New insights into the regulation of glucagon secretion by glucagon-like peptide-1

J Gromada, P Rorsman - Hormone and metabolic research, 2004 - thieme-connect.com
J Gromada, P Rorsman
Hormone and metabolic research, 2004thieme-connect.com
Abstract Glucagon-like peptide-1 (GLP-1) is a potent incretin hormone currently under
investigation for use as a novel therapeutic agent in the treatment of type 2 diabetes. One of
several therapeutically important biological actions of GLP-1 in type 2 diabetic subjects is
ability to induce strong suppression of glucagon secretion. The glucagonostatic action of
GLP-1 results from its interaction with a specific G-protein coupled receptor resulting in the
activation of adenylate cyclase and an increase in cAMP generation. In the pancreatic α-cell …
Abstract
Glucagon-like peptide-1 (GLP-1) is a potent incretin hormone currently under investigation for use as a novel therapeutic agent in the treatment of type 2 diabetes. One of several therapeutically important biological actions of GLP-1 in type 2 diabetic subjects is ability to induce strong suppression of glucagon secretion. The glucagonostatic action of GLP-1 results from its interaction with a specific G-protein coupled receptor resulting in the activation of adenylate cyclase and an increase in cAMP generation. In the pancreatic α-cell, cAMP, via activation of protein kinase A, interacts with a plethora of signal transduction processes including ion-channel activity and exocytosis of the glucagon-containing granules. In this short review, we will focus on recent advances in our understanding on the cellular mechanisms proposed to underlie the glucagonotropic action of GLP-1 and attempt to incorporate this knowledge into a working model for the control of glucagon secretion. Studies on the effects of GLP-1 on glucagon secretion are relevant to the pathogenesis of type 2 diabetes due to the likely contribution of hyperglucagonemia to impaired glucose tolerance in type 2 diabetes.
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