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Am J Physiol Regul Integr Comp Physiol 278: R1057-R1063, 2000;
0363-6119/00 $5.00
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Vol. 278, Issue 4, R1057-R1063, April 2000

Circulating levels of glucagon-like peptide-2 in human subjects with inflammatory bowel disease

Qiang Xiao1,*, Robin P. Boushey2,*, Maria Cino3, Daniel J. Drucker3,4, and Patricia L. Brubaker1,3

Departments of 1 Physiology, 3 Medicine, and 2 Surgery, Mount Sinai Hospital and the Toronto General Hospital, Toronto M5G 2C4; and the 4 Banting and Best Diabetes Centre, University of Toronto, Toronto, Ontario, Canada M5S 1A8

Glucagon-like peptide-2 (GLP-2) is a recently characterized intestine-derived peptide that exerts trophic activity in the small and large intestine. Whether circulating levels of GLP-2 are perturbed in the setting of human inflammatory bowel disease (IBD) remains unknown. The circulating levels of bioactive GLP-2-(1---33) compared with its degradation product GLP-2-(3---33) were assessed using a combination of RIA and HPLC in normal and immunocompromised control human subjects and patients hospitalized for IBD. The activity of the enzyme dipeptidyl peptidase IV (DP IV), a key determinant of GLP-2-(1---33) degradation was also assessed in the plasma of normal controls and subjects with IBD. The circulating levels of bioactive GLP-2-(1---33) were increased in patients with either ulcerative colitis (UC) or Crohn's Disease (CD; to 229 ± 65 and 317 ± 89%, P < 0.05, of normal, respectively). Furthermore, the proportion of total immunoreactivity represented by intact GLP-2-(1---33), compared with GLP-2-(3---33), was increased from 43 ± 3% in normal healthy controls to 61 ± 6% (P < 0.01) and 59 ± 2% (P < 0.01) in patients with UC and CD, respectively. The relative activity of plasma DP IV was significantly reduced in subjects with IBD compared with normal subjects (1.4 ± 0.3 vs. 5.0 ± 1.1 mU/ml, respectively; P < 0.05). These results suggest that patients with active IBD may undergo an adaptive response to intestinal injury by increasing the circulating levels of bioactive GLP-2-(1---33), facilitating enhanced repair of the intestinal mucosal epithelium in vivo.

Crohn's disease; ulcerative colitis; short bowel syndrome; intestine


* Q. Xiao and R. P. Boushey were equal contributors to this study.




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