[PDF][PDF] GLP-1R agonists promote normal and neoplastic intestinal growth through mechanisms requiring Fgf7

JA Koehler, LL Baggio, B Yusta, C Longuet… - Cell Metabolism, 2015 - cell.com
JA Koehler, LL Baggio, B Yusta, C Longuet, KJ Rowland, X Cao, D Holland, PL Brubaker
Cell Metabolism, 2015cell.com
Summary Glucagon-like peptide-1 (GLP-1) secreted from enteroendocrine L cells promotes
nutrient disposal via the incretin effect. However, the majority of L cells are localized to the
distal gut, suggesting additional biological roles for GLP-1. Here, we demonstrate that GLP-1
receptor (GLP-1R) signaling controls mucosal expansion of the small bowel (SB) and colon.
These actions did not require the epidermal growth factor (EGF) or intestinal epithelial
insulin-like growth factor (IGF1) receptors but were absent in Glp1r−/− mice. Polyp number …
Summary
Glucagon-like peptide-1 (GLP-1) secreted from enteroendocrine L cells promotes nutrient disposal via the incretin effect. However, the majority of L cells are localized to the distal gut, suggesting additional biological roles for GLP-1. Here, we demonstrate that GLP-1 receptor (GLP-1R) signaling controls mucosal expansion of the small bowel (SB) and colon. These actions did not require the epidermal growth factor (EGF) or intestinal epithelial insulin-like growth factor (IGF1) receptors but were absent in Glp1r−/− mice. Polyp number and size were increased in SB of exendin-4-treated ApcMin/+ mice, whereas polyp number was reduced in SB and colon of Glp1r−/−:ApcMin/+ mice. Exendin-4 increased fibroblast growth factor 7 (Fgf7) expression in colonic polyps of ApcMin/+ mice and failed to increase intestinal growth in mice lacking Fgf7. Exogenous exendin-4 and Fgf7 regulated an overlapping set of genes important for intestinal growth. Thus, gain and loss of GLP-1R signaling regulates gut growth and intestinal tumorigenesis.
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