Scrocchi L A, Hill M E, Saleh J, Perkins B, Drucker D J
Department of Medicine, Banting and Best Diabetes Centre, Toronto General Hospital, University of Toronto, Ontario, Canada.
Diabetes. 2000 Sep;49(9):1552-60. doi: 10.2337/diabetes.49.9.1552.
Leptin and glucagon-like peptide 1 (GLP-1) exhibit opposing actions in the endocrine pancreas. GLP-1 stimulates insulin biosynthesis, secretion, and islet growth, whereas leptin inhibits glucose-dependent insulin secretion and insulin gene transcription. In contrast, GLP-1 and leptin actions overlap in the central nervous system, where leptin has been shown to activate GLP-1 circuits that inhibit food intake. To determine the physiological importance of GLP-1 receptor (GLP-1R)-leptin interactions, we studied islet function and feeding behavior in ob/ob:GLP-1R(-/-) mice. Although GLP-1R actions are thought to be essential for glucose-dependent insulin secretion, the levels of fasting glucose, glycemic excursion after glucose loading, glucose-stimulated insulin, and pancreatic insulin RNA content were similar in ob/ob:GLP-1R(+/+) versus ob/ob:GLP-1R(-/-) mice. Despite evidence linking GLP-1R signaling to the regulation of islet neogenesis and proliferation, ob/ob:GLP-1R(-/-) mice exhibited significantly increased islet numbers and area and an increase in the number of large islets compared with GLP-1R(+/+) or (-/-) mice (P < -0.01 to 0.05). Similarly, growth rates and both shortand long-term control of food intake were comparable in ob/ob:GLP-1R(+/+) versus ob/ob:GLP-1R4(-/-) mice. Furthermore, leptin produced a similar inhibition of food intake in GLP-1R(-/-), ob/ob:GLP-1R(+/+), and ob/ob:GLP1R4(-/-) mice. These findings illustrate that although leptin and GLP-1 actions overlap in the brain and endocrine pancreas, disruption of GLP-1 signaling does not modify the response to leptin or the phenotype of leptin deficiency in the ob/ob mouse, as assessed by long-term control of body weight or the adaptive beta-cell response to insulin resistance in vivo.
瘦素和胰高血糖素样肽1(GLP-1)在内分泌胰腺中表现出相反的作用。GLP-1刺激胰岛素的生物合成、分泌以及胰岛生长,而瘦素抑制葡萄糖依赖性胰岛素分泌和胰岛素基因转录。相反,GLP-1和瘦素在中枢神经系统中的作用存在重叠,在中枢神经系统中,瘦素已被证明可激活抑制食物摄入的GLP-1回路。为了确定GLP-1受体(GLP-1R)与瘦素相互作用的生理重要性,我们研究了ob/ob:GLP-1R(-/-)小鼠的胰岛功能和摄食行为。尽管GLP-1R的作用被认为对葡萄糖依赖性胰岛素分泌至关重要,但ob/ob:GLP-1R(+/+)小鼠与ob/ob:GLP-1R(-/-)小鼠的空腹血糖水平、葡萄糖负荷后的血糖波动、葡萄糖刺激的胰岛素水平以及胰腺胰岛素RNA含量相似。尽管有证据表明GLP-1R信号传导与胰岛新生和增殖的调节有关,但与GLP-1R(+/+)或(-/-)小鼠相比,ob/ob:GLP-1R(-/-)小鼠的胰岛数量和面积显著增加,大胰岛数量也增加(P < -0.01至0.05)。同样,ob/ob:GLP-1R(+/+)小鼠与ob/ob:GLP-1R4(-/-)小鼠的生长速率以及食物摄入的短期和长期控制情况相当。此外,瘦素对GLP-1R(-/-)、ob/ob:GLP-1R(+/+)和ob/ob:GLP1R4(-/-)小鼠的食物摄入产生了类似的抑制作用。这些发现表明,尽管瘦素和GLP-1在大脑和内分泌胰腺中的作用存在重叠,但通过长期体重控制或体内对胰岛素抵抗的适应性β细胞反应评估,GLP-1信号传导的破坏并不会改变ob/ob小鼠对瘦素的反应或瘦素缺乏的表型。