The incretin effect delineates the phenomenon that an oral glucose load elicits a
higher insulin response than does an intravenous glucose load. Responsible for this
effect are two hormones, glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like
peptide-1 (GLP-1). In patients with type 2 diabetes mellitus the overall incretin
effect is reduced. This fact is mostly put down to an obviously lowered insulinotropic
effect of GIP, while the effect of GLP-1 is vastly preserved. In order to better understand
the consequences of impaired function of GIP, knockout mice lacking a functional GIP
receptor (GIPR-/-) as well as transgenic mice expressing a dominant negative GIPR (GIPRdn) were established. While GIPR-/- mice show only relatively mild changes in glucose homeostasis, GIPRdn mice develop severe diabetes mellitus due to disturbed development of the endocrine
pancreas. To further clarify the underlying mechanisms we generated transgenic pigs
expressing a GIPRdn under the control of the rat Ins2 promoter (RIP). RIP-GIPRdn transgenic pigs develop normally and do not develop diabetes mellitus up to at least
one year of age. However, similar as observed in GIPR-/- mice, RIP-GIPRdn transgenic pigs exhibited reduced insulin release and higher glucose levels in an
oral glucose tolerance test than non-transgenic littermate controls. The area under
the curve (AUC) for insulin was 49% smaller (p<0.01), the AUC for glucose 26% larger
(p<0.05) in RIP-GIPRdn transgenic pigs (n=5) than in their non-transgenic littermate controls (n=5). These
findings demonstrate that expression of a GIPRdn, which was shown by RT-PCR in isolated pancreatic islets, disturbs the function of
GIP in transgenic pigs. Thus we have created a novel animal model, which is more similar
to the human than the mouse physiology, for studying the roles of the GIP/GIPR system.
Quantitative morphological studies of the pancreas are being performed to clarify
whether islet development of RIP-GIPRdn transgenic pigs is disturbed like in the mouse model.
This study was supported by the DFG (GRK1029).