Postnatal and postprandial changes in plasma concentrations of glicentin in term and preterm infants

R Tadokoro1, T Shimizu, A Hosaka

  • 1Department of Paediatrics, Juntendo University School of Medicine, Tokyo, Japan.

Insights

Glicentin levels are higher in young children and increase after birth and feeding in infants. This suggests glicentin is crucial for intestinal growth in early life, especially in normal and low birthweight infants.

Area of Science:

  • Endocrinology
  • Pediatric Gastroenterology
  • Neonatology

Background:

  • Glicentin, an enteroglucagon component, influences intestinal mucosal trophic action.
  • Understanding glicentin's role is key to infant gut development.

Purpose of the Study:

  • To examine basal plasma glicentin concentrations in developing children.
  • To investigate postnatal and postprandial changes in infant plasma glicentin levels.

Main Methods:

  • Measured fasting plasma glicentin in healthy children and term/preterm infants.
  • Collected samples before and 30 minutes post-feeding during the first 14 days of life.

Main Results:

  • Higher basal glicentin in children under 1 year vs. 1-15 years.
  • Significantly increased basal glicentin in normal birthweight (NBW) and low birthweight (LBW) infants at 5-6 and 14 days post-birth compared to 1-2 days.
  • Postprandial glicentin increased significantly in NBW and LBW infants by 5-6 days, but not until 14 days in very-low birthweight (VLBW) infants.
  • No significant differences in glicentin levels between breastfed and formula-fed infants.

Conclusions:

  • Glicentin likely plays a vital role in intestinal mucosal growth during infancy.
  • Further research is needed to clarify glicentin's function in very-low birthweight infants.
Abstract

Related Concept Videos

Hormones Regulating Blood Glucose01:16

Hormones Regulating Blood Glucose

Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Oral Hypoglycemic Agents: Glinides01:06

Oral Hypoglycemic Agents: Glinides

Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively manages...
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by the...
Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a significant...