Clinical endocrinology and metabolism. Glucagon-like peptide-1 and glucagon-like peptide-2

Best Pract Res Clin Endocrinol Metab. 2004 Dec;18(4):531-54. doi: 10.1016/j.beem.2004.08.001.

Abstract

The glucagon-like peptides (glucagon-like peptide-1 (GLP-1) and glucagon-like peptide-2 (GLP-2)) are released from enteroendocrine cells in response to nutrient ingestion. GLP-1 enhances glucose-stimulated insulin secretion and inhibits glucagon secretion, gastric emptying and feeding. GLP-1 also has proliferative, neogenic and antiapoptotic effects on pancreatic beta-cells. More recent studies illustrate a potential protective role for GLP-1 in the cardiovascular and central nervous systems. GLP-2 is an intestinal trophic peptide that stimulates cell proliferation and inhibits apoptosis in the intestinal crypt compartment. GLP-2 also regulates intestinal glucose transport, food intake and gastric acid secretion and emptying, and improves intestinal barrier function. Thus, GLP-1 and GLP-2 exhibit a diverse array of metabolic, proliferative and cytoprotective actions with important clinical implications for the treatment of diabetes and gastrointestinal disease, respectively. This review will highlight our current understanding of the biology of GLP-1 and GLP-2, with an emphasis on both well-characterized and more novel therapeutic applications of these peptides.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cardiovascular Physiological Phenomena
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetes Mellitus, Type 2 / therapy
  • Feeding Behavior / physiology
  • Glucagon / antagonists & inhibitors
  • Glucagon / biosynthesis
  • Glucagon / metabolism
  • Glucagon / physiology*
  • Glucagon-Like Peptide 1
  • Glucagon-Like Peptide 2
  • Glucose / metabolism
  • Humans
  • Nervous System Physiological Phenomena
  • Peptide Fragments / antagonists & inhibitors
  • Peptide Fragments / biosynthesis
  • Peptide Fragments / metabolism
  • Peptide Fragments / physiology*
  • Peptides / metabolism
  • Peptides / physiology*
  • Protein Precursors / antagonists & inhibitors
  • Protein Precursors / biosynthesis
  • Protein Precursors / metabolism
  • Protein Precursors / physiology*

Substances

  • Glucagon-Like Peptide 2
  • Peptide Fragments
  • Peptides
  • Protein Precursors
  • Glucagon-Like Peptide 1
  • Glucagon
  • Glucose