Exogenous Glucagon-like Peptide 2 Counteracts Exogenous Cholecystokinin-induced Gallbladder Contraction in Healthy Men

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

Exogenous GLP-2 counteracts exogenous CCK-induced gallbladder emptying in healthy men, pointing to a possible therapeutic potential for GLP-2 as a relaxing modulator of gallbladder smooth muscle tone (eg, as a bridge to surgery in biliary colic). The effect may also explain the gallbladder-related adverse events reported for GLP-2 receptor agonists used in the treatment of short bowel syndrome.

Study context

Population
Healthy men in the fasted state; mean (SD) age 24.7 (3.6) years, BMI 22.9 (1.6) kg/m²4 experimental days each
Participants
15 men
Comparison
GLP-2 vs placebo infusion, with and without CCK infusion
Primary endpoint
Gallbladder volume measured by ultrasonography
Follow-up
Baseline and throughout the 4-hour study day
Methodological detailsdouble-blind, placebo-controlled, crossover
  • Double-blind
  • Placebo-controlled
  • Crossover

Primary result

As reported in the abstract

Gallbladder volume · throughout 4-hour study day
  • GLP-2 + placebo did not affect gallbladder volume vs placebo + placebo
  • Combined with CCK, GLP-2 completely abolished the strong gallbladder-contracting effect seen with CCK + placebo, restoring baseline gallbladder volume

Original publication

Exogenous Glucagon-like Peptide 2 Counteracts Exogenous Cholecystokinin-induced Gallbladder Contraction in Healthy Men. J Clin Endocrinol Metab. Published 18 June 2024. doi:10.1210/clinem/dgae421

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