title: Metabolism of glucagon-like peptide-2 in pigs: role of dipeptidyl peptidase IV.
abstract: Little is known about the metabolism of the intestinotropic factor glucagon-like peptide-2 (GLP-2); except that it is a substrate for dipeptidyl peptidase IV (DPP-IV) and that it appears to be eliminated by the kidneys. We, therefore, investigated GLP-2 metabolism in six multicatheterized pigs receiving intravenous GLP-2 infusions (2 pmol/kg/min) before and after administration of valine-pyrrolidide (300 mumol/kg; a well characterized DPP-IV inhibitor). Plasma samples were analyzed by radioimmunoassays allowing determination of intact, biologically active GLP-2 and the DPP-IV metabolite GLP-2 (3-33). During infusion of GLP-2 alone, 30.9+/-1.7% of the infused peptide was degraded to GLP-2 (3-33). After valine-pyrrolidide, there was no significant formation of the metabolite. Significant extraction of intact GLP-2 was observed across the kidneys, the extremities (represented by a leg), and the splanchnic bed, resulting in a metabolic clearance rate (MCR) of 6.80+/-0.47 ml/kg/min and a plasma half-life of 6.8+/-0.8 min. Hepatic extraction was not detected. Valine-pyrrolidide addition did not affect extraction ratios significantly, but decreased (p=0.003) MCR to 4.18+/-0.27 ml/kg/min and increased (p=0.052) plasma half-life to 9.9+/-0.8 min. The metabolite was eliminated with a half-life of 22.1+/-2.6 min and a clearance of 2.07+/-0.11 ml/kg/min. In conclusion, intact GLP-2 is eliminated in the peripheral tissues, the splanchnic bed and the kidneys, but not in the liver, by mechanisms unrelated to DPP-IV. However, DPP-IV is involved in the overall GLP-2 metabolism and seems to be the sole enzyme responsible for N-terminal degradation of GLP-2.
authors.affiliation: Department of Medical Physiology, University of Copenhagen, the Panum Institute, Blegdamsvej 3, DK-2200 Copenhagen N, Denmark.
authors.forename: Lene
authors.initials: L
authors.lastname: Hansen
authors.forename: Kristine J
authors.initials: KJ
authors.lastname: Hare
authors.forename: Bolette
authors.initials: B
authors.lastname: Hartmann
authors.forename: Carolyn F
authors.initials: CF
authors.lastname: Deacon
authors.forename: Randi K
authors.initials: RK
authors.lastname: Ugleholdt
authors.forename: Astrid
authors.initials: A
authors.lastname: Plamboeck
authors.forename: Jens J
authors.initials: JJ
authors.lastname: Holst
mesh_terms: D000818:Animals; D018819:Dipeptidyl Peptidase 4 / Q000378:metabolism*; D053767:Glucagon-Like Peptide 2 / Q000008:administration & dosage / Q000378:metabolism* / Q000493:pharmacokinetics; D006207:Half-Life; D007262:Infusions, Intravenous; D007668:Kidney / Q000378:metabolism; D008657:Metabolic Clearance Rate / Q000187:drug effects; D011758:Pyrroles / Q000008:administration & dosage / Q000494:pharmacology; D013552:Swine; D014018:Tissue Distribution; D014633:Valine / Q000008:administration & dosage / Q000494:pharmacology
chemical_list: D053767:Glucagon-Like Peptide 2; D011758:Pyrroles; C112092:valine-pyrrolidide; D018819:Dipeptidyl Peptidase 4; D014633:Valine