Benefits and limitations of reducing glucagon action for the treatment of type 2 diabetes

被引:90
作者
Ali, Safina [1 ]
Drucker, Daniel J. [1 ]
机构
[1] Mt Sinai Hosp, Samuel Lunenfeld Res Inst, Dept Med, Toronto, ON M5T 3L9, Canada
来源
AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM | 2009年 / 296卷 / 03期
关键词
RECEPTOR KNOCKOUT MICE; DEPENDENT INSULINOTROPIC PEPTIDE; HEPATIC GLUCOSE OUTPUT; DIET-INDUCED OBESITY; POSTPRANDIAL HYPERGLYCEMIA; PHYSIOLOGICAL LEVELS; ENDOGENOUS GLUCAGON; GLYCEMIC CONTROL; BETA-CELLS; DAIRY-COWS;
D O I
10.1152/ajpendo.90887.2008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ali S, Drucker DJ. Benefits and limitations of reducing glucagon action for the treatment of type 2 diabetes. Am J Physiol Endocrinol Metab 296: E415-E421, 2009. First published December 30, 2008; doi:10.1152/ajpendo.90887.2008.-Glucagon is secreted from the alpha-cells of the pancreatic islets and regulates glucose homeostasis through modulation of hepatic glucose production. As elevated glucagon levels contribute to the pathophysiology of hyperglycemia in subjects with type 2 diabetes, reduction of glucagon receptor gene (Gcgr) activity represents a potential target for the treatment of T2DM. Herein, we review current concepts of glucagon action in hepatic and extrahepatic tissues and evaluate the therapeutic potential, mechanisms of action, and safety of reducing Gcgr signaling for the treatment of T2DM.
引用
收藏
页码:E415 / E421
页数:7
相关论文
共 76 条
[71]   Ablation of the glucagon receptor gene increases fetal lethality and produces alterations in islet development and maturation [J].
Vuguin, Patricia M. ;
Kedees, Mamdouh H. ;
Cui, Lingguang ;
Guz, Yelena ;
Gelling, Richard W. ;
Nejathaim, Morris ;
Charron, Maureen J. ;
Teitelman, Gladys .
ENDOCRINOLOGY, 2006, 147 (09) :3995-4006
[72]   LESION OF VAGAL AFFERENT TERMINALS IMPAIRS GLUCAGON-INDUCED SUPPRESSION OF FOOD-INTAKE [J].
WEATHERFORD, SC ;
RITTER, S .
PHYSIOLOGY & BEHAVIOR, 1988, 43 (05) :645-650
[73]  
White CM, 1999, J CLIN PHARMACOL, V39, P442
[74]   Intra-islet insulin suppresses glucagon release via GABA-GABAA receptor system [J].
Xu, E ;
Kumar, M ;
Zhang, Y ;
Ju, W ;
Obata, T ;
Zhang, N ;
Liu, SY ;
Wendt, A ;
Deng, SP ;
Ebina, Y ;
Wheeler, MB ;
Braun, M ;
Wang, QH .
CELL METABOLISM, 2006, 3 (01) :47-58
[75]   Aquaporin 2 expression increased by glucagon in normal rat inner medullary collecting ducts [J].
Yano, Yuristella ;
Cesar, Katia R. ;
Araujo, Magali ;
Rodrigues, Adilson C., Jr. ;
Andrade, Lucia C. ;
Magaldi, Antonio J. .
AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY, 2009, 296 (01) :F54-F59
[76]   Zinc, not insulin, regulates the rat α-cell response to hypoglycemia in vivo [J].
Zhou, Huarong ;
Zhang, Tao ;
Harmon, Jamie S. ;
Bryan, Joseph ;
Robertson, R. Paul .
DIABETES, 2007, 56 (04) :1107-1112