Abstract

Background and aimFatty acids acutely stimulate GLP-1 secretion from L-cells in vivo. However, a high fat diet has been shown to reduce the density of L-cells in the mouse intestine and a positive correlation has been indicated between L-cell number and GLP-1 secretion. Thus, the mechanism of fatty acid-stimulated GLP-1 secretion, potential effects of long-term exposure to elevated levels of different fatty acid species, and underlying mechanisms are not fully understood. In the present study, we sought to determine how long-term exposure to saturated (16:0) and unsaturated (18:1) fatty acids, by direct effects on GLP-1-producing cells, alter function and viability, and the underlying mechanisms.MethodsGLP-1-secreting GLUTag cells were cultured in the presence/absence of saturated (16:0) and unsaturated (18:1) fatty acids (0.125 mM for 48 h, followed by analyses of viability and apoptosis, as well as involvement of fatty acid oxidation, free fatty acid receptors (FFAR1) and ceramide synthesis. In addition, effects on the expression of proglucagon, prohormone convertase 1/3 (PC1/3), free fatty acid receptors (FFAR1, FFAR3), sodium glucose co-transporter (SGLT) and subsequent secretory response were determined.ResultsSaturated (16:0) and unsaturated (18:1) fatty acids exerted opposing effects on the induction of apoptosis (1.4-fold increase in DNA fragmentation by palmitate and a 0.5-fold reduction by oleate; p<0.01). Palmitate-induced apoptosis was associated with increased ceramide content and co-incubation with Fumonisin B1 abolished this lipo apoptosis. Oleate, on the other hand, reduced ceramide content, and—unlike palmitate—upregulated FFAR1 and FFAR3, evoking a 2-fold increase in FFAR1-mediated GLP-1 secretion following acute exposure to 0.125 mmol/L palmitate; (p<0.05).Conclusion/InterpretationSaturated (16:0), but not unsaturated (18:1), fatty acids induce ceramide-mediated apoptosis of GLP-1-producing cells. Further, unsaturated fatty acids confer lipoprotection, enhancing viability and function of GLP-1-secreting cells. These data provide potential mechanistic insight contributing to reduced L-cell mass following a high fat diet and differential effects of saturated and unsaturated fatty acids on GLP-1 secretion in vivo.

Highlights

  • Glucagon-like peptide-1 (GLP-1) has a central role in type 2 diabetes (T2D) due to its potentiating effects on insulin secretion and the successful use of GLP-1 analogs in T2D therapy

  • GLP-1 secretion is stimulated by nutrient intake and potentiates glucose-stimulated insulin secretion (GSIS)–i.e. the incretin effect

  • This study demonstrates differential effects of saturated (16:0) and unsaturated (18:1) fatty acids on GLP-1-secreting cell viability and function

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Summary

Introduction

Glucagon-like peptide-1 (GLP-1) has a central role in type 2 diabetes (T2D) due to its potentiating effects on insulin secretion and the successful use of GLP-1 analogs in T2D therapy. GLP-1 is synthesized from the preproglucagon gene (Gcg) in a subset of enteroendocrine cells (EECs), denominated L-cells. The L-cells are found scattered in the intestinal epithelium with increasing numbers towards the distal ileum and colon, representing in totality < 1% of the epithelial cells. GLP-1 secretion is stimulated by nutrient intake (carbohydrates, proteins, and fats) and potentiates glucose-stimulated insulin secretion (GSIS)–i.e. the incretin effect. In addition to its insulinotropic effects, GLP-1 stimulates β-cell proliferative and anti-apoptotic pathways, exerts protective effects on cardiomyocytes, reduces insulin resistance, while inhibiting glucagon release, gastric emptying, and food intake [2]

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