Physiology and pharmacology of the enteroendocrine hormone glucagon-like peptide-2

Annu Rev Physiol. 2014:76:561-83. doi: 10.1146/annurev-physiol-021113-170317. Epub 2013 Oct 25.

Abstract

Glucagon-like peptide-2 (GLP-2) is a 33-amino-acid proglucagon-derived peptide secreted from enteroendocrine L cells. GLP-2 circulates at low basal levels in the fasting period, and plasma levels rise rapidly after food ingestion. Renal clearance and enzymatic inactivation control the elimination of bioactive GLP-2. GLP-2 increases mesenteric blood flow and activates proabsorptive pathways in the gut, facilitating nutrient absorption. GLP-2 also enhances gut barrier function and induces proliferative and cytoprotective pathways in the small bowel. The actions of GLP-2 are transduced via a single G protein-coupled receptor (GLP-2R), expressed predominantly within the gastrointestinal tract. Disruption of GLP-2R signaling increases susceptibility to gut injury and impairs the adaptive mucosal response to refeeding. Sustained augmentation of GLP-2R signaling reduces the requirement for parenteral nutrition in human subjects with short-bowel syndrome. Hence GLP-2 integrates nutrient-derived signals to optimize mucosal integrity and energy absorption.

Publication types

  • Review

MeSH terms

  • Animals
  • Gastrointestinal Diseases / physiopathology
  • Gastrointestinal Motility / physiology
  • Gastrointestinal Tract / blood supply
  • Gastrointestinal Tract / physiology
  • Glucagon-Like Peptide 2 / pharmacology*
  • Glucagon-Like Peptide 2 / physiology*
  • Glucagon-Like Peptide-2 Receptor
  • Humans
  • Intestinal Absorption
  • Ischemia / physiopathology
  • Radiation Injuries / physiopathology
  • Receptors, Glucagon / biosynthesis
  • Receptors, Glucagon / drug effects
  • Receptors, Glucagon / metabolism
  • Short Bowel Syndrome / physiopathology
  • Signal Transduction

Substances

  • Glucagon-Like Peptide 2
  • Glucagon-Like Peptide-2 Receptor
  • Receptors, Glucagon