Differential importance of endothelial and hematopoietic cell GLP-1Rs for cardiometabolic versus hepatic actions of semaglutide

JCI Insight. 2021 Nov 22;6(22):e153732. doi: 10.1172/jci.insight.153732.

Abstract

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are used to treat diabetes and obesity and reduce rates of major cardiovascular events, such as stroke and myocardial infarction. Nevertheless, the identity of GLP-1R-expressing cell types mediating the cardiovascular benefits of GLP-1RA remains incompletely characterized. Herein, we investigated the importance of murine Glp1r expression within endothelial and hematopoietic cells. Mice with targeted inactivation of Glp1r in Tie2+ cells exhibited reduced levels of Glp1r mRNA transcripts in aorta, liver, spleen, blood, and gut. Glp1r expression in bone marrow cells was very low and not further reduced in Glp1rTie2-/- mice. The GLP-1RA semaglutide reduced the development of atherosclerosis induced by viral PCSK9 expression in both Glp1rTie2+/+ and Glp1rTie2-/- mice. Hepatic Glp1r mRNA transcripts were reduced in Glp1rTie2-/- mice, and liver Glp1r expression was localized to γδ T cells. Moreover, semaglutide reduced hepatic Tnf, Abcg1, Tgfb1, Cd3g, Ccl2, and Il2 expression; triglyceride content; and collagen accumulation in high-fat, high-cholesterol diet-fed Glp1rTie2+/+ mice but not Glp1rTie2-/- mice. Collectively, these findings demonstrate that Tie2+ endothelial or hematopoietic cell GLP-1Rs are dispensable for the antiatherogenic actions of GLP-1RA, whereas Tie2-targeted GLP-1R+ cells are required for a subset of the antiinflammatory actions of semaglutide in the liver.

Keywords: Diabetes; Endocrinology; Peptides.

MeSH terms

  • Animals
  • Atherosclerosis / drug therapy*
  • Endothelial Cells / metabolism*
  • Glucagon-Like Peptide 1 / metabolism
  • Glucagon-Like Peptides / pharmacology
  • Glucagon-Like Peptides / therapeutic use*
  • Hematopoietic Stem Cells / metabolism*
  • Humans
  • Liver / drug effects*
  • Male
  • Metabolic Syndrome / drug therapy*
  • Mice

Substances

  • semaglutide
  • Glucagon-Like Peptides
  • Glucagon-Like Peptide 1