The Impact of Gall Bladder Emptying and Bile Acids on the Human GLP-1-secretion

• Status: Completed
• Trial end date: 2014-04-01
• Target enrollment: 0
• Participant gender: Male

Summary

The last couple of years it has been shown that bile acids not only acts as simple emulsifiers of fat, but constitutes a complex metabolic integrator which not only have an influence on fat digestion and lipid metabolism, but also modulates the energy expenditure in (brown) adipose tissue and muscle tissue. This action is due to stimulation of the receptor TGR5 by bile acids. Recently scientists have discovered that this receptor in rodents is also expressed on the surface of intestinal L-cells (which normally secrets Glucagon-Like Peptide-1 (GLP-1) in response to nutrient stimulation). The stimulation of this receptor has shown a GLP-1 secretion from the intestinal cells which is interesting since GLP-1 has a central role in maintaining normal glucose tolerance and thus blood sugar. Given the above, bile acids has an important impact on intestinal GLP-1 secretion. Whether these scientific findings can be proven in human beings is uncertain.

The primary hypothesis is that stimulating gall bladder emptying via Cholecystokinin (CCK) in healthy subjects will result in a significant GLP-1 response. We also hypothesize that adding orally Metformin or a sequestrant ("a bile acid binder") will further enhance this GLP-1 response.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Filip Krag Knop
• Collaborator: University of Copenhagen
• Treatments: Acetaminophen; Bile Acids and Salts; Cholecystokinin; Colesevelam Hydrochloride; Metformin

Criteria

Inclusion Criteria:

• HbA1c < 6,0%

• Not anaemic

• Written informed consent

Exclusion Criteria:

• Liver disease

• Nephropathy

• fasting plasma glucose > 5,6mM

• Diabetes running in the family (parents or grandparents)

• Any medical treatment

• A former medical history of liver- or bile disease

• any surgical procedure conducted in the abdomen

• Body mass index < 18,5 kg/m2 or > 25 kg/m2