L-cell differentiation is induced by bile acids through GPBAR1 and paracrine GLP-1 and serotonin signaling

ML Lund, G Sorrentino, KL Egerod, C Kroone… - Diabetes, 2020 - diabetesjournals.org
ML Lund, G Sorrentino, KL Egerod, C Kroone, B Mortensen, FK Knop, F Reimann…
Diabetes, 2020diabetesjournals.org
Glucagon-like peptide 1 (GLP-1) mimetics are effective drugs for treatment of type 2
diabetes, and there is consequently extensive interest in increasing endogenous GLP-1
secretion and L-cell abundance. Here we identify G-protein–coupled bile acid receptor 1
(GPBAR1) as a selective regulator of intestinal L-cell differentiation. Lithocholic acid and the
synthetic GPBAR1 agonist, L3740, selectively increased L-cell density in mouse and human
intestinal organoids and elevated GLP-1 secretory capacity. L3740 induced expression of …
Glucagon-like peptide 1 (GLP-1) mimetics are effective drugs for treatment of type 2 diabetes, and there is consequently extensive interest in increasing endogenous GLP-1 secretion and L-cell abundance. Here we identify G-protein–coupled bile acid receptor 1 (GPBAR1) as a selective regulator of intestinal L-cell differentiation. Lithocholic acid and the synthetic GPBAR1 agonist, L3740, selectively increased L-cell density in mouse and human intestinal organoids and elevated GLP-1 secretory capacity. L3740 induced expression of Gcg and transcription factors Ngn3 and NeuroD1. L3740 also increased the L-cell number and GLP-1 levels and improved glucose tolerance in vivo. Further mechanistic examination revealed that the effect of L3740 on L cells required intact GLP-1 receptor and serotonin 5-hydroxytryptamine receptor 4 (5-HT4) signaling. Importantly, serotonin signaling through 5-HT4 mimicked the effects of L3740, acting downstream of GLP-1. Thus, GPBAR1 agonists and other powerful GLP-1 secretagogues facilitate L-cell differentiation through a paracrine GLP-1–dependent and serotonin-mediated mechanism.
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