[HTML][HTML] TGR5 potentiates GLP-1 secretion in response to anionic exchange resins

T Harach, TWH Pols, M Nomura, A Maida… - Scientific reports, 2012 - nature.com
T Harach, TWH Pols, M Nomura, A Maida, M Watanabe, J Auwerx, K Schoonjans
Scientific reports, 2012nature.com
Anionic exchange resins are bona fide cholesterol-lowering agents with glycemia lowering
actions in diabetic patients. Potentiation of intestinal GLP-1 secretion has been proposed to
contribute to the glycemia lowering effect of these non-systemic drugs. Here, we show that
resin exposure enhances GLP-1 secretion and improves glycemic control in diet-induced
animal models of “diabesity”, effects which are critically dependent on TGR5, a G protein-
coupled receptor that is activated by bile acids. We identified the colon as a major source of …
Abstract
Anionic exchange resins are bona fide cholesterol-lowering agents with glycemia lowering actions in diabetic patients. Potentiation of intestinal GLP-1 secretion has been proposed to contribute to the glycemia lowering effect of these non-systemic drugs. Here, we show that resin exposure enhances GLP-1 secretion and improves glycemic control in diet-induced animal models of “diabesity”, effects which are critically dependent on TGR5, a G protein-coupled receptor that is activated by bile acids. We identified the colon as a major source of GLP-1 secretion after resin treatment. Furthermore, we demonstrate that the boost in GLP-1 release by resins is due to both enhanced TGR5-dependent production of the precursor transcript of GLP-1 as well as to the local enrichment of TGR5 agonists in the colon. Thus, TGR5 represents an essential component in the pathway mediating the enhanced GLP-1 release in response to anionic exchange resins.
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