Stimulation of incretin secretion by dietary lipid: is it dose dependent?

Am J Physiol Gastrointest Liver Physiol. 2009 Aug;297(2):G299-305. doi: 10.1152/ajpgi.90601.2008. Epub 2009 Jun 11.

Abstract

After the ingestion of nutrients, secretion of the incretin hormones glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) by the enteroendocrine cells increases rapidly. Previous studies have shown that oral ingestion of fat stimulates secretion of both incretins; however, it is unclear whether there is a dose-dependent relationship between the amount of lipid ingested and the secretion of the hormones in vivo. Recently, we found a higher concentration of the incretin hormones in intestinal lymph than in peripheral or portal plasma. We therefore used the lymph fistula rat model to test for a dose-dependent relationship between the secretion of GIP and GLP-1 and dietary lipid. Under isoflurane anesthesia, the major mesenteric lymphatic duct of male Sprague-Dawley rats was cannulated. Each animal received a single, intraduodenal bolus of saline or varying amounts of the fat emulsion Liposyn II (0.275, 0.55, 1.1, 2.2, and 4.4 kcal). Lymph was continuously collected for 3 h and analyzed for triglyceride, GIP, and GLP-1 content. In response to increasing lipid calories, secretion of triglyceride, GIP, and GLP-1 into lymph increased dose dependently. Interestingly, the response to changes in intraluminal lipid content was greater in GLP-1- than in GIP-secreting cells. The different sensitivities of the two cell types to changes in intestinal lipid support the concept that separate mechanisms may underlie lipid-induced GIP and GLP-1 secretion. Furthermore, we speculate that the increased sensitivity of GLP-1 to intestinal lipid content reflects the hormone's role in the ileal brake reflex. As lipid reaches the distal portion of the gut, GLP-1 is secreted in a dose-dependent manner to reduce intestinal motility and enhance proximal fat absorption.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Dose-Response Relationship, Drug
  • Duodenum / drug effects*
  • Duodenum / metabolism
  • Emulsions
  • Enteroendocrine Cells / drug effects*
  • Enteroendocrine Cells / metabolism
  • Fat Emulsions, Intravenous / administration & dosage*
  • Fat Emulsions, Intravenous / metabolism
  • Feedback, Physiological
  • Gastric Inhibitory Polypeptide / metabolism*
  • Gastrointestinal Motility / drug effects
  • Glucagon-Like Peptide 1 / metabolism*
  • Incretins / metabolism*
  • Intestinal Absorption / drug effects
  • Intubation, Gastrointestinal
  • Lymph / drug effects*
  • Lymph / metabolism
  • Male
  • Phospholipids
  • Rats
  • Rats, Sprague-Dawley
  • Safflower Oil
  • Soybean Oil
  • Time Factors
  • Triglycerides / metabolism

Substances

  • Emulsions
  • Fat Emulsions, Intravenous
  • Incretins
  • Phospholipids
  • Triglycerides
  • safflower oil, soybean oil, phospholipid emulsion
  • Gastric Inhibitory Polypeptide
  • Soybean Oil
  • Safflower Oil
  • Glucagon-Like Peptide 1