NMDA Receptor Antagonists Increase the Release of GLP-1 From Gut Endocrine Cells
Malgorzata Cyranka1, Thomas Monfeuga2, Natascia Vedovato1
1Department of Physiology, Anatomy and Genetics, Sherrington Building, University of Oxford, Oxford, United Kingdom.
Abstract:
Type 2 diabetes mellitus (T2DM) remains one of the most pressing health issues facing modern society. Several antidiabetic drugs are currently in clinical use to treat hyperglycaemia, but there is a need for new treatments that effectively restore pancreatic islet function in patients. Recent studies reported that both murine and human pancreatic islets exhibit enhanced insulin release and β-cell viability in response to N-methyl-D-aspartate (NMDA) receptor antagonists. Furthermore, oral administration of dextromethorphan, an over-the-counter NMDA receptor antagonist, to diabetic patients in a small clinical trial showed improved glucose tolerance and increased insulin release. However, the effects of NMDA receptor antagonists on the secretion of the incretin hormone GLP-1 was not tested, and nothing is known regarding how NMDA receptor antagonists may alter the secretion of gut hormones. This study demonstrates for the first time that, similar to β-cells, the NMDA receptor antagonist MK-801 increases the release of GLP-1 from a murine L-cell enteroendocrine model cell line, GLUTag cells. Furthermore, we report the 3' mRNA expression profiling of GLUTag cells, with a specific focus on glutamate-activated receptors. We conclude that if NMDA receptor antagonists are to be pursued as an alternative, orally administered treatment for T2DM, it is essential that the effects of these drugs on the release of gut hormones, and specifically the incretin hormones, are fully investigated.
Insights
N-methyl-D-aspartate (NMDA) receptor antagonists, like MK-801, increase glucagon-like peptide-1 (GLP-1) release from gut cells. Further research is crucial to understand their potential as treatments for type 2 diabetes mellitus (T2DM).
Area of Science:
- Endocrinology and Metabolism
- Neuropharmacology
- Molecular Biology
Background:
- Type 2 diabetes mellitus (T2DM) is a significant global health challenge requiring novel therapeutic strategies.
- Existing antidiabetic drugs primarily manage hyperglycemia, but restoring pancreatic islet function is a critical unmet need.
- N-methyl-D-aspartate (NMDA) receptor antagonists have shown potential in enhancing insulin release and beta-cell viability.
Purpose of the Study:
- To investigate the effects of NMDA receptor antagonists on the secretion of the incretin hormone glucagon-like peptide-1 (GLP-1).
- To explore the impact of NMDA receptor antagonists on gut hormone secretion.
- To analyze the mRNA expression profile of glutamate-activated receptors in enteroendocrine cells.
Main Methods:
- Utilized a murine L-cell enteroendocrine cell line (GLUTag cells) as a model system.
- Administered the NMDA receptor antagonist MK-801 to assess its effect on GLP-1 release.
- Performed 3' mRNA expression profiling of GLUTag cells, focusing on glutamate-activated receptors.
Main Results:
- Demonstrated that MK-801 significantly increases GLP-1 release from GLUTag cells.
- Provided evidence that NMDA receptor antagonists can modulate incretin hormone secretion.
- Characterized the expression of glutamate-activated receptors within the enteroendocrine cell model.
Conclusions:
- NMDA receptor antagonists, exemplified by MK-801, stimulate GLP-1 secretion from enteroendocrine cells.
- The findings highlight the necessity of investigating the influence of NMDA receptor antagonists on gut hormone release.
- Thorough evaluation of effects on gut and incretin hormones is essential before considering NMDA receptor antagonists for T2DM treatment.
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