Liraglutide changes postprandial responses of gut hormones involved in the regulation of gallbladder motility

Aim Liraglutide treatment is associated with gallbladder‐related disorders and has been shown to delay postprandial gallbladder refilling. The gut hormones cholecystokinin (CCK), fibroblast growth factor 19 (FGF19) and glucagon‐like peptide 2 (GLP‐2), are known to regulate gallbladder motility and m...

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Veröffentlicht in:Diabetes, obesity & metabolism obesity & metabolism, 2023-06, Vol.25 (6), p.1632-1637
Hauptverfasser: Nerild, Henriette H., Brønden, Andreas, Gether, Ida M., Hellmann, Pernille H., Baekdal, Mille, Gillum, Matthew P., Svenningsen, Jens S., Hartmann, Bolette, Rathor, Naveen, Kudiyanur Muniraju, Hanna Angelene, Rehfeld, Jens F., Holst, Jens J., Vilsbøll, Tina, Sonne, David P., Knop, Filip K.
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container_end_page 1637
container_issue 6
container_start_page 1632
container_title Diabetes, obesity & metabolism
container_volume 25
creator Nerild, Henriette H.
Brønden, Andreas
Gether, Ida M.
Hellmann, Pernille H.
Baekdal, Mille
Gillum, Matthew P.
Svenningsen, Jens S.
Hartmann, Bolette
Rathor, Naveen
Kudiyanur Muniraju, Hanna Angelene
Rehfeld, Jens F.
Holst, Jens J.
Vilsbøll, Tina
Sonne, David P.
Knop, Filip K.
description Aim Liraglutide treatment is associated with gallbladder‐related disorders and has been shown to delay postprandial gallbladder refilling. The gut hormones cholecystokinin (CCK), fibroblast growth factor 19 (FGF19) and glucagon‐like peptide 2 (GLP‐2), are known to regulate gallbladder motility and may be implicated in gallbladder‐related disorders associated with liraglutide treatment. Materials and Methods In a double‐blind, 12‐week trial, 52 participants [50% male, age 47.6 ± 10.0 years, body mass index 32.6 ± 3.4 kg/m2 (mean ± standard deviation)] with obesity were randomized 1:1 to once‐daily subcutaneous liraglutide (escalated from 0.6 mg to 3.0 mg once‐daily) or placebo. During liquid meal tests performed at baseline, after the first dose and following 12 weeks of treatment, we evaluated postprandial gallbladder dynamics and plasma responses of CCK, FGF19 and GLP‐2. Results Liraglutide reduced postprandial FGF19 after the first dose [area under the curve (AUC)0‐240 min 24.8 vs. 48.0 min × ng/ml, treatment ratio (TR) (95% confidence interval) 0.52 (0.39; 0.69)] and following 12 weeks of treatment [AUC0‐240 min 33.7 vs. 48.5 ng/ml × min, TR 0.69 (0.52; 0.93)]. Liraglutide also reduced postprandial GLP‐2 responses (AUC0‐240 min 3650 vs. 4894 min × pmol/L, TR 0.75 (0.62; 0.90)] following the first dose as well as after 12 weeks [AUC0‐240 min 3760 vs. 4882 min × pmol/L, TR 0.77 (0.60; 0.99)]. Liraglutide increased postprandial responses of CCK after the first dose [AUC0‐240 min 762 vs. 670 min × pmol/L; TR 1.14 (0.97; 1.33)] and following 12 weeks of treatment [AUC0‐240 min 873 vs. 628 min × pmol/L; TR 1.39 (1.12; 1.73)]. Conclusion Compared with placebo, treatment with liraglutide decreased postprandial FGF19 and GLP‐2 concentrations and increased postprandial CCK concentrations, which may explain the delayed postprandial gallbladder refilling observed in individuals with obesity treated with liraglutide.
doi_str_mv 10.1111/dom.15017
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The gut hormones cholecystokinin (CCK), fibroblast growth factor 19 (FGF19) and glucagon‐like peptide 2 (GLP‐2), are known to regulate gallbladder motility and may be implicated in gallbladder‐related disorders associated with liraglutide treatment. Materials and Methods In a double‐blind, 12‐week trial, 52 participants [50% male, age 47.6 ± 10.0 years, body mass index 32.6 ± 3.4 kg/m2 (mean ± standard deviation)] with obesity were randomized 1:1 to once‐daily subcutaneous liraglutide (escalated from 0.6 mg to 3.0 mg once‐daily) or placebo. During liquid meal tests performed at baseline, after the first dose and following 12 weeks of treatment, we evaluated postprandial gallbladder dynamics and plasma responses of CCK, FGF19 and GLP‐2. Results Liraglutide reduced postprandial FGF19 after the first dose [area under the curve (AUC)0‐240 min 24.8 vs. 48.0 min × ng/ml, treatment ratio (TR) (95% confidence interval) 0.52 (0.39; 0.69)] and following 12 weeks of treatment [AUC0‐240 min 33.7 vs. 48.5 ng/ml × min, TR 0.69 (0.52; 0.93)]. Liraglutide also reduced postprandial GLP‐2 responses (AUC0‐240 min 3650 vs. 4894 min × pmol/L, TR 0.75 (0.62; 0.90)] following the first dose as well as after 12 weeks [AUC0‐240 min 3760 vs. 4882 min × pmol/L, TR 0.77 (0.60; 0.99)]. Liraglutide increased postprandial responses of CCK after the first dose [AUC0‐240 min 762 vs. 670 min × pmol/L; TR 1.14 (0.97; 1.33)] and following 12 weeks of treatment [AUC0‐240 min 873 vs. 628 min × pmol/L; TR 1.39 (1.12; 1.73)]. Conclusion Compared with placebo, treatment with liraglutide decreased postprandial FGF19 and GLP‐2 concentrations and increased postprandial CCK concentrations, which may explain the delayed postprandial gallbladder refilling observed in individuals with obesity treated with liraglutide.</description><identifier>ISSN: 1462-8902</identifier><identifier>EISSN: 1463-1326</identifier><identifier>DOI: 10.1111/dom.15017</identifier><identifier>PMID: 36781820</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Antidiabetics ; Blood Glucose - metabolism ; Body Mass Index ; Cholecystokinin ; clinical trial ; Diabetes Mellitus, Type 2 - complications ; Double-Blind Method ; Female ; Fibroblast growth factors ; Gallbladder ; Gallbladder - metabolism ; Gastric motility ; GLP1 ; GLP‐1 analogue ; Glucagon ; Humans ; incretin physiology ; incretin therapy ; liraglutide ; Liraglutide - pharmacology ; Liraglutide - therapeutic use ; Male ; Middle Aged ; Motility ; Obesity ; Obesity - complications ; Placebos ; Postprandial Period</subject><ispartof>Diabetes, obesity &amp; metabolism, 2023-06, Vol.25 (6), p.1632-1637</ispartof><rights>2023 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2023 The Authors. 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The gut hormones cholecystokinin (CCK), fibroblast growth factor 19 (FGF19) and glucagon‐like peptide 2 (GLP‐2), are known to regulate gallbladder motility and may be implicated in gallbladder‐related disorders associated with liraglutide treatment. Materials and Methods In a double‐blind, 12‐week trial, 52 participants [50% male, age 47.6 ± 10.0 years, body mass index 32.6 ± 3.4 kg/m2 (mean ± standard deviation)] with obesity were randomized 1:1 to once‐daily subcutaneous liraglutide (escalated from 0.6 mg to 3.0 mg once‐daily) or placebo. During liquid meal tests performed at baseline, after the first dose and following 12 weeks of treatment, we evaluated postprandial gallbladder dynamics and plasma responses of CCK, FGF19 and GLP‐2. Results Liraglutide reduced postprandial FGF19 after the first dose [area under the curve (AUC)0‐240 min 24.8 vs. 48.0 min × ng/ml, treatment ratio (TR) (95% confidence interval) 0.52 (0.39; 0.69)] and following 12 weeks of treatment [AUC0‐240 min 33.7 vs. 48.5 ng/ml × min, TR 0.69 (0.52; 0.93)]. Liraglutide also reduced postprandial GLP‐2 responses (AUC0‐240 min 3650 vs. 4894 min × pmol/L, TR 0.75 (0.62; 0.90)] following the first dose as well as after 12 weeks [AUC0‐240 min 3760 vs. 4882 min × pmol/L, TR 0.77 (0.60; 0.99)]. Liraglutide increased postprandial responses of CCK after the first dose [AUC0‐240 min 762 vs. 670 min × pmol/L; TR 1.14 (0.97; 1.33)] and following 12 weeks of treatment [AUC0‐240 min 873 vs. 628 min × pmol/L; TR 1.39 (1.12; 1.73)]. Conclusion Compared with placebo, treatment with liraglutide decreased postprandial FGF19 and GLP‐2 concentrations and increased postprandial CCK concentrations, which may explain the delayed postprandial gallbladder refilling observed in individuals with obesity treated with liraglutide.</description><subject>Adult</subject><subject>Antidiabetics</subject><subject>Blood Glucose - metabolism</subject><subject>Body Mass Index</subject><subject>Cholecystokinin</subject><subject>clinical trial</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Fibroblast growth factors</subject><subject>Gallbladder</subject><subject>Gallbladder - metabolism</subject><subject>Gastric motility</subject><subject>GLP1</subject><subject>GLP‐1 analogue</subject><subject>Glucagon</subject><subject>Humans</subject><subject>incretin physiology</subject><subject>incretin therapy</subject><subject>liraglutide</subject><subject>Liraglutide - pharmacology</subject><subject>Liraglutide - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motility</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Placebos</subject><subject>Postprandial Period</subject><issn>1462-8902</issn><issn>1463-1326</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp10c9PwyAUB3BiNG5OD_4DpokXPXQDuhZ6NPNnMrOLngkF2rHQUqGd2X8vrtODiVzeg3zyzQsPgEsEpyicmbT1FKUQkSMwRvMsiVGCs-N9j2OaQzwCZ95vIITzhJJTMEoyQhHFcAzqpXa8Mn2npYrEmjeV8lFrfdc63kjNTeSUb23jw7Mto6rvorV1tW3CXTdba7ZKhibq1irIqje807bZU25MYbiUykW17bTR3e4cnJTceHVxqBPw_vjwtniOl6unl8XdMhYJpSSmOIyZQIHzUCVMaIazDJYwlQIjhbCay1LgFNMiRxzlKYZlCSXnpeBpIXKSTMDNkNs6-9Er37Fae6GM4Y2yvWeYkCxFaYZpoNd_6Mb2rgnTMUwhTSEhCAV1OyjhrPdOlax1uuZuxxBk3ztgYQdsv4Ngrw6JfVEr-St_Pj2A2QA-tVG7_5PY_ep1iPwCY-GRLg</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Nerild, Henriette H.</creator><creator>Brønden, Andreas</creator><creator>Gether, Ida M.</creator><creator>Hellmann, Pernille H.</creator><creator>Baekdal, Mille</creator><creator>Gillum, Matthew P.</creator><creator>Svenningsen, Jens S.</creator><creator>Hartmann, Bolette</creator><creator>Rathor, Naveen</creator><creator>Kudiyanur Muniraju, Hanna Angelene</creator><creator>Rehfeld, Jens F.</creator><creator>Holst, Jens J.</creator><creator>Vilsbøll, Tina</creator><creator>Sonne, David P.</creator><creator>Knop, Filip K.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4898-2256</orcidid><orcidid>https://orcid.org/0000-0002-0456-6787</orcidid><orcidid>https://orcid.org/0000-0002-3529-8228</orcidid><orcidid>https://orcid.org/0000-0002-2495-5034</orcidid><orcidid>https://orcid.org/0000-0003-1262-3769</orcidid></search><sort><creationdate>202306</creationdate><title>Liraglutide changes postprandial responses of gut hormones involved in the regulation of gallbladder motility</title><author>Nerild, Henriette H. ; Brønden, Andreas ; Gether, Ida M. ; Hellmann, Pernille H. ; Baekdal, Mille ; Gillum, Matthew P. ; Svenningsen, Jens S. ; Hartmann, Bolette ; Rathor, Naveen ; Kudiyanur Muniraju, Hanna Angelene ; Rehfeld, Jens F. ; Holst, Jens J. ; Vilsbøll, Tina ; Sonne, David P. ; Knop, Filip K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-8238730c29387d03862660f05dc21e12e4dfc2528b91a19520ff0daafca5bc973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Antidiabetics</topic><topic>Blood Glucose - metabolism</topic><topic>Body Mass Index</topic><topic>Cholecystokinin</topic><topic>clinical trial</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Fibroblast growth factors</topic><topic>Gallbladder</topic><topic>Gallbladder - metabolism</topic><topic>Gastric motility</topic><topic>GLP1</topic><topic>GLP‐1 analogue</topic><topic>Glucagon</topic><topic>Humans</topic><topic>incretin physiology</topic><topic>incretin therapy</topic><topic>liraglutide</topic><topic>Liraglutide - pharmacology</topic><topic>Liraglutide - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motility</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Placebos</topic><topic>Postprandial Period</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nerild, Henriette H.</creatorcontrib><creatorcontrib>Brønden, Andreas</creatorcontrib><creatorcontrib>Gether, Ida M.</creatorcontrib><creatorcontrib>Hellmann, Pernille H.</creatorcontrib><creatorcontrib>Baekdal, Mille</creatorcontrib><creatorcontrib>Gillum, Matthew P.</creatorcontrib><creatorcontrib>Svenningsen, Jens S.</creatorcontrib><creatorcontrib>Hartmann, Bolette</creatorcontrib><creatorcontrib>Rathor, Naveen</creatorcontrib><creatorcontrib>Kudiyanur Muniraju, Hanna Angelene</creatorcontrib><creatorcontrib>Rehfeld, Jens F.</creatorcontrib><creatorcontrib>Holst, Jens J.</creatorcontrib><creatorcontrib>Vilsbøll, Tina</creatorcontrib><creatorcontrib>Sonne, David P.</creatorcontrib><creatorcontrib>Knop, Filip K.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; 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The gut hormones cholecystokinin (CCK), fibroblast growth factor 19 (FGF19) and glucagon‐like peptide 2 (GLP‐2), are known to regulate gallbladder motility and may be implicated in gallbladder‐related disorders associated with liraglutide treatment. Materials and Methods In a double‐blind, 12‐week trial, 52 participants [50% male, age 47.6 ± 10.0 years, body mass index 32.6 ± 3.4 kg/m2 (mean ± standard deviation)] with obesity were randomized 1:1 to once‐daily subcutaneous liraglutide (escalated from 0.6 mg to 3.0 mg once‐daily) or placebo. During liquid meal tests performed at baseline, after the first dose and following 12 weeks of treatment, we evaluated postprandial gallbladder dynamics and plasma responses of CCK, FGF19 and GLP‐2. Results Liraglutide reduced postprandial FGF19 after the first dose [area under the curve (AUC)0‐240 min 24.8 vs. 48.0 min × ng/ml, treatment ratio (TR) (95% confidence interval) 0.52 (0.39; 0.69)] and following 12 weeks of treatment [AUC0‐240 min 33.7 vs. 48.5 ng/ml × min, TR 0.69 (0.52; 0.93)]. Liraglutide also reduced postprandial GLP‐2 responses (AUC0‐240 min 3650 vs. 4894 min × pmol/L, TR 0.75 (0.62; 0.90)] following the first dose as well as after 12 weeks [AUC0‐240 min 3760 vs. 4882 min × pmol/L, TR 0.77 (0.60; 0.99)]. Liraglutide increased postprandial responses of CCK after the first dose [AUC0‐240 min 762 vs. 670 min × pmol/L; TR 1.14 (0.97; 1.33)] and following 12 weeks of treatment [AUC0‐240 min 873 vs. 628 min × pmol/L; TR 1.39 (1.12; 1.73)]. Conclusion Compared with placebo, treatment with liraglutide decreased postprandial FGF19 and GLP‐2 concentrations and increased postprandial CCK concentrations, which may explain the delayed postprandial gallbladder refilling observed in individuals with obesity treated with liraglutide.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>36781820</pmid><doi>10.1111/dom.15017</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4898-2256</orcidid><orcidid>https://orcid.org/0000-0002-0456-6787</orcidid><orcidid>https://orcid.org/0000-0002-3529-8228</orcidid><orcidid>https://orcid.org/0000-0002-2495-5034</orcidid><orcidid>https://orcid.org/0000-0003-1262-3769</orcidid><oa>free_for_read</oa></addata></record>
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1463-1326
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source MEDLINE; Wiley Journals
subjects Adult
Antidiabetics
Blood Glucose - metabolism
Body Mass Index
Cholecystokinin
clinical trial
Diabetes Mellitus, Type 2 - complications
Double-Blind Method
Female
Fibroblast growth factors
Gallbladder
Gallbladder - metabolism
Gastric motility
GLP1
GLP‐1 analogue
Glucagon
Humans
incretin physiology
incretin therapy
liraglutide
Liraglutide - pharmacology
Liraglutide - therapeutic use
Male
Middle Aged
Motility
Obesity
Obesity - complications
Placebos
Postprandial Period
title Liraglutide changes postprandial responses of gut hormones involved in the regulation of gallbladder motility
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