Glucose Metabolism Disorders Clinical Trial
Official title:
The Anatomical Location, Cellular Origin and Molecular Basis of Gut-derived Glucagon Secretion
Delineation of the anatomical location, cellular origin and molecular basis of gut-derived glucagon secretion
Aim: to delineate the anatomical origin, the molecular structure and precursors, the
regulation and the (patho-) physiological implications of gut-derived glucagon.
Eight totally pancreatectomised patients, eight type 2 diabetes patients and eight healthy
controls (age 18-80, BMI <30) with normal kidney and liver parameters and hgb> 6.5 - will be
included. The participants will each undergo one screening day and one study day including a
gastroduodenoscopy. Multiple biopsies will be taken at several predefined locations in the
upper gastrointestinal tract. These biopsies will be analysed with different techniques
including immunohistochemical staining, quantitative polymerase chain reaction (qPCR-)
analyses and more to search for glucagon. After the last biopsy has been collected, 50 g of
glucose dissolved in 100 ml water is infused through the enteroscope into the most proximal
part of the small intestine. Hereafter blood samples for glucagon and gut hormone analyses
will be collected 15, 30 and 45 min after the glucose infusion.
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