The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15

Abstract The hormone GDF15 is secreted in response to cellular stressors. Metformin elevates circulating levels of GDF15, an action important for the drug’s beneficial effects on body weight. Metformin can also inhibit mammalian respiratory complex I, leading to decreases in ATP:AMP ratio, activatio...

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Main Authors: John W. R. Kincaid, Debra Rimmington, John A. Tadross, Irene Cimino, Ilona Zvetkova, Arthur Kaser, Paul Richards, Satish Patel, Stephen O’Rahilly, Anthony P. Coll
Format: Article
Language:English
Published: Nature Portfolio 2024-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-51866-2
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author John W. R. Kincaid
Debra Rimmington
John A. Tadross
Irene Cimino
Ilona Zvetkova
Arthur Kaser
Paul Richards
Satish Patel
Stephen O’Rahilly
Anthony P. Coll
author_facet John W. R. Kincaid
Debra Rimmington
John A. Tadross
Irene Cimino
Ilona Zvetkova
Arthur Kaser
Paul Richards
Satish Patel
Stephen O’Rahilly
Anthony P. Coll
author_sort John W. R. Kincaid
collection DOAJ
description Abstract The hormone GDF15 is secreted in response to cellular stressors. Metformin elevates circulating levels of GDF15, an action important for the drug’s beneficial effects on body weight. Metformin can also inhibit mammalian respiratory complex I, leading to decreases in ATP:AMP ratio, activation of AMP Kinase (AMPK), and increased GDF15 production. We undertook studies using a range of mice with tissue-specific loss of Gdf15 (namely gut, liver and global deletion) to determine the relative contributions of two classical metformin target tissues, the gut and liver, to the elevation of GDF15 seen with metformin. In addition, we performed comparative studies with another pharmacological agent, the AMP kinase pan-activator, MK-8722. Deletion of Gdf15 from the intestinal epithelium significantly reduced the circulating GDF15 response to oral metformin, whereas deletion of Gdf15 from the liver had no effect. In contrast, deletion of Gdf15 from the liver, but not the gut, markedly reduced circulating GDF15 responses to MK-8722. Further, our data show that, while GDF15 restricts high-fat diet-induced weight gain, the intestinal production of GDF15 is not necessary for this effect. These findings add to the body of evidence implicating the intestinal epithelium in key aspects of the pharmacology of metformin action.
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spelling doaj.art-36d415474a95447299258e0b0a1879b62024-03-05T16:28:52ZengNature PortfolioScientific Reports2045-23222024-01-0114111310.1038/s41598-024-51866-2The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15John W. R. Kincaid0Debra Rimmington1John A. Tadross2Irene Cimino3Ilona Zvetkova4Arthur Kaser5Paul Richards6Satish Patel7Stephen O’Rahilly8Anthony P. Coll9Institute of Metabolic Science, University of CambridgeInstitute of Metabolic Science, University of CambridgeInstitute of Metabolic Science, University of CambridgeInstitute of Metabolic Science, University of CambridgeInstitute of Metabolic Science, University of CambridgeCambridge Institute of Therapeutic Immunology and Infectious Disease, Jeffrey Cheah Biomedical Centre, University of CambridgeKallyope, Inc.Institute of Metabolic Science, University of CambridgeInstitute of Metabolic Science, University of CambridgeInstitute of Metabolic Science, University of CambridgeAbstract The hormone GDF15 is secreted in response to cellular stressors. Metformin elevates circulating levels of GDF15, an action important for the drug’s beneficial effects on body weight. Metformin can also inhibit mammalian respiratory complex I, leading to decreases in ATP:AMP ratio, activation of AMP Kinase (AMPK), and increased GDF15 production. We undertook studies using a range of mice with tissue-specific loss of Gdf15 (namely gut, liver and global deletion) to determine the relative contributions of two classical metformin target tissues, the gut and liver, to the elevation of GDF15 seen with metformin. In addition, we performed comparative studies with another pharmacological agent, the AMP kinase pan-activator, MK-8722. Deletion of Gdf15 from the intestinal epithelium significantly reduced the circulating GDF15 response to oral metformin, whereas deletion of Gdf15 from the liver had no effect. In contrast, deletion of Gdf15 from the liver, but not the gut, markedly reduced circulating GDF15 responses to MK-8722. Further, our data show that, while GDF15 restricts high-fat diet-induced weight gain, the intestinal production of GDF15 is not necessary for this effect. These findings add to the body of evidence implicating the intestinal epithelium in key aspects of the pharmacology of metformin action.https://doi.org/10.1038/s41598-024-51866-2
spellingShingle John W. R. Kincaid
Debra Rimmington
John A. Tadross
Irene Cimino
Ilona Zvetkova
Arthur Kaser
Paul Richards
Satish Patel
Stephen O’Rahilly
Anthony P. Coll
The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
Scientific Reports
title The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
title_full The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
title_fullStr The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
title_full_unstemmed The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
title_short The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
title_sort gastrointestinal tract is a major source of the acute metformin stimulated rise in gdf15
url https://doi.org/10.1038/s41598-024-51866-2
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