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Synergism by individual macronutrients explains the marked early GLP-1 and islet hormone responses to mixed meal challenge in mice
Department of Clinical Sciences, Lund University, Lund, Sweden.
Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID iD: 0000-0001-5082-8867
Metabolic Unit, Institute of Biomedical Engineering, National Research Council, Padua, Italy.
Department of Clinical Sciences, Lund University, Lund, Sweden.
2012 (English)In: Regulatory Peptides, ISSN 0167-0115, E-ISSN 1873-1686, Vol. 178, no 1-3, p. 29-35Article in journal (Refereed) Published
Abstract [en]

Apart from glucose, proteins and lipids also stimulate incretin and islet hormone secretion. However, the glucoregulatory effect of macronutrients in combination is poorly understood. We therefore developed an oral mixed meal model in mice to 1) explore the glucagon-like peptide-1 (GLP-1) and islet hormone responses to mixed meal versus isocaloric glucose, and 2) characterize the relative contribution of individual macronutrients to these responses. Anesthetized C57BL/6J female mice were orally gavaged with 1) a mixed meal (0.285 kcal; glucose, whey protein and peanut oil; 60/20/20% kcal) versus an isocaloric glucose load (0.285 kcal), and 2) a mixed meal (0.285 kcal) versus glucose, whey protein or peanut oil administered individually in their mixed meal caloric quantity, i.e., 0.171, 0.055 and 0.055 kcal, respectively. Plasma was analyzed for glucose, insulin and intact GLP-1 before and during oral challenges. Plasma glucose was lower after mixed meal versus after isocaloric glucose ingestion. In spite of this, the peak insulin response (P=0.02), the peak intact GLP-1 levels (P=0.006) and the estimated β-cell function (P=0.005) were higher. Furthermore, the peak insulin (P=0.004) and intact GLP-1 (P=0.006) levels were higher after mixed meal ingestion than the sum of responses to individual macronutrients. Compared to glucose alone, we conclude that there is a marked early insulin response to mixed meal ingestion, which emanates from a synergistic, rather than an additive, effect of the individual macronutrients in the mixed meal and is in part likely caused by increased levels of GLP-1.

Place, publisher, year, edition, pages
Elsevier, 2012. Vol. 178, no 1-3, p. 29-35
Keywords [en]
Macronutrients, Insulin, GLP-1, Incretin, Mixed meal, Administration, Oral, Animals, Area Under Curve, Blood Glucose, Diet, Female, Glucagon-Like Peptide 1, Glucose, Glucose Tolerance Test, Incretins, Insulin, Insulin Resistance, Insulin Secretion, Islets of Langerhans, Linear Models, Mice, Mice, Inbred C57BL, Milk Proteins, Peanut Oil, Plant Oils, Whey Proteins
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-14450DOI: 10.1016/j.regpep.2012.06.004ISI: 000309379800006PubMedID: 22750278Scopus ID: 2-s2.0-84865383561Local ID: 28769OAI: oai:DiVA.org:mau-14450DiVA, id: diva2:1417971
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2023-07-05Bibliographically approved

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