Inflammation meets metabolic disease: Gut feeling mediated by GLP-1

Chronic diseases such as obesity and diabetes, cardiovascular and inflammatory bowel diseases (IBD) share common features in their pathology. Metabolic disorders exhibit strong inflammatory underpinnings and vice versa, inflammation is associated with metabolic alterations. Next to cytokines and cel...

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Main Authors: Tamara eZietek, Eva eRath
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2016.00154/full
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author Tamara eZietek
Eva eRath
author_facet Tamara eZietek
Eva eRath
author_sort Tamara eZietek
collection DOAJ
description Chronic diseases such as obesity and diabetes, cardiovascular and inflammatory bowel diseases (IBD) share common features in their pathology. Metabolic disorders exhibit strong inflammatory underpinnings and vice versa, inflammation is associated with metabolic alterations. Next to cytokines and cellular stress pathways like the unfolded protein response (UPR), alterations in the enteroendocrine system are intersections of various pathologies. Enteroendocrine cells (EEC) have been studied extensively for their ability to regulate gastrointestinal motility, secretion, and insulin release by release of peptide hormones. In particular the L cell-derived incretin hormone glucagon-like peptide 1 (GLP-1) has gained enormous attention due to its insulinotropic action and relevance in the treatment of type 2 diabetes (T2D). Yet, accumulating data indicates a critical role for EEC and in particular for GLP-1 in metabolic adaptation and in orchestrating immune responses beyond blood glucose control. EEC sense the lamina propria and luminal environment including the microbiota via receptors and transporters. Subsequently mediating signals by secreting hormones and cytokines, EEC can be considered as integrators of metabolic and inflammatory signaling.This review focuses on L cell and GLP-1 functions in the context of metabolic and inflammatory diseases. The effects of incretin-based therapies on metabolism and immune system are discussed and the interrelation and common features of metabolic and immune-mediated disorders are highlighted. Moreover, it presents data on the impact of inflammation, in particular of IBD on EEC and discusses the potential role of the microbiota as link between nutrients, metabolism, immunity and disease.
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spelling doaj.art-03cfbeb1ccb6483b9f38903b60d5cdf12022-12-22T01:23:47ZengFrontiers Media S.A.Frontiers in Immunology1664-32242016-04-01710.3389/fimmu.2016.00154185349Inflammation meets metabolic disease: Gut feeling mediated by GLP-1Tamara eZietek0Eva eRath1Technische Universität MünchenTechnische Universität MünchenChronic diseases such as obesity and diabetes, cardiovascular and inflammatory bowel diseases (IBD) share common features in their pathology. Metabolic disorders exhibit strong inflammatory underpinnings and vice versa, inflammation is associated with metabolic alterations. Next to cytokines and cellular stress pathways like the unfolded protein response (UPR), alterations in the enteroendocrine system are intersections of various pathologies. Enteroendocrine cells (EEC) have been studied extensively for their ability to regulate gastrointestinal motility, secretion, and insulin release by release of peptide hormones. In particular the L cell-derived incretin hormone glucagon-like peptide 1 (GLP-1) has gained enormous attention due to its insulinotropic action and relevance in the treatment of type 2 diabetes (T2D). Yet, accumulating data indicates a critical role for EEC and in particular for GLP-1 in metabolic adaptation and in orchestrating immune responses beyond blood glucose control. EEC sense the lamina propria and luminal environment including the microbiota via receptors and transporters. Subsequently mediating signals by secreting hormones and cytokines, EEC can be considered as integrators of metabolic and inflammatory signaling.This review focuses on L cell and GLP-1 functions in the context of metabolic and inflammatory diseases. The effects of incretin-based therapies on metabolism and immune system are discussed and the interrelation and common features of metabolic and immune-mediated disorders are highlighted. Moreover, it presents data on the impact of inflammation, in particular of IBD on EEC and discusses the potential role of the microbiota as link between nutrients, metabolism, immunity and disease.http://journal.frontiersin.org/Journal/10.3389/fimmu.2016.00154/fullCytokinesDiabetes MellitusEnteroendocrine CellsIncretinsInflammationInterleukin-6
spellingShingle Tamara eZietek
Eva eRath
Inflammation meets metabolic disease: Gut feeling mediated by GLP-1
Frontiers in Immunology
Cytokines
Diabetes Mellitus
Enteroendocrine Cells
Incretins
Inflammation
Interleukin-6
title Inflammation meets metabolic disease: Gut feeling mediated by GLP-1
title_full Inflammation meets metabolic disease: Gut feeling mediated by GLP-1
title_fullStr Inflammation meets metabolic disease: Gut feeling mediated by GLP-1
title_full_unstemmed Inflammation meets metabolic disease: Gut feeling mediated by GLP-1
title_short Inflammation meets metabolic disease: Gut feeling mediated by GLP-1
title_sort inflammation meets metabolic disease gut feeling mediated by glp 1
topic Cytokines
Diabetes Mellitus
Enteroendocrine Cells
Incretins
Inflammation
Interleukin-6
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2016.00154/full
work_keys_str_mv AT tamaraezietek inflammationmeetsmetabolicdiseasegutfeelingmediatedbyglp1
AT evaerath inflammationmeetsmetabolicdiseasegutfeelingmediatedbyglp1