GIP mediates the incretin effect and glucose tolerance by dual actions on α cells and β cells

GIP 通过对 α 细胞和 β 细胞的双重作用介导肠促胰岛素效应和葡萄糖耐受性

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作者:K El, S M Gray, M E Capozzi, E R Knuth, E Jin, B Svendsen, A Clifford, J L Brown, S E Encisco, B M Chazotte, K W Sloop, D J Nunez, M J Merrins, D A D'Alessio, J E Campbell

Abstract

Glucose-dependent insulinotropic polypeptide (GIP) communicates nutrient intake from the gut to islets, enabling optimal levels of insulin secretion via the GIP receptor (GIPR) on β cells. The GIPR is also expressed in α cells, and GIP stimulates glucagon secretion; however, the role of this action in the postprandial state is unknown. Here, we demonstrate that GIP potentiates amino acid-stimulated glucagon secretion, documenting a similar nutrient-dependent action to that described in β cells. Moreover, we demonstrate that GIP activity in α cells contributes to insulin secretion by invoking paracrine α to β cell communication. Last, specific loss of GIPR activity in α cells prevents glucagon secretion in response to a meal stimulus, limiting insulin secretion and driving glucose intolerance. Together, these data uncover an important axis by which GIPR activity in α cells is necessary to coordinate the optimal level of both glucagon and insulin secretion to maintain postprandial homeostasis.

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