Targeting the intestinal L-cell for obesity and type 2 diabetes treatment

被引:28
作者
Albrechtsen, Nicolai Jacob Wewer [1 ]
Kuhre, Rune Ehrenreich [1 ]
Deacon, Carolyn F. [1 ]
Holst, Jens Juul [1 ,2 ]
机构
[1] Univ Copenhagen, Fac Hlth & Med Sci, Sect Translat Metab, NNF Ctr Basic Metab Res, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark
[2] Panum Inst, Dept Biomed Sci, DK-2200 Copenhagen N, Denmark
关键词
appetite regulation; gut hormones; gut-brain axis; L-cell; obesity;
D O I
10.1586/17446651.2014.862152
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Degradation-resistant glucagon-like peptide-1 (GLP-1) mimetics and GLP-1 enhancers (inhibitors of dipeptidyl peptidase-4, the enzyme which degrades and inactivates GLP-1) have been used for treatment of type 2 diabetes mellitus since 2005-2006. Cutting-edge research is now focusing on uncovering the secretory mechanisms of the GLP-1-producing cells (L-cells) with the purpose of developing agonists that enhance endogenous hormone secretion. Since GLP-1 co-localizes with other anorectic peptides, cholecystokinin, oxyntomodulin/glicentin and peptide YY, L-cell targeting might cause release of several hormones at the same time, providing additive effects on appetite and glucose regulation. In this review, we explore the role of proglucagon-derived peptides and other L-cell co-localizing hormones, in appetite regulation and the mechanism regulating their secretion.
引用
收藏
页码:61 / 72
页数:12
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