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The effect of encapsulated glutamine on gut peptide secretion in human volunteers.


Type

Article

Change log

Authors

Meek, Claire L 
Lewis, Hannah B 
Vergese, Bensi 
Park, Adrian 

Abstract

CONTEXT: Weight loss and improved blood glucose control after bariatric surgery have been attributed in part to increased ileal nutrient delivery with enhanced release of glucagon-like peptide 1 (GLP-1). Non-surgical strategies to manage obesity are required. The aim of the current study was to assess whether encapsulated glutamine, targeted to the ileum, could increase GLP-1 secretion, improve glucose tolerance or reduce meal size. METHODS: A single-center, randomised, double blind, placebo-controlled, cross-over study was performed in 24 healthy volunteers and 8 patients with type 2 diabetes. Fasting participants received a single dose of encapsulated ileal-release glutamine (3.6 or 6.0 g) or placebo per visit with blood sampling at baseline and for 4h thereafter. Glucose tolerance and meal size were studied using a 75 g oral glucose tolerance test and ad libitum meal respectively. RESULTS: In healthy volunteers, ingestion of 6.0 g glutamine was associated with increased GLP-1 concentrations after 90 min compared with placebo (mean 10.6 pg/ml vs 6.9 pg/ml, p=0.004), increased insulin concentrations after 90 min (mean 70.9 vs 48.5, p=0.048), and increased meal size at 120 min (mean 542 g eaten vs 481 g, p=0.008). Ingestion of 6.0 g glutamine was not associated with significant differences in GLP-1, glucose or insulin concentrations after a glucose tolerance test in healthy or type 2 diabetic participants. CONCLUSIONS: Single oral dosing of encapsulated glutamine did not provoke consistent increases in GLP-1 and insulin secretion and was not associated with beneficial metabolic effects in healthy volunteers or patients with type 2 diabetes.

Description

Keywords

Glucagon-like peptide 1, Glutamine, Incretin, Insulin, Nutrients, Adult, Aged, Appetite, Appetite Depressants, Blood Glucose, Diabetes Mellitus, Type 2, Double-Blind Method, Female, Glucagon-Like Peptide 1, Glucose Tolerance Test, Glutamine, Humans, Insulin, Male, Middle Aged, Young Adult

Journal Title

Peptides

Conference Name

Journal ISSN

0196-9781
1873-5169

Volume Title

77

Publisher

Elsevier BV
Sponsorship
Medical Research Council (MC_UU_12012/3)
Wellcome Trust (100574/Z/12/Z)
European Commission (266408)
Medical Research Council (MC_PC_12012)
This project was supported by a project grant from the European Union Seventh Framework Programme (FP7/2007-2013; grant agreement n° 266,408) as part of a larger collaboration called Full4Health. Claire Meek receives salary funding from the Wellcome Trust Translational Medicine and Therapeutics Programme which is funded by the Wellcome Trust in association with Glaxo SmithKline. FMG and FR were funded by the Wellcome Trust (WT088357/Z/09/Z and WT084210/Z/07/Z.)