Overview of incretin hormones

被引:46
作者
Efendic, S [1 ]
Portwood, N [1 ]
机构
[1] Karolinska Inst, Dept Mol Med, Endocrine & Diabet Unit, Stockholm, Sweden
关键词
incretin hormones; insulin glucagon-like peptide-1 (GLP-1); type; 2; diabetes;
D O I
10.1055/s-2004-826157
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Incretins are hormones released by nutrients from the GI tract. They amplify glucose-induced insulin release. By raising circulating incretin levels, oral glucose provokes a higher insulin response than that resulting from intravenous glucose. The two most important incretin hormones are glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1). In patients with type 2 diabetes, the incretin effect is decreased, mainly due to loss of the GIP-regulated second phase of insulin secretion, and because of a decreased secretion of GLP-1. In addition to its insulintropic effect, GLP-1 inhibits glucagon release, prolongs gastric emptying, and leads to decreases in body-weight, all of which explain the marked antidiabetogenic effect of this incretin hormone.
引用
收藏
页码:742 / 746
页数:5
相关论文
共 65 条
[31]   NEW INTERPRETATION OF ORAL GLUCOSE TOLERANCE [J].
MCINTYRE, N ;
TURNER, DS ;
HOLDSWORTH, CD .
LANCET, 1964, 2 (734) :20-&
[32]   Reduced insulinotropic effect of gastric inhibitory polypeptide in first-degree relatives of patients with type 2 diabetes [J].
Meier, JJ ;
Hüking, K ;
Holst, JJ ;
Deacon, CF ;
Schmiegel, WH ;
Nauck, MA .
DIABETES, 2001, 50 (11) :2497-2504
[33]   DIPEPTIDYLPEPTIDASE-IV HYDROLYZES GASTRIC-INHIBITORY POLYPEPTIDE, GLUCAGON-LIKE PEPTIDE-1(7-36)AMIDE, PEPTIDE HISTIDINE METHIONINE AND IS RESPONSIBLE FOR THEIR DEGRADATION IN HUMAN SERUM [J].
MENTLEIN, R ;
GALLWITZ, B ;
SCHMIDT, WE .
EUROPEAN JOURNAL OF BIOCHEMISTRY, 1993, 214 (03) :829-835
[34]   GLUCAGON - PROTEIN CATABOLIC HORMONE IN THE ISOLATED PERFUSED RAT LIVER [J].
MILLER, LL .
NATURE, 1960, 185 (4708) :248-248
[35]   On the treatment of diabetes mellitus by acid extract of duodenal mucous membrane [J].
Moore, B ;
Edie, ES ;
Abram, JH .
BIOCHEMICAL JOURNAL, 1906, 1 :28-38
[36]   REDUCED INCRETIN EFFECT IN TYPE-2 (NON-INSULIN-DEPENDENT) DIABETES [J].
NAUCK, M ;
STOCKMANN, F ;
EBERT, R ;
CREUTZFELDT, W .
DIABETOLOGIA, 1986, 29 (01) :46-52
[37]   NORMALIZATION OF FASTING HYPERGLYCEMIA BY EXOGENOUS GLUCAGON-LIKE PEPTIDE-1 (7-36 AMIDE) IN TYPE-2 (NON-INSULIN-DEPENDENT) DIABETIC-PATIENTS [J].
NAUCK, MA ;
KLEINE, N ;
ORSKOV, C ;
HOLST, JJ ;
WILLMS, B ;
CREUTZFELDT, W .
DIABETOLOGIA, 1993, 36 (08) :741-744
[38]   PRESERVED INCRETIN ACTIVITY OF GLUCAGON-LIKE PEPTIDE-1 [7-36 AMIDE] BUT NOT OF SYNTHETIC HUMAN GASTRIC-INHIBITORY POLYPEPTIDE IN PATIENTS WITH TYPE-2 DIABETES-MELLITUS [J].
NAUCK, MA ;
HEIMESAAT, MM ;
ORSKOV, C ;
HOLST, JJ ;
EBERT, R ;
CREUTZFELDT, W .
JOURNAL OF CLINICAL INVESTIGATION, 1993, 91 (01) :301-307
[39]   Twenty-four-hour insulin secretion rates, circulating concentrations of fuel substrates and gut incretin hormones in healthy offspring of Type II (non-insulin-dependent) diabetic parents: evidence of several aberrations [J].
Nyholm, B ;
Walker, M ;
Gravholt, CH ;
Shearing, PA ;
Sturis, J ;
Alberti, KGMM ;
Holst, JJ ;
Schmitz, O .
DIABETOLOGIA, 1999, 42 (11) :1314-1323
[40]   BIOLOGICAL EFFECTS AND METABOLIC RATES OF GLUCAGON-LIKE PEPTIDE-1 7-36 AMIDE AND GLUCAGON-LIKE PEPTIDE-1 7-37 IN HEALTHY-SUBJECTS ARE INDISTINGUISHABLE [J].
ORSKOV, C ;
WETTERGREN, A ;
HOLST, JJ .
DIABETES, 1993, 42 (05) :658-661