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American Physiological Society, AJP - Endocrinology and Metabolism, 4(306), p. E355-E362, 2014

DOI: 10.1152/ajpendo.00283.2013

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GLP-1 increases microvascular recruitment but not glucose uptake in human and rat skeletal muscle

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

The insulinotropic gut hormone, glucagon-like-peptide-1 (GLP-1) has been proposed to have effects on vascular function and glucose disposal. However, whether GLP-1 is able to increase microvascular recruitment (MVR) in humans has not been investigated. GLP-1 was infused in the femoral artery in overnight fasted healthy young men. Microvascular recruitment was measured with real time contrast-enhanced ultrasound and leg glucose uptake by the leg balance technique with and without inhibition of the insulinotropic response of GLP-1 by co-infusion of octreotide. As a positive control, MVR and leg glucose uptake were measured during a hyperinsulinemic euglycemic clamp. Infusion of GLP-1 caused a rapid increase (P<0.05) of 20%±12% (mean ± SE) in MVR in the vastus lateralis muscle of the infused leg after 5 min and MVR further increased to 60%±8% above pre-infusion levels by 60 min infusion. The effect was slightly slower but similar in magnitude in the non-infused contralateral leg in which GLP-1 concentration was within the physiological range. Octreotide-infusion did not prevent the GLP-1 induced increase in MVR. GLP-1 infusion did not increase leg glucose uptake with or without octreotide co-infusion. GLP-1 infusion in rats increased MVR by 28% (P<0.05) but did not increase muscle glucose uptake. During the hyperinsulinemic clamp, MVR increased ~40% and leg glucose uptake increased 24 fold. It is concluded that GLP-1 in physiological concentrations causes a rapid insulin-independent increase in muscle MVR, but does not affect muscle glucose uptake. Thus, increasing microvascular recruitment without concomitant direct effects on muscle does not increase glucose uptake.