Early but not late administration of glucagon-like peptide-2 following ileo-cecal resection augments putative intestinal stem cell expansion

Am J Physiol Gastrointest Liver Physiol. 2009 Mar;296(3):G643-50. doi: 10.1152/ajpgi.90588.2008. Epub 2008 Dec 31.

Abstract

Expansion of intestinal progenitors and putative stem cells (pISC) occurs early and transiently following ileo-cecal resection (ICR). The mechanism controlling this process is not defined. We hypothesized that glucagon-like peptide-2 (GLP-2) would augment jejunal pISC expansion only when administered to mice immediately after ICR. Since recent reports demonstrated increases in intestinal insulin-like growth factor (IGF)-I following GLP-2 administration, we further hypothesized that increased intestinal IGF-I expression would correlate with pISC expansion following ICR. To assess this, GLP-2 or vehicle was administered to mice either immediately after resection (early) or before tissue harvest 6 wk following ICR (late). Histological analysis quantified proliferation and intestinal morphometrics. Serum levels of GLP-2 were measured by ELISA and jejunal IGF-I mRNA by qRT-PCR. Expansion of jejunal pISC was assessed by fluorescent-activated cell sorting of side population cells, immunohistochemistry for phosphorylated beta-catenin at serine 552 (a pISC marker), percent of crypt fission, and total numbers of crypts per jejunal circumference. We found that early but not late GLP-2 treatment after ICR significantly augmented pISC expansion. Increases in jejunal IGF-I mRNA correlated temporally with early pISC expansion and effects of GLP-2. Early GLP-2 increased crypt fission and accelerated adaptive increases in crypt number and intestinal caliber. GLP-2 increased proliferation and intestinal morphometrics in all groups. This study shows that, in mice, GLP-2 promotes jejunal pISC expansion only in the period immediately following ICR. This is associated with increased IGF-I and accelerated adaptive increases in mucosal mass. These data provide clinical rationale relevant to the optimal timing of GLP-2 in patients with intestinal failure.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Cecum / pathology*
  • Cecum / surgery
  • Cell Division / drug effects
  • Glucagon-Like Peptide 2 / metabolism
  • Glucagon-Like Peptide 2 / pharmacology*
  • Ileum / pathology*
  • Ileum / surgery
  • Insulin-Like Growth Factor I / metabolism
  • Intestinal Diseases / pathology
  • Intestinal Diseases / surgery*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Phosphorylation / drug effects
  • Postoperative Complications / drug therapy*
  • Postoperative Complications / pathology
  • Proteins / metabolism
  • Stem Cells / cytology*
  • Time Factors
  • Weight Gain / drug effects
  • beta Catenin / metabolism

Substances

  • CTNNB1 protein, mouse
  • Glucagon-Like Peptide 2
  • Proteins
  • beta Catenin
  • serin-rich spermatogenic protein 1, rat
  • Insulin-Like Growth Factor I