Chu Zhi-Liang, Carroll Chris, Alfonso Jean, Gutierrez Veronica, He Hongmei, Lucman Annette, Pedraza Melinda, Mondala Helen, Gao Hui, Bagnol Didier, Chen Ruoping, Jones Robert M, Behan Dominic P, Leonard James
Arena Pharmaceuticals, 6166 Nancy Ridge Drive, San Diego, California 92121, USA.
Endocrinology. 2008 May;149(5):2038-47. doi: 10.1210/en.2007-0966. Epub 2008 Jan 17.
We recently showed that activation of G protein-coupled receptor 119 (GPR119) (also termed glucose dependent insulinotropic receptor) improves glucose homeostasis via direct cAMP-mediated enhancement of glucose-dependent insulin release in pancreatic beta-cells. Here we show that GPR119 also stimulates incretin hormone release and thus may regulate glucose homeostasis by this additional mechanism. GPR119 mRNA was found to be expressed at significant levels in intestinal subregions that produce glucose-dependent insulinotropic peptide and glucagon-like peptide (GLP)-1. Furthermore, in situ hybridization studies indicated that most GLP-1-producing cells coexpress GPR119 mRNA. In GLUTag cells, a well-established model of intestinal L-cell function, the potent GPR119 agonist AR231453 stimulated cAMP accumulation and GLP-1 release. When administered in mice, AR231453 increased active GLP-1 levels within 2 min after oral glucose delivery and substantially enhanced total glucose-dependent insulinotropic peptide levels. Blockade of GLP-1 receptor signaling with exendin(9-39) reduced the ability of AR231453 to improve glucose tolerance in mice. Conversely, combined administration of AR231453 and the DPP-4 inhibitor sitagliptin to wild-type mice significantly amplified both plasma GLP-1 levels and oral glucose tolerance, relative to either agent alone. In mice lacking GPR119, no such enhancement was seen. Thus, GPR119 regulates glucose tolerance by acting on intestinal endocrine cells as well as pancreatic beta-cells. These data also suggest that combined stimulation of incretin hormone release and protection against incretin hormone degradation may be an effective antidiabetic strategy.
我们最近发现,G蛋白偶联受体119(GPR119)(也称为葡萄糖依赖性促胰岛素释放肽受体)的激活通过直接cAMP介导增强胰腺β细胞中葡萄糖依赖性胰岛素释放,改善了葡萄糖稳态。在此我们表明,GPR119还刺激肠促胰岛素激素释放,因此可能通过这一额外机制调节葡萄糖稳态。研究发现,GPR119 mRNA在产生葡萄糖依赖性促胰岛素释放肽和胰高血糖素样肽(GLP)-1的肠道亚区域中大量表达。此外,原位杂交研究表明,大多数产生GLP-1的细胞共表达GPR119 mRNA。在GLUTag细胞(一种成熟的肠L细胞功能模型)中,强效GPR119激动剂AR231453刺激cAMP积累和GLP-1释放。给小鼠给药后,AR231453在口服葡萄糖后2分钟内增加了活性GLP-1水平,并显著提高了总葡萄糖依赖性促胰岛素释放肽水平。用艾塞那肽(9-39)阻断GLP-受体信号传导降低了AR231453改善小鼠葡萄糖耐量的能力。相反,相对于单独使用任何一种药物,将AR231453和二肽基肽酶-4(DPP-4)抑制剂西格列汀联合给予野生型小鼠,显著增强了血浆GLP-1水平和口服葡萄糖耐量。在缺乏GPR119的小鼠中,未观察到这种增强作用。因此,GPR119通过作用于肠道内分泌细胞以及胰腺β细胞来调节葡萄糖耐量。这些数据还表明,联合刺激肠促胰岛素激素释放和防止肠促胰岛素激素降解可能是一种有效的抗糖尿病策略。