GLP-2 and GIP exert separate effects on bone turnover: A randomized, placebo-controlled, crossover study in healthy young men.
Bone
; 125: 178-185, 2019 08.
Article
en En
| MEDLINE
| ID: mdl-31100534
BACKGROUND: Glucagon-like peptide-2 (GLP-2) and glucose-dependent insulinotropic polypeptide (GIP) both inhibit bone resorption in humans but the underlying mechanisms are poorly understood. In vitro, GLP-2 activates the GIP-receptor (GIPR). OBJECTIVE: Based on in vitro studies, we hypothesized that the antiresorptive effect of GLP-2 was mediated through the GIPR. This was tested using the selective GIPR-antagonist GIP(3-30)NH2. METHODS: The study was a randomized, single-blinded, placebo-controlled, crossover study conducted at Hvidovre University Hospital, Denmark. Eight healthy young men were included and studied on four study days: GIP (200⯵g), GLP-2 (800⯵g), GIP(3-30)NH2 (800â¯pmol/kg/min)â¯+â¯GLP-2 (800⯵g), and placebo. The main outcomes were bone resorption measured as collagen type 1 C-terminal telopeptide (CTX) and bone formation measured as procollagen type 1 N-terminal propeptide (P1NP). RESULTS: CTX (mean⯱â¯SEM) significantly decreased after both GIP (to 55.3⯱â¯6.3% of baseline at tâ¯=â¯90â¯min) and GLP-2 (to 60.5⯱â¯5.0% of baseline at tâ¯=â¯180â¯min). The maximal reduction in CTX after GIP(3-30)NH2â¯+â¯GLP-2 (to 63.2⯱â¯3.1% of baseline) did not differ from GLP-2 alone (pâ¯=â¯0.95) nor did net AUC0-240 (-6801⯱â¯879%*min vs -6027⯱â¯648%*min, pâ¯=â¯0.56). At tâ¯=â¯30â¯min, GIP significantly (pâ¯<â¯0.0001) increased P1NP to 115.1⯱â¯2.2% of baseline compared with 103.1⯱â¯1.5% after placebo. Both GLP-2 and GIP(3-30)NH2â¯+â¯GLP-2 significantly (pâ¯<â¯0.0001) decreased P1NP to 91.3⯱â¯1.1% and 88.1⯱â¯3.0% of baseline, respectively (at tâ¯=â¯45â¯min) compared with placebo. CONCLUSIONS: GIPR antagonism did not inhibit the GLP-2-induced reduction in bone resorption (CTX) in healthy young men. In contrast to GLP-2, GIP increased P1NP despite decreasing CTX indicating an uncoupling of bone resorption from formation. Thus, GLP-2 and GIP seem to exert separate effects on bone turnover in humans. CLINICAL TRIALS INFORMATION: ClinicalTrials.gov (NCT03159741).
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Polipéptido Inhibidor Gástrico
/
Remodelación Ósea
/
Péptido 2 Similar al Glucagón
Tipo de estudio:
Clinical_trials
Límite:
Adult
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Animals
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Humans
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Male
Idioma:
En
Revista:
Bone
Asunto de la revista:
METABOLISMO
/
ORTOPEDIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Dinamarca
Pais de publicación:
Estados Unidos