Chemical ablation of gastric inhibitory polypeptide receptor action by daily (Pro3)GIP administration improves glucose tolerance and ameliorates insulin resistance and abnormalities of islet structure in obesity-related diabetes

Diabetes. 2005 Aug;54(8):2436-46. doi: 10.2337/diabetes.54.8.2436.

Abstract

Glucose-dependent insulinotropic polypeptide (gastric inhibitory polypeptide [GIP]) is an important incretin hormone secreted by endocrine K-cells in response to nutrient ingestion. In this study, we investigated the effects of chemical ablation of GIP receptor (GIP-R) action on aspects of obesity-related diabetes using a stable and specific GIP-R antagonist, (Pro3)GIP. Young adult ob/ob mice received once-daily intraperitoneal injections of saline vehicle or (Pro3)GIP over an 11-day period. Nonfasting plasma glucose levels and the overall glycemic excursion (area under the curve) to a glucose load were significantly reduced (1.6-fold; P < 0.05) in (Pro3)GIP-treated mice compared with controls. GIP-R ablation also significantly lowered overall plasma glucose (1.4-fold; P < 0.05) and insulin (1.5-fold; P < 0.05) responses to feeding. These changes were associated with significantly enhanced (1.6-fold; P < 0.05) insulin sensitivity in the (Pro3)GIP-treated group. Daily injection of (Pro3)GIP reduced pancreatic insulin content (1.3-fold; P < 0.05) and partially corrected the obesity-related islet hypertrophy and beta-cell hyperplasia of ob/ob mice. These comprehensive beneficial effects of (Pro3)GIP were reversed 9 days after cessation of treatment and were independent of food intake and body weight, which were unchanged. These studies highlight a role for GIP in obesity-related glucose intolerance and emphasize the potential of specific GIP-R antagonists as a new class of drugs for the alleviation of insulin resistance and treatment of type 2 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose / analysis
  • Body Weight / drug effects
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / etiology
  • Eating / drug effects
  • Food
  • Gastric Inhibitory Polypeptide / administration & dosage*
  • Glucose Intolerance / drug therapy
  • Glycated Hemoglobin / analysis
  • Hyperplasia
  • Insulin / analysis
  • Insulin / blood
  • Insulin Resistance*
  • Islets of Langerhans / chemistry
  • Islets of Langerhans / pathology*
  • Kinetics
  • Mice
  • Mice, Obese
  • Obesity / complications*
  • Receptors, Gastrointestinal Hormone / antagonists & inhibitors*
  • Receptors, Gastrointestinal Hormone / drug effects

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Insulin
  • Receptors, Gastrointestinal Hormone
  • glucose-dependent insulinotropic polypeptide, Pro(3)-
  • Gastric Inhibitory Polypeptide
  • gastric inhibitory polypeptide receptor