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肠促胰岛素激素胰高血糖素样肽-1及其分泌机制。

The incretin hormone GLP-1 and mechanisms underlying its secretion.

作者信息

Tian Lili, Jin Tianru

机构信息

Division of Advanced Diagnostics, Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada.

Banting & Best Diabetes Centre, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Diabetes. 2016 Nov;8(6):753-765. doi: 10.1111/1753-0407.12439. Epub 2016 Aug 31.

Abstract

Glucagon-like peptide-1 (GLP-1) is a cell type-specific post-translational product of proglucagon. It is encoded by the proglucagon gene and released primarily from intestinal endocrine L-cells in response to hormonal, neuronal, and nutritional stimuli. In addition to serving as an incretin in mediating the effect of meal consumption on insulin secretion, GLP-1 exerts other functions in pancreatic islets, including regulation of β-cell proliferation and protection of β-cells against metabolic stresses. Furthermore, GLP-1 exerts numerous other functions in extrapancreatic organs, whereas brain GLP-1 signaling controls satiety. Herein we review the discovery of two incretins and the development of GLP-1-based drugs. We also describe the development of cellular models for studying mechanisms underlying GLP-1 secretion over the past 30 years. However, the main content of this review is a summary of studies on the exploration of mechanisms underlying GLP-1 secretion. We not only summarize studies conducted over the past three decades on elucidating the role of nutritional components and hormonal factors in regulating GLP-1 secretion, but also present a few very recent studies showing the possible role of dietary polyphenols. Finally, the emerging role of gut microbiota in metabolic homeostasis with the potential implication on GLP-1 secretion is discussed.

摘要

胰高血糖素样肽-1(GLP-1)是胰高血糖素原的一种细胞类型特异性翻译后产物。它由胰高血糖素原基因编码,主要在激素、神经和营养刺激下从肠道内分泌L细胞释放。除了作为肠促胰岛素介导进食对胰岛素分泌的影响外,GLP-1在胰岛中还发挥其他功能,包括调节β细胞增殖和保护β细胞免受代谢应激。此外,GLP-1在胰腺外器官中发挥许多其他功能,而脑内GLP-1信号传导控制饱腹感。在此,我们综述两种肠促胰岛素的发现以及基于GLP-1的药物的研发。我们还描述了过去30年中用于研究GLP-1分泌机制的细胞模型的发展。然而,本综述的主要内容是对GLP-1分泌机制探索研究的总结。我们不仅总结了过去三十年中关于阐明营养成分和激素因子在调节GLP-1分泌中的作用的研究,还介绍了一些最近的研究,这些研究表明膳食多酚可能发挥的作用。最后,讨论了肠道微生物群在代谢稳态中的新作用及其对GLP-1分泌的潜在影响。

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