Glucagon-like peptide 1 increases insulin sensitivity in depancreatized dogs

increases insulin sensitivity in addition to stimulating insulin secretion, we studied totally depancreatized dogs to eliminate GLP-1's incretin effec t. Somatostatin was infused (0.8 mu g . kg(-1) . min(-1)) to inhibit extrap ancreatic glucagon in dogs, and basal glucagon was restored by intraportal infusion (0.65 ng . kg(-1) . min(-1)). To simulate the residual intraportal insulin secretion in type 2 diabetes, basal intraportal insulin infusion w as given to obtain plasma glucose concentrations of similar to 10 mmol/l. G lucose was clamped at this level for the remainder of the experiment, which included peripheral insulin infusion (high dose, 5.4 pmol . kg(-1) . min(- 1)or low dose, 0.75 pmol . kg(-1) . min(-1)) with or without GLP-1(7-36) am ide (1.5 pmol . kg(-1) . min(-1)). Glucose production and utilization mere measured with 3-[H-3]glucose, using radiolabeled glucose infusates. In 12 p aired experiments with six dogs at the high insulin dose, GLP-1 infusion re sulted in higher glucose requirements than saline (60.9 +/- 11.0 vs. 43.6 /- 8.3 mu mol . kg(-1) . min(-1), P < 0.001), because of greater glucose ut ilization (72.6 +/- 11.0 vs. 56.8 +/- 9.7 mu mol . kg(-1) . min(-1), P < 0. 001), whereas the suppression of glucose production was not affected by GLP -1. Free fatty acids (FFAs) were significantly lower with GLP-1 than saline (375.3 +/- 103.0 vs. 524.4 +/- 101.1 mu mol/l, P < 0.01), as was glycerol( 77.9 +/- 17.5 vs. 125.6 +/- 51.8 mu mol/l, P < 0.05). GLP-1 receptor gene e xpression was found using reverse transcriptase-polymerase chain reaction o f poly(A)-selected RNA in muscle and adipose tissue, but not in liver. Low levels of GLP-1 receptor gene expression were also found in adipose tissue using Northern blotting. In 10 paired experiments with five dogs at the low insulin dose, GLP-1 infusion did not affect glucose utilization or FFA and glycerol suppression when compared with saline, suggesting that GLP-1's ef fect on insulin action was dependent on the insulin dose. In conclusion, in depancreatized dogs, GLP-1 potentiates insulin-stimulated glucose utilizat ion, an effect that might be contributed in part by GLP-1 potentiation of i nsulin's antilipolytic action.