|Burrin, Douglas - Doug|
Submitted to: Journal of Nutrition
Publication Type: Review article
Publication Acceptance Date: 8/1/2003
Publication Date: 9/1/2003
Citation: Burrin, D.G., Guan, X., Stoll, B., Petersen, Y.M., Sangild, P.T. 2003. Glucagon-like peptide 2: a key link between nutrition and intestinal adaptation in neonates? Journal of Nutrition. 133(11):3712-3716. Interpretive Summary: Interpretive Summary not needed for this 115.
Technical Abstract: We review the evidence from recent studies in young piglets to examine the hypothesis that GLP-2 is a physiologically-relevant hormonal signal linked to the intestinal adaptation associated with enteral nutrition in neonates. Observations that support the hypothesis include the following, 1) the GLP-2 secretory response to enteral nutrition is functional as early as late gestation, 2) parallel changes in intestinal growth and circulating GLP-2 occur in response to the quantity and composition of enteral nutrition after birth, and 3) the acute, temporal changes in intestinal metabolism and circulating GLP-2 concentrations in response to enteral nutrition are generally coincident. In contrast, however, the lack of intestinal trophic responses to both pharmacological GLP-2 concentrations in the fetus and weanling pigs, and to physiological GLP-2 concentrations in neonates raise doubts concerning the physiological relevance of GLP-2 as a enterally-mediated trophic signal. A more definitive test of this hypothesis will require further studies that assess the intestinal metabolic response to enteral nutrition using experimental approaches which block GLP-2 action.