Back to Authors

Kim, Doe-Young

A5113532110

Mayo Clinic

Enteric Neuroscience Program, Gastroenterology Research Unit, and

Citations 1

Effect of GLP-1 on gastric volume, emptying, maximum volume ingested, and postprandial symptoms in humans

American Journal of Physiology-Gastrointestinal and Liver Physiology | December 24, 2017 | Volume: 282 | Issue: 3 | Pages: G424-G431

10.1152/ajpgi.2002.282.3.g424 | PMID 11841992

Glucagon-like peptide-1 (GLP-1) relaxes the stomach during fasting but decreases hunger and food consumption and retards gastric emptying. The interrelationships between volume, emptying, and postprandial symptoms in response to GLP-1 are unclear. We performed, in healthy human volunteers, a placebo-controlled study of the effects of intravenous GLP-1 on gastric volume using99mTc-single photon emission computed tomography imaging, gastric emptying of a nutrient liquid meal (Ensure) using scintigraphy, maximum tolerated volume (MTV) of Ensure, and postprandial symptoms 30 min after MTV. The role of vagal cholinergic function in the effects of GLP-1 was assessed by human pancreatic polypeptide (HPP) response to the Ensure meal. GLP-1 increased fasting and postprandial gastric volumes and retarded gastric emptying; MTV and postprandial symptoms were not different compared with controls. Effects on postprandial gastric function were associated with reduced postprandial HPP levels. GLP-1 does not induce postprandial symptoms despite significant inhibition of gastric emptying and vagal function; this may be partly explained by the increase in postprandial gastric volume.