PMID- 38218319 OWN - NLM STAT- MEDLINE DCOM- 20240305 LR - 20240330 IS - 1938-3207 (Electronic) IS - 0002-9165 (Print) IS - 0002-9165 (Linking) VI - 119 IP - 3 DP - 2024 Mar TI - Dietary impact on fasting and stimulated GLP-1 secretion in different metabolic conditions - a narrative review. PG - 599-627 LID - S0002-9165(24)00005-4 [pii] LID - 10.1016/j.ajcnut.2024.01.007 [doi] AB - Glucagon-like peptide 1 (GLP-1), a gastrointestinal peptide and central mediator of glucose metabolism, is secreted by L cells in the intestine in response to food intake. Postprandial secretion of GLP-1 is triggered by nutrient-sensing via transporters and G-protein-coupled receptors (GPCRs). GLP-1 secretion may be lower in adults with obesity/overweight (OW) or type 2 diabetes mellitus (T2DM) than in those with normal glucose tolerance (NGT), but these findings are inconsistent. Because of the actions of GLP-1 on stimulating insulin secretion and promoting weight loss, GLP-1 and its analogs are used in pharmacologic preparations for the treatment of T2DM. However, physiologically stimulated GLP-1 secretion through the diet might be a preventive or synergistic method for improving glucose metabolism in individuals who are OW, or have impaired glucose tolerance (IGT) or T2DM. This narrative review focuses on fasting and postprandial GLP-1 secretion in individuals with different metabolic conditions and degrees of glucose intolerance. Further, the influence of relevant diet-related factors (e.g., specific diets, meal composition, and size, phytochemical content, and gut microbiome) that could affect fasting and postprandial GLP-1 secretion are discussed. Some studies showed diminished glucose- or meal-stimulated GLP-1 response in participants with T2DM, IGT, or OW compared with those with NGT, whereas other studies have reported an elevated or unchanged GLP-1 response in T2DM or IGT. Meal composition, especially the relationship between macronutrients and interventions targeting the microbiome can impact postprandial GLP-1 secretion, although it is not clear which macronutrients are strong stimulants of GLP-1. Moreover, glucose tolerance, antidiabetic treatment, grade of overweight/obesity, and sex were important factors influencing GLP-1 secretion. The results presented in this review highlight the potential of nutritional and physiologic stimulation of GLP-1 secretion. Further research on fasting and postprandial GLP-1 concentrations and the resulting metabolic consequences under different metabolic conditions is needed. CI - Copyright (c) 2024 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Huber, Hanna AU - Huber H AD - Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at the University of Gothenburg, Institute of Neuroscience and Physiology, Molndal, Sweden; Department Nutrition and Microbiota, University of Bonn, Institute of Nutrition and Food Science, Bonn, Germany. FAU - Schieren, Alina AU - Schieren A AD - Department Nutrition and Microbiota, University of Bonn, Institute of Nutrition and Food Science, Bonn, Germany. FAU - Holst, Jens Juul AU - Holst JJ AD - Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark; The Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark. FAU - Simon, Marie-Christine AU - Simon MC AD - Department Nutrition and Microbiota, University of Bonn, Institute of Nutrition and Food Science, Bonn, Germany. Electronic address: marie-christine.simon@uni-bonn.de. LA - eng PT - Journal Article PT - Review DEP - 20240111 PL - United States TA - Am J Clin Nutr JT - The American journal of clinical nutrition JID - 0376027 RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - 0 (Insulin) RN - 0 (Blood Glucose) SB - IM MH - Adult MH - Humans MH - Glucagon-Like Peptide 1/metabolism MH - *Diabetes Mellitus, Type 2/metabolism MH - Glucose Tolerance Test MH - Insulin/metabolism MH - Blood Glucose/metabolism MH - Overweight MH - Diet MH - Fasting MH - *Glucose Intolerance/metabolism MH - Obesity MH - Postprandial Period/physiology PMC - PMC10972717 OTO - NOTNLM OT - glucagon-like peptide 1 OT - glucose tolerance OT - human OT - meal challenge OT - postprandial metabolism OT - type 2 diabetes mellitus EDAT- 2024/01/14 12:42 MHDA- 2024/03/05 06:45 PMCR- 2024/01/11 CRDT- 2024/01/13 19:30 PHST- 2023/09/07 00:00 [received] PHST- 2024/01/03 00:00 [revised] PHST- 2024/01/09 00:00 [accepted] PHST- 2024/03/05 06:45 [medline] PHST- 2024/01/14 12:42 [pubmed] PHST- 2024/01/13 19:30 [entrez] PHST- 2024/01/11 00:00 [pmc-release] AID - S0002-9165(24)00005-4 [pii] AID - 10.1016/j.ajcnut.2024.01.007 [doi] PST - ppublish SO - Am J Clin Nutr. 2024 Mar;119(3):599-627. doi: 10.1016/j.ajcnut.2024.01.007. Epub 2024 Jan 11.