[PDF][PDF] Interleukin-6 delays gastric emptying in humans with direct effects on glycemic control

LL Lehrskov, MP Lyngbaek, L Soederlund, GE Legaard… - Cell metabolism, 2018 - cell.com
LL Lehrskov, MP Lyngbaek, L Soederlund, GE Legaard, JA Ehses, SE Heywood…
Cell metabolism, 2018cell.com
Gastric emptying is a critical regulator of postprandial glucose and delayed gastric emptying
is an important mechanism of improved glycemic control achieved by short-acting glucagon-
like peptide-1 (GLP-1) analogs in clinical practice. Here we report on a novel regulatory
mechanism of gastric emptying in humans. We show that increasing interleukin (IL)-6
concentrations delays gastric emptying leading to reduced postprandial glycemia. IL-6
furthermore reduces insulin secretion in a GLP-1-dependent manner while effects on gastric …
Summary
Gastric emptying is a critical regulator of postprandial glucose and delayed gastric emptying is an important mechanism of improved glycemic control achieved by short-acting glucagon-like peptide-1 (GLP-1) analogs in clinical practice. Here we report on a novel regulatory mechanism of gastric emptying in humans. We show that increasing interleukin (IL)-6 concentrations delays gastric emptying leading to reduced postprandial glycemia. IL-6 furthermore reduces insulin secretion in a GLP-1-dependent manner while effects on gastric emptying are GLP-1 independent. Inhibitory effects of IL-6 on gastric emptying were confirmed following exercise-induced increases in IL-6. Importantly, gastric- and insulin-reducing effects were maintained in individuals with type 2 diabetes. These data have clinical implications with respect to the use of IL-6 inhibition in autoimmune/inflammatory disease, and identify a novel target that could be exploited pharmacologically to delay gastric emptying and spare insulin, which may be beneficial for the beta cell in type 2 diabetes.
cell.com