Incretins yesterday, pleiotropic gastrointestinal hormones today:glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP)

Recent Pat Endocr Metab Immune Drug Discov. 2011 Sep;5(3):176-82. doi: 10.2174/187221411797265863.

Abstract

Incretins, which are insulinotropic gastrointestinal hormones, are produced mainly in K and L cells of the small intestine under the influence of nutritional stimuli. The best known incretins are glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). These hormones perform several functions: they stimulate insulin secretion in the pancreatic beta cells; they inhibit glucagon release from the alpha cells of the pancreas (GIP not in humans); they slow down gastric emptying and may directly suppress appetite; and, moreover, they indirectly increase peripheral glucose tolerance/insulin sensitivity. The insulinotropic and glucagonostatic effects of GLP-1 are glucose dependent. The incretins also have numerous other properties which are still being discovered and introduced in different branches of medicine. The patents mentioned in this work concern the use of incretins in diabetology, cardiology, gastroenterology and nuclear medicine. The pleiotropic effects of incretins offer therapeutic possibilities in numerous fields of medicine.

Publication types

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

MeSH terms

  • Animals
  • Carbohydrate Metabolism / drug effects
  • Cardiovascular Diseases / drug therapy
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacology
  • Dipeptidyl-Peptidase IV Inhibitors / therapeutic use*
  • Gastric Inhibitory Polypeptide / pharmacology
  • Gastric Inhibitory Polypeptide / therapeutic use*
  • Gastrointestinal Diseases / drug therapy
  • Glucagon-Like Peptide 1 / analogs & derivatives*
  • Glucagon-Like Peptide 1 / pharmacology
  • Glucagon-Like Peptide 1 / therapeutic use*
  • Humans
  • Incretins / pharmacology
  • Incretins / therapeutic use*
  • Patents as Topic
  • Radionuclide Imaging / methods

Substances

  • Dipeptidyl-Peptidase IV Inhibitors
  • Incretins
  • Gastric Inhibitory Polypeptide
  • Glucagon-Like Peptide 1