Effect of GLP-1 on gastric volume, emptying, maximum volume ingested, and postprandial symptoms in humans

Am J Physiol Gastrointest Liver Physiol. 2002 Mar;282(3):G424-31. doi: 10.1152/ajpgi.2002.282.3.G424.

Abstract

Glucagon-like peptide-1 (GLP-1) relaxes the stomach during fasting but decreases hunger and food consumption and retards gastric emptying. The interrelationships between volume, emptying, and postprandial symptoms in response to GLP-1 are unclear. We performed, in healthy human volunteers, a placebo-controlled study of the effects of intravenous GLP-1 on gastric volume using (99m)Tc-single photon emission computed tomography imaging, gastric emptying of a nutrient liquid meal (Ensure) using scintigraphy, maximum tolerated volume (MTV) of Ensure, and postprandial symptoms 30 min after MTV. The role of vagal cholinergic function in the effects of GLP-1 was assessed by human pancreatic polypeptide (HPP) response to the Ensure meal. GLP-1 increased fasting and postprandial gastric volumes and retarded gastric emptying; MTV and postprandial symptoms were not different compared with controls. Effects on postprandial gastric function were associated with reduced postprandial HPP levels. GLP-1 does not induce postprandial symptoms despite significant inhibition of gastric emptying and vagal function; this may be partly explained by the increase in postprandial gastric volume.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Dietary Sucrose
  • Double-Blind Method
  • Female
  • Food*
  • Food, Formulated
  • Gastric Emptying / drug effects*
  • Glucagon / administration & dosage
  • Glucagon / pharmacology*
  • Glucagon-Like Peptide 1
  • Humans
  • Male
  • Pancreatic Polypeptide / blood
  • Peptide Fragments / administration & dosage
  • Peptide Fragments / pharmacology*
  • Placebos
  • Protein Precursors / administration & dosage
  • Protein Precursors / pharmacology*
  • Satiation / physiology
  • Stomach / anatomy & histology*
  • Stomach / drug effects*
  • Tomography, Emission-Computed, Single-Photon

Substances

  • Blood Glucose
  • Dietary Sucrose
  • Peptide Fragments
  • Placebos
  • Protein Precursors
  • Ensure formulated food
  • Pancreatic Polypeptide
  • Glucagon-Like Peptide 1
  • Glucagon