DPP-4 inhibition increases GIP and decreases GLP-1 incretin effects during intravenous glucose tolerance test in Wistar rats

Biol Chem. 2011 Mar;392(3):209-15. doi: 10.1515/BC.2011.027. Epub 2011 Jan 31.

Abstract

GIP metabolite [GIP (3-42)] and GLP-1 metabolite [GLP-1 (9-36) amide] have been reported to differ with regard to biological actions. Systemic DPP-4 inhibition can therefore reveal different actions of GIP and GLP-1. In catheter wearing Wistar rats, insulinotropic effects of equipotent doses of GIP (2.0 nmol/kg) and GLP-1 (7-36) amide (4.0 nmol/kg) and vehicle were tested in the absence/presence of DPP-4 inhibition. Blood glucose and insulin were frequently sampled. DPP-4 inhibitor was given at -20 min, the incretin at -5 min and the intravenous glucose tolerance test (0.4 g glucose/kg) commenced at 0 min. G-AUC and I-AUC, insulinogenic index and glucose efflux, were calculated from glucose and insulin curves. Systemic DPP-4 inhibition potentiated the acute GIP incretin effects: I-AUC (115±34 vs. 153±39 ng·min/ml), increased the insulinogenic index (0.74±0.24 vs. 0.99±0.26 ng/mmol), and improved glucose efflux (19.8±3.1 vs. 20.5±5.0 min⁻¹). The GLP-1 incretin effects were diminished: I-AUC (124±18 vs. 106±38 ng·min/ml), the insulinogenic index was decreased (0.70±0.18 vs. 0.50±0.19 ng/mmol), and glucose efflux declined (14.9±3.1 vs. 11.1±3.7 min⁻¹). GLP-1 and GIP differ remarkably in their glucoregulatory actions in healthy rats when DPP-4 is inhibited. These previously unrecognized actions of DPP-4 inhibitors could have implications for future use in humans.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Area Under Curve
  • Blood Glucose / analysis*
  • Dipeptidyl Peptidase 4 / blood
  • Dipeptidyl-Peptidase IV Inhibitors / administration & dosage
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacology*
  • Drug Synergism
  • Gastric Inhibitory Polypeptide / pharmacology*
  • Glucagon-Like Peptide 1 / pharmacology*
  • Glucose Tolerance Test
  • Incretins / pharmacology*
  • Insulin / blood*
  • Isoleucine / analogs & derivatives
  • Isoleucine / pharmacology
  • Male
  • Rats
  • Rats, Wistar
  • Thiazoles / pharmacology

Substances

  • Blood Glucose
  • Dipeptidyl-Peptidase IV Inhibitors
  • Incretins
  • Insulin
  • Thiazoles
  • isoleucyl-thiazolidide
  • Isoleucine
  • Gastric Inhibitory Polypeptide
  • Glucagon-Like Peptide 1
  • Dipeptidyl Peptidase 4