Separate and Combined Effects of GIP and GLP-1 Infusions on Bone Metabolism in Overweight Men Without Diabetes

Abstract Context The gut-derived incretin hormones glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 (GLP-1) have been suggested to play a role in bone metabolism. Exogenous administration of GIP inhibits bone resorption, but the effect of GLP-1 is less clear. Furthermor...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2019-07, Vol.104 (7), p.2953-2960
Hauptverfasser: Bergmann, Natasha Chidekel, Lund, Asger, Gasbjerg, Lærke Smidt, Jørgensen, Niklas Rye, Jessen, Lene, Hartmann, Bolette, Holst, Jens Juul, Christensen, Mikkel Bring, Vilsbøll, Tina, Knop, Filip Krag
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container_end_page 2960
container_issue 7
container_start_page 2953
container_title The journal of clinical endocrinology and metabolism
container_volume 104
creator Bergmann, Natasha Chidekel
Lund, Asger
Gasbjerg, Lærke Smidt
Jørgensen, Niklas Rye
Jessen, Lene
Hartmann, Bolette
Holst, Jens Juul
Christensen, Mikkel Bring
Vilsbøll, Tina
Knop, Filip Krag
description Abstract Context The gut-derived incretin hormones glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 (GLP-1) have been suggested to play a role in bone metabolism. Exogenous administration of GIP inhibits bone resorption, but the effect of GLP-1 is less clear. Furthermore, the combined effect of exogenous GIP and GLP-1 on bone metabolism is unknown. Objective To investigate the effect of separate and combined infusions of the incretin hormones GIP and GLP-1 on bone resorption and formation. Design Randomized, double-blinded, placebo-controlled, crossover study including five study days. Participants Seventeen overweight/obese men. Interventions On the first study day, a 50-g oral glucose tolerance test (OGTT) was performed. On the next four study days, isoglycemic IV glucose infusions (IIGI), mimicking the glucose excursions from the OGTT, were performed with concomitant infusions of GIP (4 pmol/kg/min), GLP-1 (1 pmol/kg/min), GIP+GLP-1 (4 and 1 pmol/kg/min, respectively), or placebo, respectively. Primary Outcomes Changes in bone resorption assessed by measurements of carboxy-terminal type I collagen crosslinks (CTX) and in bone formation as assessed by procollagen type 1 N-terminal propeptide (P1NP) concentrations. Results During the OGTT, CTX was significantly lowered by 54 ± 13% from baseline (mean ± SD) compared with 28 ± 12% during IIGI + saline (P < 0.0001). During IIGI+GLP-1 and IIGI+GIP, CTX was lowered by 65 ± 16% and 74 ± 9%, respectively, from baseline, whereas IGII+GIP+GLP-1 lowered CTX by 84 ± 4% from baseline. P1NP levels were unaffected by the interventions. Conclusions Our data suggest that GLP-1, like GIP, may be involved in regulation of bone resorption and that GIP and GLP-1 together have partially additive inhibitory effects. In overweight men, infusion of GIP and GLP-1 decreased bone resorption, and coinfusion of the two incretins had partially additive effects on bone resorption.
doi_str_mv 10.1210/jc.2019-00008
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Exogenous administration of GIP inhibits bone resorption, but the effect of GLP-1 is less clear. Furthermore, the combined effect of exogenous GIP and GLP-1 on bone metabolism is unknown. Objective To investigate the effect of separate and combined infusions of the incretin hormones GIP and GLP-1 on bone resorption and formation. Design Randomized, double-blinded, placebo-controlled, crossover study including five study days. Participants Seventeen overweight/obese men. Interventions On the first study day, a 50-g oral glucose tolerance test (OGTT) was performed. On the next four study days, isoglycemic IV glucose infusions (IIGI), mimicking the glucose excursions from the OGTT, were performed with concomitant infusions of GIP (4 pmol/kg/min), GLP-1 (1 pmol/kg/min), GIP+GLP-1 (4 and 1 pmol/kg/min, respectively), or placebo, respectively. Primary Outcomes Changes in bone resorption assessed by measurements of carboxy-terminal type I collagen crosslinks (CTX) and in bone formation as assessed by procollagen type 1 N-terminal propeptide (P1NP) concentrations. Results During the OGTT, CTX was significantly lowered by 54 ± 13% from baseline (mean ± SD) compared with 28 ± 12% during IIGI + saline (P &lt; 0.0001). During IIGI+GLP-1 and IIGI+GIP, CTX was lowered by 65 ± 16% and 74 ± 9%, respectively, from baseline, whereas IGII+GIP+GLP-1 lowered CTX by 84 ± 4% from baseline. P1NP levels were unaffected by the interventions. Conclusions Our data suggest that GLP-1, like GIP, may be involved in regulation of bone resorption and that GIP and GLP-1 together have partially additive inhibitory effects. In overweight men, infusion of GIP and GLP-1 decreased bone resorption, and coinfusion of the two incretins had partially additive effects on bone resorption.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.2019-00008</identifier><identifier>PMID: 30848791</identifier><language>eng</language><publisher>Washington, DC: Endocrine Society</publisher><subject>Analysis ; Biotechnology industry ; Body weight ; Bone growth ; Bone resorption ; Bone turnover ; Collagen ; Collagen (type I) ; Cross-linking ; Dextrose ; Diabetes mellitus ; Ethylenediaminetetraacetic acid ; GIP protein ; Glucagon ; Glucagon-like peptide 1 ; Glucose ; Glucose tolerance ; Glucose tolerance tests ; Liraglutide ; Metabolism ; Mimicry ; Osteogenesis ; Overweight ; Overweight persons ; Physiological aspects ; Procollagen ; Type 2 diabetes ; Vitamin D</subject><ispartof>The journal of clinical endocrinology and metabolism, 2019-07, Vol.104 (7), p.2953-2960</ispartof><rights>Copyright © 2019 Endocrine Society 2019</rights><rights>Copyright © Oxford University Press 2015</rights><rights>Copyright © 2019 Endocrine Society.</rights><rights>COPYRIGHT 2019 Oxford University Press</rights><rights>Copyright © 2019 Endocrine Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5028-f784b6e2568edfe5c3c46cb02f1598a793dbcb5a920d796d45d6951719d92be03</citedby><cites>FETCH-LOGICAL-c5028-f784b6e2568edfe5c3c46cb02f1598a793dbcb5a920d796d45d6951719d92be03</cites><orcidid>0000-0003-1212-3764 ; 0000-0002-0456-6787 ; 0000-0002-2495-5034 ; 0000-0002-7880-8515 ; 0000-0001-8509-2036 ; 0000-0001-6853-3805 ; 0000-0002-6797-8041 ; 0000-0001-9624-5210 ; 0000-0002-8774-1797</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2364237297?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21369,27903,27904,33723,33724,43784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30848791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bergmann, Natasha Chidekel</creatorcontrib><creatorcontrib>Lund, Asger</creatorcontrib><creatorcontrib>Gasbjerg, Lærke Smidt</creatorcontrib><creatorcontrib>Jørgensen, Niklas Rye</creatorcontrib><creatorcontrib>Jessen, Lene</creatorcontrib><creatorcontrib>Hartmann, Bolette</creatorcontrib><creatorcontrib>Holst, Jens Juul</creatorcontrib><creatorcontrib>Christensen, Mikkel Bring</creatorcontrib><creatorcontrib>Vilsbøll, Tina</creatorcontrib><creatorcontrib>Knop, Filip Krag</creatorcontrib><title>Separate and Combined Effects of GIP and GLP-1 Infusions on Bone Metabolism in Overweight Men Without Diabetes</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Abstract Context The gut-derived incretin hormones glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 (GLP-1) have been suggested to play a role in bone metabolism. Exogenous administration of GIP inhibits bone resorption, but the effect of GLP-1 is less clear. Furthermore, the combined effect of exogenous GIP and GLP-1 on bone metabolism is unknown. Objective To investigate the effect of separate and combined infusions of the incretin hormones GIP and GLP-1 on bone resorption and formation. Design Randomized, double-blinded, placebo-controlled, crossover study including five study days. Participants Seventeen overweight/obese men. Interventions On the first study day, a 50-g oral glucose tolerance test (OGTT) was performed. On the next four study days, isoglycemic IV glucose infusions (IIGI), mimicking the glucose excursions from the OGTT, were performed with concomitant infusions of GIP (4 pmol/kg/min), GLP-1 (1 pmol/kg/min), GIP+GLP-1 (4 and 1 pmol/kg/min, respectively), or placebo, respectively. Primary Outcomes Changes in bone resorption assessed by measurements of carboxy-terminal type I collagen crosslinks (CTX) and in bone formation as assessed by procollagen type 1 N-terminal propeptide (P1NP) concentrations. Results During the OGTT, CTX was significantly lowered by 54 ± 13% from baseline (mean ± SD) compared with 28 ± 12% during IIGI + saline (P &lt; 0.0001). During IIGI+GLP-1 and IIGI+GIP, CTX was lowered by 65 ± 16% and 74 ± 9%, respectively, from baseline, whereas IGII+GIP+GLP-1 lowered CTX by 84 ± 4% from baseline. P1NP levels were unaffected by the interventions. Conclusions Our data suggest that GLP-1, like GIP, may be involved in regulation of bone resorption and that GIP and GLP-1 together have partially additive inhibitory effects. In overweight men, infusion of GIP and GLP-1 decreased bone resorption, and coinfusion of the two incretins had partially additive effects on bone resorption.</description><subject>Analysis</subject><subject>Biotechnology industry</subject><subject>Body weight</subject><subject>Bone growth</subject><subject>Bone resorption</subject><subject>Bone turnover</subject><subject>Collagen</subject><subject>Collagen (type I)</subject><subject>Cross-linking</subject><subject>Dextrose</subject><subject>Diabetes mellitus</subject><subject>Ethylenediaminetetraacetic acid</subject><subject>GIP protein</subject><subject>Glucagon</subject><subject>Glucagon-like peptide 1</subject><subject>Glucose</subject><subject>Glucose tolerance</subject><subject>Glucose tolerance tests</subject><subject>Liraglutide</subject><subject>Metabolism</subject><subject>Mimicry</subject><subject>Osteogenesis</subject><subject>Overweight</subject><subject>Overweight persons</subject><subject>Physiological aspects</subject><subject>Procollagen</subject><subject>Type 2 diabetes</subject><subject>Vitamin D</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kcGPEyEUxidG49bVo1dD4sXLVGCGGTiuda1NanYTNXojDPPYUmegAmPjfy_ddjVuFA4kfL_38XhfUTwneE4owa-3ek4xESXOiz8oZkTUrGyJaB8WM4wpKUVLv54VT2LcYkzqmlWPi7MK85q3gswK9xF2KqgESLkeLfzYWQc9ujQGdIrIG7RcXd9qy_V1SdDKmSla77Lk0BvvAH2ApDo_2Dgi69DVDwh7sDeblAWHvti08VNCb63qIEF8Wjwyaojw7HSeF5_fXX5avC_XV8vV4mJdaoYpL03L664ByhoOvQGmK103usPUECa4akXVd7pjSlDct6Lpa9Y3gpH87V7QDnB1Xrw6-u6C_z5BTHK0UcMwKAd-ipISLlhNOCUZfXkP3fopuNydpFVT06qlov1D3agBpHXGp6D0wVReNJyzpmWEZmr-DyrvHkar87SMzfd_FZTHAh18jAGM3AU7qvBTEiwP-cqtlod85W2-mX9xanbqRuh_03eBZoAcgb0fEoT4bZj2EOQG1JA2903LO9PTsPy0-9_7J_QXzCm4kg</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Bergmann, Natasha Chidekel</creator><creator>Lund, Asger</creator><creator>Gasbjerg, Lærke Smidt</creator><creator>Jørgensen, Niklas Rye</creator><creator>Jessen, Lene</creator><creator>Hartmann, Bolette</creator><creator>Holst, Jens Juul</creator><creator>Christensen, Mikkel Bring</creator><creator>Vilsbøll, Tina</creator><creator>Knop, Filip Krag</creator><general>Endocrine Society</general><general>Copyright Oxford University Press</general><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1212-3764</orcidid><orcidid>https://orcid.org/0000-0002-0456-6787</orcidid><orcidid>https://orcid.org/0000-0002-2495-5034</orcidid><orcidid>https://orcid.org/0000-0002-7880-8515</orcidid><orcidid>https://orcid.org/0000-0001-8509-2036</orcidid><orcidid>https://orcid.org/0000-0001-6853-3805</orcidid><orcidid>https://orcid.org/0000-0002-6797-8041</orcidid><orcidid>https://orcid.org/0000-0001-9624-5210</orcidid><orcidid>https://orcid.org/0000-0002-8774-1797</orcidid></search><sort><creationdate>20190701</creationdate><title>Separate and Combined Effects of GIP and GLP-1 Infusions on Bone Metabolism in Overweight Men Without Diabetes</title><author>Bergmann, Natasha Chidekel ; Lund, Asger ; Gasbjerg, Lærke Smidt ; Jørgensen, Niklas Rye ; Jessen, Lene ; Hartmann, Bolette ; Holst, Jens Juul ; Christensen, Mikkel Bring ; Vilsbøll, Tina ; Knop, Filip Krag</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5028-f784b6e2568edfe5c3c46cb02f1598a793dbcb5a920d796d45d6951719d92be03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Analysis</topic><topic>Biotechnology industry</topic><topic>Body weight</topic><topic>Bone growth</topic><topic>Bone resorption</topic><topic>Bone turnover</topic><topic>Collagen</topic><topic>Collagen (type I)</topic><topic>Cross-linking</topic><topic>Dextrose</topic><topic>Diabetes mellitus</topic><topic>Ethylenediaminetetraacetic acid</topic><topic>GIP protein</topic><topic>Glucagon</topic><topic>Glucagon-like peptide 1</topic><topic>Glucose</topic><topic>Glucose tolerance</topic><topic>Glucose tolerance tests</topic><topic>Liraglutide</topic><topic>Metabolism</topic><topic>Mimicry</topic><topic>Osteogenesis</topic><topic>Overweight</topic><topic>Overweight persons</topic><topic>Physiological aspects</topic><topic>Procollagen</topic><topic>Type 2 diabetes</topic><topic>Vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bergmann, Natasha Chidekel</creatorcontrib><creatorcontrib>Lund, Asger</creatorcontrib><creatorcontrib>Gasbjerg, Lærke Smidt</creatorcontrib><creatorcontrib>Jørgensen, Niklas Rye</creatorcontrib><creatorcontrib>Jessen, Lene</creatorcontrib><creatorcontrib>Hartmann, Bolette</creatorcontrib><creatorcontrib>Holst, Jens Juul</creatorcontrib><creatorcontrib>Christensen, Mikkel Bring</creatorcontrib><creatorcontrib>Vilsbøll, Tina</creatorcontrib><creatorcontrib>Knop, Filip Krag</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Exogenous administration of GIP inhibits bone resorption, but the effect of GLP-1 is less clear. Furthermore, the combined effect of exogenous GIP and GLP-1 on bone metabolism is unknown. Objective To investigate the effect of separate and combined infusions of the incretin hormones GIP and GLP-1 on bone resorption and formation. Design Randomized, double-blinded, placebo-controlled, crossover study including five study days. Participants Seventeen overweight/obese men. Interventions On the first study day, a 50-g oral glucose tolerance test (OGTT) was performed. On the next four study days, isoglycemic IV glucose infusions (IIGI), mimicking the glucose excursions from the OGTT, were performed with concomitant infusions of GIP (4 pmol/kg/min), GLP-1 (1 pmol/kg/min), GIP+GLP-1 (4 and 1 pmol/kg/min, respectively), or placebo, respectively. Primary Outcomes Changes in bone resorption assessed by measurements of carboxy-terminal type I collagen crosslinks (CTX) and in bone formation as assessed by procollagen type 1 N-terminal propeptide (P1NP) concentrations. Results During the OGTT, CTX was significantly lowered by 54 ± 13% from baseline (mean ± SD) compared with 28 ± 12% during IIGI + saline (P &lt; 0.0001). During IIGI+GLP-1 and IIGI+GIP, CTX was lowered by 65 ± 16% and 74 ± 9%, respectively, from baseline, whereas IGII+GIP+GLP-1 lowered CTX by 84 ± 4% from baseline. P1NP levels were unaffected by the interventions. Conclusions Our data suggest that GLP-1, like GIP, may be involved in regulation of bone resorption and that GIP and GLP-1 together have partially additive inhibitory effects. In overweight men, infusion of GIP and GLP-1 decreased bone resorption, and coinfusion of the two incretins had partially additive effects on bone resorption.</abstract><cop>Washington, DC</cop><pub>Endocrine Society</pub><pmid>30848791</pmid><doi>10.1210/jc.2019-00008</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1212-3764</orcidid><orcidid>https://orcid.org/0000-0002-0456-6787</orcidid><orcidid>https://orcid.org/0000-0002-2495-5034</orcidid><orcidid>https://orcid.org/0000-0002-7880-8515</orcidid><orcidid>https://orcid.org/0000-0001-8509-2036</orcidid><orcidid>https://orcid.org/0000-0001-6853-3805</orcidid><orcidid>https://orcid.org/0000-0002-6797-8041</orcidid><orcidid>https://orcid.org/0000-0001-9624-5210</orcidid><orcidid>https://orcid.org/0000-0002-8774-1797</orcidid><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; ProQuest Central
subjects Analysis
Biotechnology industry
Body weight
Bone growth
Bone resorption
Bone turnover
Collagen
Collagen (type I)
Cross-linking
Dextrose
Diabetes mellitus
Ethylenediaminetetraacetic acid
GIP protein
Glucagon
Glucagon-like peptide 1
Glucose
Glucose tolerance
Glucose tolerance tests
Liraglutide
Metabolism
Mimicry
Osteogenesis
Overweight
Overweight persons
Physiological aspects
Procollagen
Type 2 diabetes
Vitamin D
title Separate and Combined Effects of GIP and GLP-1 Infusions on Bone Metabolism in Overweight Men Without Diabetes
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