Abstract
Proteins activate small intestinal calcium sensing receptor (CaSR) and/or peptide transporter 1 (PepT1) to increase hormone secretion1,2,3,4,5,6,7,8, but the effect of small intestinal protein sensing and the mechanistic potential of CaSR and/or PepT1 in feeding and glucose regulation remain inconclusive. Here we show that, in male rats, CaSR in the upper small intestine is required for casein infusion to increase glucose tolerance and GLP1 and GIP secretion, which was also dependent on PepT1 (ref. 9). PepT1, but not CaSR, is required for casein infusion to lower feeding. Upper small intestine casein sensing fails to regulate feeding, but not glucose tolerance, in high-fat-fed rats with decreased PepT1 but increased CaSR expression. In the ileum, a CaSR-dependent but PepT1-independent pathway is required for casein infusion to lower feeding and increase glucose tolerance in chow-fed rats, in parallel with increased PYY and GLP1 release, respectively. High fat decreases ileal CaSR expression and disrupts casein sensing on feeding but not on glucose control, suggesting an ileal CaSR-independent, glucose-regulatory pathway. In summary, we discover small intestinal CaSR- and PepT1-dependent and -independent protein sensing mechanisms that regulate gut hormone release, feeding and glucose tolerance. Our findings highlight the potential of targeting small intestinal CaSR and/or PepT1 to regulate feeding and glucose tolerance.
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Acknowledgements
R.J.W.L. is supported by an Ontario Graduate Scholarship. D.R.B. is supported by a Canadian Institutes of Health Research (CIHR) graduate scholarship. R.K. is supported by a CIHR graduate scholarship and a Banting and Best Diabetes Centre (BBDC) graduate scholarship. Y.-M.L. was supported by a BBDC-Kangbuk Samsung postdoctoral fellowship. A.G. was supported by a BBDC Charles Hollenberg summer studentship. S.-Y.Z. is supported by a CIHR postdoctoral fellowship. J.L.B. holds grant funds from NSERC-Discovery, BBDC-New Researcher award, Drucker family innovation grant and CIHR. This work was supported by a CIHR grant (no. PJT-183901) to T.K.T.L., who holds a Tier 1 Canada Research Chair in Diabetes and Obesity at the Toronto General Hospital Research Institute and the University of Toronto.
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R.J.W.L. and D.R.B. designed and conducted experiments, performed data analysis and wrote the manuscript. R.K., Y.-M.L., A.G., J.L.B. and S.-Y.Z. assisted with experiments. T.K.T.L. supervised the project, designed experiments and edited the manuscript.
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Extended data
Extended Data Fig. 1 Supporting data relating to Fig. 1.
a, Working hypothesis. b,c, Experimental timelines of (b) IVGTT and (c) fasting-refeeding studies. d,e, Food intake upon refeeding of chow rats following USI infusions of (d) Sal (n = 11) or Cas (n = 8) after NPS pre-infusion, or (e) Sal (n = 12) or Cas (n = 12) after 4-AMBA pre-infusion.*p < 0.05, **p < 0.01 determined by two-tailed t-test. Sal, saline; Cas, casein; NPS, NPS2143; 4-AMBA, 4-aminobenzoicacid. Data are presented as mean ± s.e.m.
Extended Data Fig. 2 Supporting data relating to Fig. 2.
a,b, Pre-experimental (a) bodyweight and (b) cumulative 3-day food intake of chow (n = 64) and HF (n = 27) rats with USI cannulation before refeeding experiments. c,d, Pre-experimental (c) bodyweight and (d) cumulative 3-day food intake of USI chow (n = 36) ad HF (n = 54) USI rats before IVGTT. e,f, Pre-experimental (e) bodyweight and (f) cumulative 3-day food intake of chow (n = 27) and HF (n = 37) USI rats with USI lentiviral (LV) injections before IVGTT studies. g-i, Plasma glucose levels during IVGTT (inset: AUC) of HF rats (g) with USI shMM receiving USI Sal (n = 5) or Cas (n = 7), or (h) no viral injection receiving 4AMBA+Sal (n = 8) or 4AMBA+Cas (n = 8), or (i) with USI shPepT1 receiving USI Sal (n = 7) or Cas (n = 5). j,k, Experimental timeline for collection of blood collection for gut hormone assay in the context of (j) fasting-refeeding or (k) IVGTT studies. l, Plasma levels of GLP1, GIP, and PYY receiving USI Sal (n= 7,6,7) or Cas (n = 8,7,8). *p < 0.05, **p < 0.01 determined by two-tailed t-test or multiple t-tests for IVGTT (g-i). Sal, saline; Cas, casein; 4AMBA, 4-aminobenzoicacid. Data are presented as mean ± s.e.m.
Extended Data Fig. 3 Supporting data relating to Fig. 3.
a,b, Food intake upon refeeding of chow rats (a) with Ile shMM injection after Ile Sal (n = 9) or Cas (n = 12), or (b) of non-viral injected rats receiving Ile Sal (n = 8) or Cas (n = 10) after 4AMBA pre-infusion. c,d, Pre-experimental (c) bodyweight and (d) cumulative 3-day food intake of chow (n = 46) and HF (n = 24) rats with Ile cannulation before undergoing refeeding experiments. Ile, ileum; Sal, saline; Cas, casein; 4AMBA, 4-aminobenzoicacid. *p < 0.05, **p < 0.01 as determined by two-tailed t-tests. Mann Whitney test is used for non-parametric data sets determined by Shapiro-Wilk test. Data are presented as mean ± s.e.m.
Extended Data Fig. 4 Supporting data relating to Fig. 4.
a, Plasma glucose levels during IVGTT (inset: AUC) of Ile shCaSR rats receiving Ile Sal (n = 5) or Cas (n = 5). b,c, Pre-experimental (b) bodyweight and (c) cumulative food intake of chow (n = 53) and HF (n = 37) diet rats with Ile and vascular cannulation before undergoing IVGTT studies. d,e, Plasma glucose levels during IVGTT (inset: AUC) of (d) HF rats receiving Ile 4AMBA+Sal (n = 7) or 4AMBA+Cas (n = 6), or (e) of Ile shPepT1-injected HF rats receiving Ile Sal (n = 8) or Cas (n = 7). *p < 0.05, **p < 0.01 as determined by two-tailed t-tests or multiple t-tests for IVGTT (a,d,e). Mann Whitney test is used for non-parametric data sets determined by Shapiro-Wilk test. Ile, ileum; Sal, saline; Cas, casein; 4AMBA, 4-aminobenzoicacid. Data are presented as mean ± s.e.m.
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Li, R.J.W., Barros, D.R., Kuah, R. et al. Small intestinal CaSR-dependent and CaSR-independent protein sensing regulates feeding and glucose tolerance in rats. Nat Metab 6, 39–49 (2024). https://doi.org/10.1038/s42255-023-00942-4
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DOI: https://doi.org/10.1038/s42255-023-00942-4