Holst Jens Juul, Holland William, Gromada Jesper, Lee Young, Unger Roger H, Yan Hai, Sloop Kyle W, Kieffer Timothy J, Damond Nicolas, Herrera Pedro L
Novo Nordisk Foundation Center for Basic Metabolic Research and Department of Biomedical Sciences, Faculty of Health Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Touchstone Diabetes Center, Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas 75390.
Endocrinology. 2017 Apr 1;158(4):696-701. doi: 10.1210/en.2016-1748.
In August 2016, several leaders in glucagon biology gathered for the European Association for the Study of Diabetes Hagedorn Workshop in Oxford, England. A key point of discussion focused on the need for basal insulin to allow for the therapeutic benefit of glucagon blockade in the treatment of diabetes. Among the most enlightening experimental results presented were findings from studies in which glucagon receptor-deficient mice were administered streptozotocin to destroy pancreatic β cells or had undergone diphtheria toxin-induced β cell ablation. This article summarizes key features of the discussion as a consensus was reached. Agents that antagonize glucagon may be of great benefit for the treatment of diabetes; however, sufficient levels of basal insulin are required for their therapeutic efficacy.
2016年8月,几位胰高血糖素生物学领域的领军人物齐聚英国牛津,参加欧洲糖尿病研究协会哈格多恩研讨会。讨论的一个关键点集中在基础胰岛素对于在糖尿病治疗中实现胰高血糖素阻断治疗益处的必要性。会上展示的最具启发性的实验结果包括对缺乏胰高血糖素受体的小鼠进行链脲佐菌素注射以破坏胰腺β细胞或进行白喉毒素诱导的β细胞消融的研究发现。本文总结了讨论的关键要点,当时已达成共识。拮抗胰高血糖素的药物可能对糖尿病治疗大有裨益;然而,其治疗效果需要足够水平的基础胰岛素。