Glucagon-like peptide-1 and glucagon-like peptide-2 regulation during human liver regeneration.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
25 09 2023
Historique:
received: 03 07 2023
accepted: 21 09 2023
medline: 27 9 2023
pubmed: 26 9 2023
entrez: 25 9 2023
Statut: epublish

Résumé

Accumulating evidence suggests that metabolic demands of the regenerating liver are met via lipid metabolism and critical regulators of this process. As such, glucagon-like peptide-1 (GLP-1) and glucagon-like peptide-2 (GLP-2) critically affect hepatic regeneration in rodent models. The present study aimed to evaluate potential alterations and dynamics of circulating GLP-1 and GLP-2 in patients undergoing liver resections, focusing on post-hepatectomy liver failure (PHLF). GLP-1, GLP-2, Interleukin-6 (IL-6) and parameters of lipid metabolism were determined perioperatively in fasting plasma of 46 patients, who underwent liver resection. GLP-1 and GLP-2 demonstrated a rapid and consistently inverse time course during hepatic regeneration with a significant decrease of GLP-1 and increase of GLP-2 on POD1. Importantly, these postoperative dynamics were significantly more pronounced when PHLF occurred. Of note, the extent of resection or development of complications were not associated with these alterations. IL-6 mirrored the time course of GLP-2. Assessing the main degradation protein dipeptidyl peptidase 4 (DPP4) no significant association with either GLP-1 or -2 could be found. Additionally, in PHLF distinct postoperative declines in plasma lipid parameters were present and correlated with GLP-2 dynamics. Our data suggest dynamic inverse regulation of GLP-1 and GLP-2 during liver regeneration, rather caused by an increase in expression/release than by changes in degradation capacity and might be associated with inflammatory responses. Their close association with circulating markers of lipid metabolism and insufficient hepatic regeneration after liver surgery suggest a critical involvement during these processes in humans.

Identifiants

pubmed: 37749369
doi: 10.1038/s41598-023-43283-8
pii: 10.1038/s41598-023-43283-8
pmc: PMC10519971
doi:

Substances chimiques

Interleukin-6 0
Glucagon-Like Peptide 1 89750-14-1
Glucagon-Like Peptide 2 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

15980

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Markus Ammann (M)

Department of Surgery, State Hospital Wiener Neustadt, Wiener Neustadt, Austria.
Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.

Jonas Santol (J)

Department of Surgery, HPB Centre, Viennese Health Network, Clinic Favoriten and Sigmund Freud Private University, Vienna, Austria.

David Pereyra (D)

Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.

Tamara Kalchbrenner (T)

Department of Pathology, State Hospital Wiener Neustadt, Wiener Neustadt, Austria.

Tanja Wuerger (T)

Department of Pathology, State Hospital Wiener Neustadt, Wiener Neustadt, Austria.

Johannes Laengle (J)

Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.

Rory L Smoot (RL)

Department of Surgery, Division of Hepatobiliary and Pancreas Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.

Wolfgang Hulla (W)

Department of Pathology, State Hospital Wiener Neustadt, Wiener Neustadt, Austria.

Friedrich Laengle (F)

Department of Surgery, State Hospital Wiener Neustadt, Wiener Neustadt, Austria.

Patrick Starlinger (P)

Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria. starlinger.patrick@mayo.edu.
Department of Surgery, Division of Hepatobiliary and Pancreas Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, USA. starlinger.patrick@mayo.edu.

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Classifications MeSH