The
intestinal hormone,
glucagon-like peptide-2 (GLP-2), enhances intestinal growth and reduces
inflammation in rodent models. Hence, a degradation-resistant GLP-2 analog is under investigation for treatment of
Crohn's disease. However, GLP-2 increases colonic dysplasia in murine
azoxymethane (AOM)-induced
colon cancer. Considering the increased
colon cancer risk associated with chronic
colitis, we have therefore examined the effects of long-acting hGly(2)GLP-2, as well as of endogenous GLP-2 using the antagonist hGLP-2(3-33) in two novel models of
inflammation-associated
colon cancer: rats fed the
carcinogen 2-Amino-1-methyl-6-phenylimidazo[4,5-
b]pyridine (
PhIP) and a high-fat diet (HFD) for one or three cycles, and mice with chronic
dextran sodium-sulfate (DSS)-induced
colitis administered AOM. hGly(2)GLP-2 treatment of one-cycle
PhIP/HFD rats increased the number of colonic
aberrant crypt foci by 72 ± 11% (P < 0.01). Fifty-one weeks after three
PhIP/HFD cycles, hGly(2)GLP-2-treated rats had a 22% incidence of
colon cancer, compared with 0% in vehicle-treated rats. AOM-DSS mice treated with vehicle or hGly(2)GLP-2 had high-grade dysplasia/
colon cancer incidences of 56 and 64%, respectively, compared with 46% in hGLP-2(3-33)-treated AOM-DSS animals (P < 0.05). Unexpectedly, hGLP-2(3-33) also reduced the
colitis damage score by 32.0 ± 8.4% (P < 0.05). All high-grade dysplastic/cancerous
tumors had nuclear localization of β-
catenin although β-
catenin mRNA transcript and
protein levels did not differ between treatment groups.
GLP-2 receptor mRNA expression also was not different. However, hGLP-2(3-33)-treated mice had markedly reduced numbers of doublecortin-and-calmodulin-kinase-like-1-positive stem cells, by 73.7 ± 8.6% (P < 0.05). In conclusion, the results of this study indicate a role for hGly(2)GLP-2 and endogenous GLP-2 as potential
cancer promoters in rodents.