Bataille Dominique, Dalle Stéphane
INSERM, 269, Rue Adrien Proby, 34090 Montpellier, France.
INSERM, Research-Pathophysiology of the Pancreatic β Cell, Institute of Functional Genomic, INSERM U 661, CNRS UMR 5203, Universities Montpellier 1 & 2, Montpellier, France.
Diabetes Res Clin Pract. 2014 Oct;106(1):1-10. doi: 10.1016/j.diabres.2014.06.010. Epub 2014 Jul 3.
From proglucagon, at least six final biologically active peptides are produced by tissue-specific post-translational processing. While glucagon and GLP-1 are the subject of permanent studies, the four others are usually left in the shadow, in spite of their large biological interest. The present review is devoted to oxyntomodulin and miniglucagon, not forgetting glicentin, although much less is known about it. Oxyntomodulin (OXM) and glicentin are regulators of gastric acid and hydromineral intestinal secretions. OXM is also deeply involved in the control of food intake and energy expenditure, properties that make this peptide a credible treatment of obesity if the question of administration is solved, as for any peptide. Miniglucagon, the C-terminal undecapeptide of glucagon which results from a secondary processing of original nature, displays properties antagonistic to that of the mother-hormone glucagon: (a) it inhibits glucose-, glucagon- and GLP-1-stimulated insulin release at sub-picomolar concentrations, (b) it reduces the in vivo insulin response to glucose with no change in glycemia, (c) it displays insulin-like properties at the cellular level using only a part of the pathway used by insulin, making it a good basis for developing a pharmacological workaround of insulin resistance.
胰高血糖素原经组织特异性翻译后加工可产生至少六种具有生物活性的终末肽。尽管胰高血糖素和胰高血糖素样肽-1(GLP-1)一直是研究热点,但另外四种肽尽管具有重大生物学意义,却常被忽视。本综述聚焦于胃泌酸调节素和小胰高血糖素,同时也会提及肠高血糖素,尽管目前对其了解较少。胃泌酸调节素(OXM)和肠高血糖素是胃酸和肠道水盐分泌的调节因子。OXM还深度参与食物摄入和能量消耗的调控,若能解决给药问题,该肽有望成为治疗肥胖的有效药物,这与其他肽类药物类似。小胰高血糖素是胰高血糖素的C端十一肽,由原始性质的二次加工产生,其性质与母激素胰高血糖素相反:(a)在亚皮摩尔浓度下可抑制葡萄糖、胰高血糖素和GLP-1刺激的胰岛素释放;(b)可降低体内对葡萄糖的胰岛素反应,而血糖水平不变;(c)在细胞水平仅利用胰岛素部分信号通路即表现出胰岛素样性质,这使其成为开发胰岛素抵抗药理学解决方案的良好基础。