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Long-term metabolic benefits of exenatide in mice are mediated solely via the known glucagon-like peptide 1 receptor

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AJP Regulatory Integrative and Comparative Physiology

Published online on

Abstract

Glucagon-like peptide 1 receptors (GLP-1R) are expressed in multiple tissues and activation results in metabolic benefits including enhanced insulin secretion, slowed gastric emptying, suppressed food intake, and improved hepatic steatosis. Limited and inconclusive knowledge exists regarding whether the effects of chronic exposure to a GLP-1R agonist are solely mediated via this receptor. Therefore, we examined 3-month dosing of exenatide in mice lacking a functional GLP-1R (Glp1r-/-). Exenatide (30 nmol/kg/d) was infused subcutaneously for 12 wk in Glp1r-/- and wild-type (Glp1r+/+) control mice fed a high-fat diet. HbA1c, plasma glucose, insulin, amylase, lipase, ALT, AST, body weight, food intake, terminal hepatic lipid content (HLC) and plasma exenatide levels were measured. At study end, oral glucose tolerance (OGTT) and rate of gastric emptying was assessed. Exenatide produced no significant changes in Glp1r-/- mice at study end. In contrast, exenatide decreased body weight, food intake, and glucose in Glp1r+/+ mice. Compared to vehicle, exenatide reduced insulin, OGTT glucose AUC0-2h, ALT, and HLC in Glp1r+/+ mice. Exenatide had no effect on plasma amylase or lipase levels. Exenatide concentrations were approximately 8-fold higher in Glp1r-/- vs. Glp1r+/+ mice after 12 wk infusion whereas renal function was similar. These data support the concept that exenatide requires a functional GLP-1R to exert chronic metabolic effects in mice, and that novel "GLP-1" receptors may not substantially contribute to these changes. Differential exenatide plasma levels in Glp1r+/+ vs. Glp1r-/- mice suggest that GLP-1R may play an important role in plasma clearance of exenatide, and potentially other GLP-1-related peptides.