Glucagon-Like Peptide 1 Induces Natriuresis in Healthy Subjects and in Insulin-Resistant Obese Men
Abstract
Glucagon-like peptide-1-(7-36)-amide (GLP-1) is involved in satiety control and glucose homeostasis. Animal studies suggest a physiological role for GLP-1 in water and salt homeostasis. This study's aim was to define the effects of GLP-1 on water and sodium excretion in both healthy and obese men. Fifteen healthy subjects and 16 obese men (mean body mass index, 36 kg/m2) were examined in a double-blind, placebo-controlled, crossover study to demonstrate the effects of a 3-h infusion of GLP-1 on urinary sodium excretion, urinary output, and the glomerular filtration rate after an i.v. 9.9-g salt load. Infusion of GLP-1 evoked a dose-dependent increase in urinary sodium excretion in healthy subjects (from 74 +/- 8 to 143 +/- 18 mmol/180 min, P = 0.0013). In obese men, there was a significant increase in urinary sodium excretion (from 59 to 96 mmol/180 min, P = 0.015), a decrease in urinary H+ secretion (from 1.1 to 0.3 pmol/180 min, P = 0.013), and a 6% decrease in the glomerular filtration rate (from 151 +/- 8 to 142 +/- 8 ml/min, P = 0.022). Intravenous infusions of GLP-1 enhance sodium excretion, reduce H+ secretion, and reduce glomerular hyperfiltration in obese men. These findings suggest an action at the proximal renal tubule and a potential renoprotective effect.
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In obese individuals, GLP-1 infusion acutely decreased creatinine clearance.
“In obese individuals, GLP-1 infusion acutely decreased creatinine clearance (29);”
From GLP-1 agonists in the treatment of chronic kidney disease in type 2 diabetes and obesity (2025) · cites this paper as [29]
GLP-1 receptor agonists counteract glomerular hyperfiltration by inducing an increase in diuresis and natriuresis via phosphorylation and direct inhibition of sodium-hydrogen exchanger 3 in proximal tubular cells.
“GLP-1RAs would appear to counteract glomerular hyperfiltration as they induce an increase in diuresis and natriuresis by phosphorylation and consequent direct inhibition of the sodium-hydrogen exchanger 3, located on the brush border of proximal tubular cells [34, 35].”
From GLP-1 receptor agonists and renal outcomes in patients with diabetes mellitus type 2 and diabetic kidney disease: state of the art (2022) · cites this paper as [35]
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- Authors
- Gutzwiller, J.-P., Tschopp, S., Bock, A., Zehnder, C. E., Huber, A. R., Kreyenbuehl, M., Gutmann, H., Drewe, J., Henzen, C., Goeke, B., & Beglinger, C.
- Affiliations
- University Hospital of Basel (CH)
- Kantonsspital Aarau (CH)
- Clínica Las Condes (CL)
- Luzerner Kantonsspital (CH)
- Corresponding author
- Beglinger, Christoph
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2004-06
- Volume
- 89
- Issue
- 6
- Pages
- 3055-3061
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2113094401
- Cited by
- 442
- References
- 24
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 28 · 2023: 24 · 2022: 22 · 2021: 20 · 2020: 26 · 2019: 24 · 2018: 20 · 2017: 24 · 2016: 22 · 2015: 32 · 2014: 26 · 2013: 31 · 2012: 25
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation
- European Commission
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- glucagon-like peptide-1, sodium excretion, water homeostasis, salt homeostasis, insulin resistance, obesity, glomerular filtration rate, glomerular hyperfiltration, proximal tubule, renal protection
- MeSH terms
- Adult, Blood Glucose, Double-Blind Method, Drinking, Glomerular Filtration Rate, Glucagon, Humans, Insulin, Insulin Resistance, Kidney Tubules, Proximal, Male, Natriuresis, Obesity, Peptide Fragments, Protein Precursors, Protons, Renin, Renin-Angiotensin System, Sodium, Thirst, Urine, Cross-Over Studies, 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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