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Mechanisms Underlying Gut Hormone Secretion Using the Isolated Perfused Rat Small Intestine
Published on: February 26, 2019
Review article: glucagon-like peptide 2--current applications and future directions
K Wallis1, J R F Walters, A Forbes
1Division of Medicine, Imperial College, Hammersmith Hospital, London, UK.
Glucagon-like peptide 2 (GLP-2) enhances gut health and shows therapeutic potential for short bowel syndrome and Crohn's disease. Further research into its bone metabolism effects and long-term safety is warranted.
Area of Science:
- Gastroenterology
- Endocrinology
- Molecular Biology
Background:
- Glucagon-like peptide 2 (GLP-2) is an intestinal peptide growth factor.
- GLP-2 specifically regulates gut mucosal morphology, function, and integrity.
Purpose of the Study:
- To review the molecular biology, mechanisms of action, and physiological properties of GLP-2.
- To discuss recent clinical data on GLP-2 as a therapeutic agent.
Main Methods:
- Literature search using Medline.
- Review of reference lists from key publications.
Main Results:
- GLP-2 is effective in improving fluid absorption in short bowel syndrome.
- GLP-2 demonstrates superiority over placebo in inducing remission for Crohn's disease.
- Emerging data suggest GLP-2 may offer a new treatment for osteoporosis via bone metabolism effects.
Conclusions:
- GLP-2 shows promise for treating various gastrointestinal injuries by improving barrier function and mucosal healing.
- Long-term use of GLP-2 requires careful consideration of safety aspects due to its potent growth-promoting nature.
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