Glucagon-like peptide-2 (GLP-2) secreted from enteroendocrine cells exerts proabsorptive, regenerative, and cytoprotective actions in the normal and injured gut epithelium. Hence, sustained
GLP-2 receptor (GLP-2R) activation represents a strategy under investigation for the prevention and treatment of
chemotherapy-induced
mucositis. Nevertheless, the consequences of increased GLP-2R signaling for the growth and survival of intestinal
tumor cells remain poorly understood. We studied the proliferative and cytoprotective actions of GLP-2 in human
colon cancer cells stably transfected with the GLP-2R and in nude mice harboring GLP-2R(+) human
colon cancer cells. The importance of the GLP-2R for
tumor growth was also examined in Apc(Min/+) mice chronically treated with exogenous GLP-2 and in Apc(Min/+):Glp2r(-/-) mice. GLP-2 increased
cyclic AMP accumulation and produced cell-specific activation of growth and survival pathways in DLD-1, SW480, and HT29 cells. However, GLP-2 did not stimulate cell growth or attenuate
cycloheximide-, LY294002-,
indomethacin-, or
chemotherapy-induced cytotoxicity in vitro. Moreover, chronic GLP-2 administration had no effect on the growth of human
colon cancer cell xenografts in nude mice in vivo. Daily GLP-2 treatment for 7 weeks increased growth of normal gut mucosa but did not increase the number or size of
polyps in Apc(Min/+) mice, and genetic disruption of the Glp2r gene in Apc(Min/+) mice did not modify
polyp size or number. Taken together, although GLP-2R activation engages signaling pathways promoting cell proliferation and cytoprotection in the normal gut epithelium, sustained direct or indirect modulation of GLP-2R signaling does not modify intestinal
tumor cell growth or survival.