PMID- 11093948 OWN - NLM STAT- MEDLINE DCOM- 20010102 LR - 20181130 IS - 0193-1857 (Print) IS - 0193-1857 (Linking) VI - 279 IP - 6 DP - 2000 Dec TI - GLP-2 stimulates intestinal growth in premature TPN-fed pigs by suppressing proteolysis and apoptosis. PG - G1249-56 AB - We wished to determine whether exogenous glucagon-like peptide (GLP)-2 infusion stimulates intestinal growth in parenterally fed immature pigs. Piglets (106-108 days gestation) were given parenteral nutrient infusion (TPN), TPN + human GLP-2 (25 nmol. kg(-1). day(-1)), or sow's milk enterally (ENT) for 6 days. Intestinal protein synthesis was then measured in vivo after a bolus dose of [1-(13)C]phenylalanine, and degradation was calculated from the difference between protein accretion and synthesis. Crypt cell proliferation and apoptosis were measured in situ by 5-bromodeoxyuridine (BrdU) and terminal dUTP nick-end labeling (TUNEL), respectively. Intestinal protein and DNA accretion rates and villus heights were similar in GLP-2 and ENT pigs, and both were higher (P < 0.05) than in TPN pigs. GLP-2 decreased fractional protein degradation rate, whereas ENT increased fractional protein synthesis rate compared with TPN pigs. Percentage of TUNEL-positive cells in GLP-2 and ENT groups was 48 and 64% lower, respectively, than in TPN group (P < 0.05). However, ENT, but not GLP-2, increased percentage of BrdU-positive crypt cells above that in TPN piglets. We conclude that GLP-2 increases intestinal growth in premature, TPN-fed pigs by decreasing proteolysis and apoptosis, whereas enteral nutrition acts via increased protein synthesis and cell proliferation and decreased apoptosis. FAU - Burrin, D G AU - Burrin DG AD - United States Department of Agriculture, Agricultural Research Service, Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas 77030, USA. FAU - Stoll, B AU - Stoll B FAU - Jiang, R AU - Jiang R FAU - Petersen, Y AU - Petersen Y FAU - Elnif, J AU - Elnif J FAU - Buddington, R K AU - Buddington RK FAU - Schmidt, M AU - Schmidt M FAU - Holst, J J AU - Holst JJ FAU - Hartmann, B AU - Hartmann B FAU - Sangild, P T AU - Sangild PT LA - eng GR - R01-HD-33920/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Physiol Gastrointest Liver Physiol JT - American journal of physiology. Gastrointestinal and liver physiology JID - 100901227 RN - 0 (Dietary Proteins) RN - 0 (Glucagon-Like Peptide 2) RN - 0 (Peptides) RN - 62340-29-8 (Glucagon-Like Peptides) SB - IM MH - Animals MH - Animals, Newborn MH - *Apoptosis MH - Dietary Proteins/*metabolism MH - Enteral Nutrition MH - Female MH - Gastric Mucosa/metabolism MH - Glucagon-Like Peptide 2 MH - Glucagon-Like Peptides MH - Humans MH - In Situ Nick-End Labeling MH - Intestinal Mucosa/metabolism MH - Intestine, Large/drug effects/growth & development/metabolism MH - Intestines/drug effects/*growth & development MH - Male MH - Pancreas/drug effects/growth & development/metabolism MH - *Parenteral Nutrition, Total MH - Peptides/blood/*pharmacology MH - Stomach/drug effects/growth & development MH - Swine EDAT- 2000/11/30 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/11/30 11:00 PHST- 2000/11/30 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/11/30 11:00 [entrez] AID - 10.1152/ajpgi.2000.279.6.G1249 [doi] PST - ppublish SO - Am J Physiol Gastrointest Liver Physiol. 2000 Dec;279(6):G1249-56. doi: 10.1152/ajpgi.2000.279.6.G1249.