Your browser doesn't support javascript.
loading
GLP-2 and GIP exert separate effects on bone turnover: A randomized, placebo-controlled, crossover study in healthy young men.
Skov-Jeppesen, Kirsa; Svane, Maria S; Martinussen, Christoffer; Gabe, Maria B N; Gasbjerg, Lærke S; Veedfald, Simon; Bojsen-Møller, Kirstine N; Madsbad, Sten; Holst, Jens J; Rosenkilde, Mette M; Hartmann, Bolette.
Afiliación
  • Skov-Jeppesen K; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
  • Svane MS; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark; Department of Endocrinology, Hvidovre University Hospital, Hvidovre, Denmark.
  • Martinussen C; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark; Department of Endocrinology, Hvidovre University Hospital, Hvidovre, Denmark.
  • Gabe MBN; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
  • Gasbjerg LS; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
  • Veedfald S; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
  • Bojsen-Møller KN; Department of Endocrinology, Hvidovre University Hospital, Hvidovre, Denmark.
  • Madsbad S; Department of Endocrinology, Hvidovre University Hospital, Hvidovre, Denmark.
  • Holst JJ; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
  • Rosenkilde MM; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
  • Hartmann B; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark. Electronic address: bhartmann@sund.ku.dk.
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 µg), GLP-2 (800 µg), GIP(3-30)NH2 (800 pmol/kg/min) + GLP-2 (800 µg), 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 t = 90 min) and GLP-2 (to 60.5 ±â€¯5.0% of baseline at t = 180 min). The maximal reduction in CTX after GIP(3-30)NH2 + GLP-2 (to 63.2 ±â€¯3.1% of baseline) did not differ from GLP-2 alone (p = 0.95) nor did net AUC0-240 (-6801 ±â€¯879%*min vs -6027 ±â€¯648%*min, p = 0.56). At t = 30 min, GIP significantly (p < 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)NH2 + GLP-2 significantly (p < 0.0001) decreased P1NP to 91.3 ±â€¯1.1% and 88.1 ±â€¯3.0% of baseline, respectively (at t = 45 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).
Asunto(s)
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 / Animals / Humans / 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

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 / Animals / Humans / 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