A combination of dexamethasone and glucagon-like peptide-2 increase intestinal morphology and glucose uptake in suckling rats

J Pediatr Gastroenterol Nutr. 2006 Jan;42(1):32-9. doi: 10.1097/01.mpg.0000187246.60560.16.

Abstract

Objectives: Glucagon-like peptide (GLP)-2 enhances nutrient uptake in adult animals. Glucocorticosteroids accelerate intestinal ontogeny and increase nutrient uptake in adult animals. We hypothesized that administering GLP-2 and dexamethasone (DEX) to suckling rats will enhance sugar uptake and that this effect persists into the postweaning period.

Methods: Suckling rats were treated for 10 days with GLP-2 (0.1 microg/g/d, twice daily), DEX (0.128 microg/g/d, once daily), GLP-2 + Dex (same doses as above), or placebo. The rate of intestinal uptake of glucose and fructose in sucklings (19-21 days old) and weanlings (49 days old) was assessed using an in vitro ring technique.

Results: DEX reduced body weight in weanlings, whereas GLP-2 + DEX prevented this effect. In sucklings, GLP-2 + DEX increased ileal villous height and jejunal and ileal villous width and crypt depth. In sucklings, GLP-2 + DEX increased the maximal transport rate (Vmax) for jejunal glucose uptake, whereas DEX reduced the ileal Vmax. In weanlings, GLP-2 + DEX increased jejunal villous height, whereas ileal villous width and crypt depth were reduced. DEX increased the ileal Vmax and apparent affinity constant for glucose in weanlings.

Conclusions: The combination of these hormones may be useful in stimulating glucose uptake in the developing intestine, and giving DEX to sucklings may enhance glucose uptake in later life.

MeSH terms

  • Animals
  • Animals, Suckling / metabolism
  • Anti-Inflammatory Agents / pharmacology*
  • Dexamethasone / pharmacology*
  • Drug Combinations
  • Drug Synergism
  • Gastrointestinal Agents / pharmacology*
  • Glucagon-Like Peptide 2
  • Glucagon-Like Peptides / pharmacology*
  • Glucose / pharmacokinetics*
  • Ileum / drug effects
  • Ileum / metabolism
  • Ileum / pathology
  • Immunohistochemistry
  • Intestinal Absorption / drug effects
  • Intestinal Mucosa / drug effects
  • Intestinal Mucosa / pathology
  • Intestine, Small / drug effects
  • Intestine, Small / pathology*
  • Jejunum / drug effects
  • Jejunum / metabolism
  • Jejunum / pathology
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley
  • Weaning

Substances

  • Anti-Inflammatory Agents
  • Drug Combinations
  • Gastrointestinal Agents
  • Glucagon-Like Peptide 2
  • Glucagon-Like Peptides
  • Dexamethasone
  • Glucose