K., Baxter, K. L., & Zinsmeister, A. R.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Bharucha, A. E.
- Venue
- Neurogastroenterology & Motility
- Publisher
- Wiley
- Published
- 2007-04-02
- Volume
- 19
- Issue
- 9
- Pages
- 716-723
- ISSN
- 1350-1925 (ISSN-L)
- 1365-2982
- PMC
- PMC2538797
- OpenAlex
- W2004876197
- Cited by
- 26
- References
- 58
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurogastroenterology & Motility (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Mayo Clinic
- National Institutes of Health
- U.S. Public Health Service
- National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK-068254, P01DK068055)
- National Center for Research Resources (RR-00585, M01RR000585)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- glucagon-like peptide-1, GLP-1 receptor agonists, yohimbine, gastric accommodation, gastric volume, postprandial gastric emptying, sympathetic nervous system, norepinephrine, plasma catecholamines, vagal inhibition, intestinal motility
- MeSH terms
- Adrenergic alpha-Antagonists, Adult, Catecholamines, Double-Blind Method, Female, Humans, Male, Stomach, Sympathetic Nervous System, Yohimbine, Tomography, Emission-Computed, Single-Photon, Postprandial Period, Glucagon-Like Peptide 1
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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