Endocrinology Vol. 138, No. 11 4837-4843
Copyright © 1997 by The Endocrine Society
Circulating and Tissue Forms of the Intestinal Growth Factor, Glucagon-Like Peptide-21
Patricia L. Brubaker,
Anna Crivici,
Angelo Izzo,
Peter Ehrlich,
Chun-Hui Tsai and
Daniel J. Drucker2
Departments of Physiology (P.L.B.) and Medicine (P.L.B., P.E.,
C.-H.T., D.J.D.) and Banting and Best Diabetes Center (D.J.D.),
University of Toronto, Toronto, Canada; and Allelix Biopharmaceuticals,
Inc. (A.C.), Mississauga, Ontario, Canada
Address all correspondence and requests for reprints to: Dr. P. L. Brubaker, Room 3366, Medical Sciences Building, University of Toronto, Toronto, Ontario, Canada M5S 1A8. E-mail: p.brubaker{at}utoronto.ca
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Abstract
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Glucagon-like peptide-2 (GLP-2) has recently been identified as a
stimulator of intestinal epithelial growth, prompting the development
of RIA and HPLC methodologies to study this peptide in more detail. A
GLP-2-specific antiserum (UTTH-7) was developed that recognizes amino
acids 2530 of human and rat GLP-2-(133). UTTH-7 cross-reacts with
N- and C-terminally modified forms of GLP-2, proglucagon, and the major
proglucagon fragment. Analysis of rat ileal extracts demonstrated the
presence of GLP-2-(133) as well as significant amounts of
GLP-2-(333) (16 ± 7% of total GLP-2). The level of total
immunoreactive GLP-2 in plasma from fasted rats was 700 ± 71
pg/ml, and this increased 3.6-fold (P < 0.001) in 24-h fed rats.
HPLC analysis demonstrated the presence of both GLP-2-(133) and
GLP-2-(333) in plasma from fasted rats, with increments in both
peptides in plasma from fed rats. Immunoreactive GLP-2 increased in
plasma from human subjects 2 h after a meal, rising from 851
± 230 to 1106 ± 211 pg/ml (P < 0.05);
15 ± 4% of this immunoreactivity was accounted for by the
presence of intact GLP-2. HPLC showed the presence of both
GLP-2-(133) and GLP-2-(333) in plasma from fed humans. Incubation
of human GLP-2-(133) with the enzyme dipeptidylpeptidase IV resulted
in liberation of GLP-2-(333), whereas replacement of Ala2
with Gly2 prevented this cleavage. Thus, while
GLP-2-(133) is a major circulating and tissue form of GLP-2,
GLP-2-(333) is a significant component of immunoreactive GLP-2 in
both intestine and plasma.
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Introduction
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TISSUE-SPECIFIC cleavage of proglucagon in
the pancreatic A and intestinal L cell gives rise to a distinct profile
of proglucagon-derived peptides (PGDPs) in each tissue. Glucagon and
the major proglucagon fragment [MPGF; contains glucagon-like peptide-1
(GLP-1) and GLP-2] predominate in the A cell, whereas glicentin,
oxyntomodulin, GLP-1, and GLP-2 constitute the intestinal
proglucagon-derived peptides (1, 2, 3, 4, 5, 6). Identification of GLP-1 as a
potent regulator of glucose-dependent insulin secretion stimulated the
development of RIAs that have now been used in many studies to describe
the control of GLP-1 synthesis, secretion, and metabolism (1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12). In contrast, lack of a known biological function for GLP-2
has resulted in a comparative paucity of studies on this intestinal
PGDP. To date, only three GLP-2 RIAs have been developed, and only
limited information is available on the molecular forms of this peptide
in pancreas and intestine of the rat, pig, and human (1, 2, 10, 11, 12, 13, 14).
Most of these studies, including those on rat tissues, used molecular
sieving approaches for the separation of GLP-2 and related peptides,
thereby precluding the detection of any closely related peptides of
similar mol wt. Furthermore, the circulating forms of GLP-2 have not
been extensively studied, with only a single report describing the
release of immunoreactive human (h) GLP-2 into the circulation after a
meal (12).
We have recently identified GLP-2 as a stimulator of intestinal
epithelial proliferation (15, 16, 17). Subcutaneous administration of GLP-2
to mice twice daily for 10 days induces a 1.5- to 2-fold increment in
small intestine weight. These changes occur consequent to stimulation
of crypt cell proliferation and result in increased villous height
(15, 16, 17). The establishment of a biological activity for GLP-2 has
therefore necessitated the development of specific RIA and HPLC methods
to analyze the synthesis, secretion, and molecular forms of this
peptide so that its regulation might be studied in detail.
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Materials and Methods
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Antiserum UTTH-7 was raised against synthetic rat GLP-2-(133)
by consecutive immunization of a New Zealand White rabbit (Cocalico
Biologicals, Reamstown, PA). The final antiserum dilution used was
1:25,000, which gives approximately 35% binding of the tracer. As
neither rat nor human GLP-2-(133) contains a Tyr residue for
iodination, tracer was initially prepared by iodination of
His1 using the chloramine-T method, as described for His
iodination of secretin (18). In later studies, an analog of GLP-2 was
synthesized with a carboxy-terminal Tyr34 tagged onto human
GLP-2 [GLP-2-(133)-Tyr34; California Peptide Research,
Napa, CA]. This peptide behaved identically to the original
[125I-His1]hGLP-2-(133) tracer in antiserum
binding studies (data not shown). Tracer was purified to a specific
activity of 600 Ci/mmol by reverse phase adsorption to a cartridge of
C18 silica (Waters Associates, Milford, MA) and elution
with 80% (vol/vol) isopropanol containing 0.1% (vol/vol)
trifluoroacetic acid (TFA), as described previously (4, 5, 6, 19). The
standard used was human GLP-2-(134) (Peninsula Laboratories, Belmont,
CA), although antiserum UTTH-7 bound rat GLP-2-(133) equally (data
not shown). RIA was carried out according to the protocol described by
Orskov and Holst (12), with a 6-day incubation of standards/samples (in
0.2 ml), tracer (5000 cpm in 0.1 ml), and antiserum (in 0.1 ml) in Tris
buffer (0.1 M Tris, 0.05 M NaCl, 20
mM EDTA, 0.6 mM thimerosol, 400,000 kallikrein
inhibitory units/liter Trasylol, and 2 g/liter human serum albumin),
followed by charcoal separation of bound and free counts (by
centrifugation at 1300 x g after a 1-h incubation with
0.023 g Norit A charcoal in 1.5 ml Tris buffer containing 17% normal
sheep serum). GLP-2 analogs, glicentin, and intervening peptide-2 for
competition curves were synthesized by the American Peptide Co.
(Sunnyvale, CA) or California Peptide Research; all other structurally
related peptides were obtained from Bachem California (Torrance, CA).
The intra- and interassay variations were 3.6% and 8.3%,
respectively, and the limits of detection were 102,000 pg/tube. RIA
for N-terminal GLP-2 immunoreactivity using antiserum 92160 (a gift
from Dr. J. J. Holst, Copenhagen, Denmark) was carried out as
described for that using antiserum UTTH-7, with a final antiserum
dilution of 1:18,750. RIA for glucagon-containing peptides
[glucagon-like immunoreactivity (GLI)] was carried out using
antiserum K4023 (Biospecific, Emeryville, CA), which recognizes
proglucagon, glicentin, oxyntomodulin, and glucagon, as previously
described (4, 5, 6).
Peptides contained in 5 cm rat ileum or half of a rat pancreas (n
= 3) were extracted by homogenization in 1 N HCl containing
5% (vol/vol) formic acid, 1% (vol/vol) TFA, and 1% (wt/vol) NaCl,
followed by reverse phase extraction using C18 silica
(4, 5, 6). The tissue protein contents of ileal and pancreatic extracts
were 2411 ± 207 and 3027 ± 269 µg, respectively, as
determined by the Lowry protein assay (20).
In feeding experiments, rats (n = 45) were fasted for 2224 h
(fasted) or were allowed free access to chow without fasting (fed).
Normal human volunteers (males and females, aged 2332 yr; n = 6)
were fasted overnight, and a blood sample was collected before (fasted)
and after (fed) a small breakfast, consisting of coffee and a donut
(
220 cal). Plasma was also collected from two groups of patients
using a protocol approved by the Toronto Hospital ethics committee. In
brief, one group of patients (n = 4) was examined before and after
abdominal surgery, and a second group of patients with chronic renal
failure (n = 6) was studied pre- and postdialysis. All plasma
samples were collected into a 10% volume of Trasylol-EDTA-diprotin A
[5000 kallikrein inhibitory units/ml (Miles Canada, Etobicoke,
Canada):1.2 mg/ml:0.1 mM; a dipeptidylpeptidase IV (DP IV;
CD26; EC 3.4.14.5) inhibitor (21); Sigma Chemical Co., St. Louis, MO]
and were subjected to reverse phase extraction using C18
silica after addition of 2 vol 1% TFA (pH adjusted to 2.5 with
diethylamine) (4).
Proglucagon was obtained by reverse phase extraction of Baby Hamster
Kidney (BHK) proglucagon cells, which express the proglucagon gene
under the control of a metallothionein promoter, but do not process
proglucagon to any of the PGDPs (6, 22).
HPLC separation of GLP-2-related peptides was carried out using one of
three protocols. Separation of proglucagon, glicentin, oxyntomodulin,
glucagon, and GLP-2 was accomplished using a C18
µBondapak column (Waters Associates) with a linear gradient of
acetonitrile and TFA [2562.5% (vol/vol) B over 45 min, followed by
a 10-min purge; A = 1.0% (vol/vol) TFA (pH adjusted to 2.5 with
diethylamine); B = 80% (vol/vol) acetonitrile] (4, 5, 6). The flow
rate was 1.5 ml/min, and fractions were collected every 18 sec. Trace
amounts of [125I]glucagon were added to all samples to
serve as an internal control. Mol wt analysis of pancreatic
immunoreactive GLP-2 was carried out on two Protein-Pak 125 columns
(Waters Associates) in series with isocratic elution using 40%
(vol/vol) acetonitrile and 0.1% (vol/vol) TFA. The flow rate was 1
ml/min, and 0.5-min fractions were collected. Cytochrome c
(12.5 kDa), Trasylol (6.5 kDa), and [125I]glucagon (3.5
kDa) were used as mol wt markers (6). Finally, GLP-2-related peptides
in plasma were separated using a gradient of 3060% (vol/vol) B over
45 min [A = 0.1% (vol/vol) TFA in water; B = 0.1%
(vol/vol) TFA in acetonitrile], followed by a purge. The flow rate was
1.5 ml/min, and 18-sec fractions were collected. Trace amounts of
[125I]GLP-2-(133)-Tyr34 were added to all
samples as an internal marker.
Incubation of hGLP-2-(133) and [Gly2]hGLP-2-(133)
(from California Peptide Research) was carried out in 40 mM
PBS, pH 6.5. Ten micrograms of peptide in 50 µl PBS were incubated
with 2.5 µl (0.125 mU) human DP IV (SA, 5000 mU/mg protein;
Calbiochem, San Diego, CA) at 37 C for 24 h. The reaction was
quenched by addition of 200 µg diprotin A. The samples were then
analyzed by HPLC as described above for plasma samples, using a Rainin
Dynamax C18 column (Mandel, Guelph, Ontario, Canada).
Elution was monitored by absorption at 214 nm.
Recovery of exogenously added GLP-2 from intestinal, pancreatic, and
plasma samples after reverse phase extraction was 84 ± 17%.
Statistical analyses were carried out using paired Students
t test or ANOVA with n-1 custom hypotheses tests, as
appropriate, using an SAS system for IBM computers (Statistical
Analysis Systems, Cary, NC).
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Results
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The sequences of human and rat GLP-2 are shown in Fig. 1a
. Binding of
[125I]hGLP-2-(133)-Tyr34 to antiserum
UTTH-7 was displaced by synthetic human GLP-2-(134) as well as by
N-terminally extended [acetylated GLP-2-(133)] or truncated
[GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) and GLP-2-(5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33)] analogs of GLP-2 (Fig. 1b
).
Similarly, binding was not affected by addition of a C-terminal
extension to GLP-2 [GLP-2-(133)NH2], or removal of the
three C-terminal amino acids [GLP-2-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30)]. However, antiserum
binding of the trace was not displaced by GLP-2-(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25), which is
lacking eight C-terminal amino acids. Thus, the antigenic site
recognized by UTTH-7 was localized to amino acids 25 and 30 of GLP-2.
UTTH-7 did not bind any other peptides that are structurally related to
GLP-2, including other PGDPs (Fig. 1c
).

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Figure 1. Amino acid sequences of human and rat
GLP-2-(133). The addition of a single Arg residue in the Peninsula
Laboratories hGLP-2-(134) peptide is indicated by a
bracket. The single amino acid difference between human
and rat GLP-2-(133) is underlined, and the amino acids
cleaved off by DP IV are indicated in bold (a).
Displacement of antiserum UTTH-7 binding by different concentrations of
GLP-2 analogs (b) or of structurally related peptides (c) is shown.
h134, Standard hGLP-2-(134) (n = 4). Other GLP-2 analogs are
indicated according to the structural modification of the rat
GLP-2-(133) sequence.
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RIA of rat ileal and pancreatic extracts demonstrated the presence of
immunoreactive GLP-2 (189 ± 49 and 100 ± 15 ng,
respectively). After separation of the peptides by HPLC, RIA for GLI
demonstrated the presence of glicentin and oxyntomodulin, but not of
glucagon, in ileal extracts (Fig. 2
). One
major peak of immunoreactive GLP-2 was detected that eluted with the
same retention time as synthetic rat GLP-2-(133). Unexpectedly,
variable amounts of a minor peak of GLP-2 were also detected in all
samples (16 ± 7% of total GLP-2), which eluted with the same
retention time as synthetic rat GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33). In contrast with the
intestinal samples, rat pancreatic extracts contained glucagon, but no
other glucagon-containing peptide (e.g. glicentin or
oxyntomodulin). No peak of GLP-2 could be detected after HPLC
separation of pancreatic peptides despite the detection of
immunoreactive peptide in the whole extract before HPLC.

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Figure 2. HPLC analysis of 5 cm rat ileum (upper
panel) and half of a rat pancreas (lower panel)
for immunoreactive GLP-2 (solid line) and GLI
(dashed line). Glicentin, oxyntomodulin, and glucagon
are identified based upon the results of previous studies (46).
Synthetic GLP-2-(133) and GLP-2-(333) eluted in fractions 130 and
133, respectively, using this HPLC method. Data are representative of
four experiments.
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To determine whether the GLP-2 immunoreactivity detected in rat
pancreas was due to the presence of large GLP-2-containing peptides
such as MPGF, pancreatic samples were subjected to molecular mass
analysis. One major peak of immunoreactive GLP-2 was detected, which
eluted with a molecular mass consistent with that of MPGF (10 kDa; Fig. 3
). Antiserum UTTH-7 also cross-reacted
with proglucagon, as determined by HPLC and RIA analysis of BHK
proglucagon cells (data not shown).

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Figure 3. HPLC molecular mass analysis of immunoreactive
GLP-2 contained in extracts of rat pancreas. Cytochrome
c (CytC), 13.5 kDa; Trasylol (Tras), 6.5 kDa;
[125I]glucagon (Gluc), 3.5 kDa. Data are representative
of two experiments.
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The basal concentration of immunoreactive GLP-2 in plasma from fasted
rats was 700 ± 71 pg/ml, and this was increased 3.6-fold
(P < 0.001) in 24-h fed rats (Fig. 4a
). Analysis of the immunoreactive GLP-2
by HPLC demonstrated the existence of three main peaks in plasma from
fasted rats, two of which eluted with the same retention time as
synthetic GLP-2-(133) and GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) (Fig. 4b
). The levels of
GLP-2-(133) and GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) were both markedly increased in plasma
from fed rats. The minor peak of immunoreactive GLP-2 (fraction 63) has
not been identified, but did not change with feeding.

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Figure 4. a, Total immunoreactive GLP-2 concentrations in
plasma collected from 24-h fasted or fed rats (n = 45). ***,
P < 0.001. b, HPLC analysis of immunoreactive
GLP-2 in 1 ml plasma from 24-h fasted or fed rats. Synthetic rat
GLP-2-(133) and GLP-2-(333) eluted in fractions 67 and 72,
respectively, using this HPLC method.
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In normal human volunteers, plasma levels of immunoreactive GLP-2
increased from 851 ± 230 to 1106 ± 211 pg/ml 2 h after
an approximately 220-cal meal (P < 0.05; Fig. 5a
). To determine the contribution of
intact GLP-2 to these values, a second GLP-2 RIA was established using
antiserum 92160, which cross-reacts with the free N-terminal end of rat
and human GLP-2, but not with N-terminally truncated forms of GLP-2
(e.g. GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33); Fig. 5a
, inset). Analysis of
several of the human plasma samples using antiserum 92160 indicated
that GLP-2 levels rose from 116 ± 22 to 197 ± 98 pg/ml
2 h postfeeding. Thus, intact GLP-2 accounts for 15 ± 4% of
the total GLP-2 immunoreactivity in human plasma. Total immunoreactive
GLP-2 levels were also determined using antiserum UTTH-7 in plasma from
patients undergoing abdominal surgery as well as dialysis. Pre- and
postsurgery concentrations of GLP-2 were not different from those found
in normal fasted humans. By contrast, patients with chronic renal
failure exhibited markedly increased levels of circulating GLP-2
(4.1-fold vs. normal humans; P < 0.01), and
these levels were not significantly decreased after dialysis. HPLC
analysis of plasma from fed humans indicated the presence of two main
peaks of GLP-2 that eluted with the same retention times as
GLP-2-(133) and GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) (Fig. 5b
).

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Figure 5. a, Total immunoreactive GLP-2 levels in human
plasma collected pre- and post-feeding (n = 6), abdominal surgery
(n = 4), and dialysis (n = 6). The open bars
shown for the feeding studies represent the data obtained using the
N-terminally directed antiserum 92160. *, P <
0.05. Inset, Binding of antiserum 92160 to
hGLP-2-(134) () and rat GLP-2-(333) ( ). b, HPLC analysis of
immunoreactive GLP-2 in 1 ml plasma collected from fed human subjects.
Synthetic hGLP-2-(133) and rat GLP-2-(333) eluted in fractions 67
and 72, respectively, using this HPLC method. Data are representative
of two experiments.
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We have previously demonstrated that rat GLP-2-(133) is cleaved by
the enzyme DP IV to liberate GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) (23). To establish whether
human GLP-2 is also subject to DP IV-mediated cleavage, hGLP-2-(133)
was incubated with DP IV, and the products were analyzed by HPLC (Fig. 6a
). Greater than 50% of the
hGLP-2-(133) was cleaved to GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) by DP IV, as confirmed by
mass spectrometry and amino acid analysis of the products. To confirm
that Ala2, a known consensus sequence for DP IV cleavage
(24), is important for the action of DP IV on GLP-2, an analog of GLP-2
was synthesized in which Ala2 was replaced by
Gly2 ([Gly2]hGLP-2-(133)]; this peptide
was completely resistant to cleavage by DP IV (Fig. 6b
).

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Figure 6. HPLC analysis of hGLP-2-(133) (a) and
[Gly2]hGLP-2-(133) (b) before (top) and
after (bottom) incubation with DP IV. The peaks marked A
and B represent intact [hGLP-2-(133) or
[Gly2]hGLP-2-(133)] and truncated [hGLP-2-(333)]
peptide, respectively, as determined by mass spectrometry and amino
acid analysis.
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Discussion
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The recent demonstration that GLP-2 is a potent stimulator of
intestinal epithelial proliferation (15, 16, 17) has stimulated the
development of sensitive methods for the detection and characterization
of this peptide in tissues and plasma. We report here the
characterization of an antiserum that recognizes GLP-2-(25, 26, 27, 28, 29, 30) and
thus cross-reacts with N-terminally extended and truncated forms of
GLP-2 as well as with C-terminally extended GLP-2 and GLP-2 lacking the
C-terminal three amino acids. Analysis of BHK proglucagon cells
demonstrated that this antiserum also cross-reacts with proglucagon.
Thus, antiserum UTTH-7 recognizes many different forms of GLP-2,
including potential metabolites as well as precursor proteins.
Consistent with the results of previous studies, the present analyses
have demonstrated that GLP-2-(133) is liberated from proglucagon in
the intestinal L cell, whereas pancreatic GLP-2 is contained within the
sequence of MPGF, a large protein that contains the sequences of both
GLP-1 and GLP-2 (1, 2, 10, 11). The results of the present study extend
these earlier findings by demonstrating significant amounts of
GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) in rat ileum. This peptide has not previously been
detected by mol wt sieving of rat, pig, or human intestinal tissues (2, 10, 11). However, separation of GLP-2-(133) and GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) is
difficult, requiring reverse phase HPLC with a relatively shallow
gradient (
0.67% acetonitrile/min) and a very rapid fraction
collection rate (18 sec/fraction).
Immunoreactive GLP-2 levels were elevated 1.5- to 3.6-fold in fed
compared with fasted rats and humans, consistent with previous reports
of a 50% rise in immunoreactive GLP-2 levels after nutrient ingestion
in humans (12). Similar studies have demonstrated that GLP-1 levels in
humans also rise after nutrient ingestion (12, 25) in parallel with the
increments in circulating levels of immunoreactive GLP-2 (12). Such
findings are anticipated based upon the known cosynthesis of GLP-1 and
GLP-2 from proglucagon within the L cell (1, 2, 3, 4, 5, 6). However, the results
of the present study further demonstrate that in addition to
full-length GLP-2, amino-terminally truncated GLP-2 [e.g.
GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33)] is a major constituent of circulating GLP-2 (50 ±
6% of the total). It must be noted, however, that GLP-2-(133)
appears to account for only a small percentage of total immunoreactive
GLP-2 in the circulation. Thus, the higher levels of total GLP-2
immunoreactivity detected using antiserum UTTH-7 probably reflect
contributions from GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) as well as pancreatic MPGF.
DP IV-mediated cleavage of rat GLP-2-(133) results in the production
of GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) and appears to be an important determinant of GLP-2
bioactivity (23). DP IV removes the first two amino acids from proteins
containing N-terminal penultimate alanine or proline residues (24). The
results of our experiments establish that human GLP-2 is also subject
to DP IV-mediated cleavage. Furthermore, a GLP-2 analog containing
glycine at position 2 is resistant to DP IV cleavage, consistent with
the importance of Ala2 for DP IV action. Similar studies on
the structurally related hormones GLP-1, glucose-dependent
insulinotropic peptide, GH-releasing hormone, and
peptide-histidine-methionine, have demonstrated that all of these
structurally related peptides that contain alanine at position 2 are
also subject to degradation by DP IV (26, 27, 28, 29, 30, 31).
DP IV is distributed in a number of tissues, with the highest levels
found in kidney, followed by lung, skin, and intestine (32).
Interestingly, within the small intestine, DP IV concentrations
increase in the aboral direction (33) and along the crypt-villous axis
(34). The expression of DP IV within the intestinal epithelium may
account for the detection of GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) in ileal extracts. However,
circulating and/or tissue DP IV may contribute to the presence of
larger amounts of GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) in plasma. Further studies are clearly
required to elucidate the site of degradation of circulating GLP-2. It
must be noted, however, that GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) was detected in plasma even
in the presence of diprotin A, a DP IV-specific inhibitor (21), thereby
suggesting that GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33) is a normally circulating peptide. These
findings emphasize the importance of collection of plasma for GLP-2
analyses in diprotin A to prevent further degradation of the peptide
during storage and demonstrate the importance of analytical methods
that distinguish between these two forms of the peptide.
Analysis of plasma from a limited number of patients undergoing
abdominal surgery did not demonstrate any changes in the circulating
levels of GLP-2. It must be noted, however, that this study did not
include any patients undergoing resection of the small intestine, which
might be expected to alter circulating levels of the intestinal PGDPs,
including GLP-2. In contrast, GLP-2 levels were markedly elevated in
patients with chronic renal failure, indicating a role for the kidney
in the clearance of circulating immunoreactive GLP-2. Renal clearance
accounts for removal of a number of the intestinal PGDPs, including
glicentin, oxyntomodulin, GLP-1, and GLP-2 (35, 36, 37). However, most of
the circulating immunoreactive GLP-2 in human plasma appears to be
consequent to accumulation of immunoreactive peptides other than intact
GLP-2, such as truncated GLP-2 and/or MPGF. Thus, the results of these
studies clearly demonstrate the need for detailed studies on the
clearance of GLP-2 and related peptides from the circulation.
In summary, the results of the present study demonstrate that
GLP-2-(133) is a major form of intestinal GLP-2 that is released into
the circulation in both rats and humans. However, GLP-2-(3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33), a
degradation product produced by the actions of DP IV, is present in
both the intestine and circulation, implicating this enzyme as a
regulator of the molecular forms of GLP-2 in vivo.
 |
Acknowledgments
|
|---|
We are grateful to Dr. J. J. Holst (Copenhagen, Denmark)
for the gift of antiserum 92160.
 |
Footnotes
|
|---|
1 This work was supported in part by grants from the National Science
and Engineering Research Council of Canada, Allelix Biopharmaceuticals
(Mississauga, Canada), and the Medical Research Council of Canada. 
2 Scientist of the Medical Research Council of Canada and a consultant
to Allelix Biopharmaceuticals. 
Received April 8, 1997.
 |
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