Forskning ved Københavns Universitet - Københavns Universitet


Role of luminal nutrients and endogenous GLP-2 in intestinal adaptation to mid-small bowel resection

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  • Elizabeth M Dahly
  • Melanie B Gillingham
  • Ziwen Guo
  • Sangita G Murali
  • David W Nelson
  • Holst, Jens Juul
  • Denise M Ney

To elucidate the role of luminal nutrients and glucagon-like peptide-2 (GLP-2) in intestinal adaptation, rats were subjected to 70% midjejunoileal resection or ileal transection and were maintained with total parenteral nutrition (TPN) or oral feeding. TPN rats showed small bowel mucosal hyperplasia at 8 h through 7 days after resection, demonstrating that exogenous luminal nutrients are not essential for resection-induced adaptation when residual ileum and colon are present. Increased enterocyte proliferation was a stronger determinant of resection-induced mucosal growth in orally fed animals, whereas decreased apoptosis showed a greater effect in TPN animals. Resection induced significant transient increases in plasma bioactive GLP-2 during TPN, whereas resection induced sustained increases in plasma GLP-2 during oral feeding. Resection-induced adaptive growth in TPN and orally fed rats was associated with a significant positive correlation between increases in plasma bioactive GLP-2 and proglucagon mRNA expression in the colon of TPN rats and ileum of orally fed rats. These data support a significant role for endogenous GLP-2 in the adaptive response to mid-small bowel resection in both TPN and orally fed rats.

TidsskriftAmerican Journal of Physiology: Gastrointestinal and Liver Physiology
Udgave nummer4
Sider (fra-til)G670-82
StatusUdgivet - apr. 2003

ID: 132056367