Glucagon-like peptide 2 (GLP-8) is a 33 amino acid peptide-encoded carboxyt
erminal to the sequence of GLP-1 in the proglucagon gene. Both GLP-1 and GL
P-2 are secreted from gut endocrine cells and promote nutrient absorption t
hrough distinct mechanisms of action. GLP-2 regulates gastric motility, gas
tric acid secretion, intestinal hexose transport, and increases the barrier
function of the gut epi thelium. GLP-2 significantly enhances the surface
area of the mucosal epithelium via stimulation of crypt cell proliferation
and inhibition of apoptosis in the enterocyte and crypt compartments. The c
ytoprotective and reparative effects of GLP-2 are evident in rodent models
of experimental intestinal injury. GLP-2 reduces mortality and de-creases m
ucosal injury, cytokine expression, and bacterial septicemia in the setting
of small and large bowel inflammation. GLP-8 also enhances nutrient absorp
tion and gut adaptation in rodents or humans with short bowel syndrome. The
actions of CLP-2 are transduced by the GLP-8 receptor, a G protein-coupled
receptor expressed in gut endocrine cells of the stomach, small bowel, and
colon. Activation of GLP-2 receptor signaling in heterologous cells promot
es resistance to apoptotic injury in vitro. The cytoprotective, reparative,
and energy-retentive properties of GLP-2 suggests that GLP-2 may potential
ly be useful for the treatment of human disorders characterized by injury a
nd/or dysfunction of the intestinal mucosal epithelium.