Figure 1.
Physiological consequences of activating gut taste cells. Enteroendocrine cells (orange comet-shaped cells) in gut villi have functional sweet and bitter taste receptors (not shown)
at their apical (luminal) membranes. Sugars and other nutrients within the gut lumen activate the gut taste receptors leading
to release of enteroendocrine cell hormones. The incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic
peptide (GIP), as well as other hormones (colored dots), are released from the basal surface of the enteroendocrine cells
into the interstitial space, where they may act locally as paracrine factors, neurotransmitters and neuromodulators, or enter
the blood stream and act as classical hormones at distal sites. Locally, the incretins and other enteroendocrine hormones
elicit increased expression of the SGLT1 transporter and translocation of the GLUT2 transporter to the brush-border surface
of the enterocytes, resulting in rapid absorption of glucose, galactose, and fructose. In addition, incretins activate afferent
neurons in villi, sending signals to the central nervous system and influencing activity of the enteric nervous system. The
enzyme dipeptidyl peptidase 4, present on epithelial cells of blood vessels, including those in the gut interstitium, and
in the circulation, quickly degrades the biologically active forms of circulating incretins. Locally active incretins that
are subject to less-rapid degradation may have a more prolonged duration of action.