2 型糖尿病患者的肠降血糖素和胰岛β细胞功能。
Incretin and Pancreatic β-Cell Function in Patients with Type 2 Diabetes.
机构信息
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
出版信息
Endocrinol Metab (Seoul). 2023 Feb;38(1):1-9. doi: 10.3803/EnM.2023.103. Epub 2023 Feb 13.
To maintain normal glucose homeostasis after a meal, it is essential to secrete an adequate amount of insulin from pancreatic β-cells. However, if pancreatic β-cells solely depended on the blood glucose level for insulin secretion, a surge in blood glucose levels would be inevitable after the ingestion of a large amount of carbohydrates. To avoid a deluge of glucose in the bloodstream after a large carbohydrate- rich meal, enteroendocrine cells detect the amount of nutrient absorption from the gut lumen and secrete incretin hormones at scale. Since insulin secretion in response to incretin hormones occurs only in a hyperglycemic milieu, pancreatic β-cells can secrete a "Goldilocks" amount of insulin (i.e., not too much and not too little) to keep the blood glucose level in the normal range. In this regard, pancreatic β-cell sensitivity to glucose and incretin hormones is crucial for maintaining normal glucose homeostasis. In this Namgok lecture 2022, we review the effects of current anti-diabetic medications on pancreatic β-cell sensitivity to glucose and incretin hormones.
为了在餐后维持正常的葡萄糖稳态,胰腺β细胞从血液中分泌足够量的胰岛素至关重要。然而,如果β细胞仅仅依赖血糖水平来分泌胰岛素,那么在摄入大量碳水化合物后,血糖水平必然会飙升。为了避免在大量富含碳水化合物的餐后血液中葡萄糖泛滥,肠内分泌细胞检测肠道腔中营养物质的吸收量,并大规模分泌肠促胰岛素激素。由于对肠促胰岛素激素的胰岛素分泌仅发生在高血糖环境中,因此胰腺β细胞可以分泌“恰到好处”(即不多也不少)的胰岛素来使血糖水平保持在正常范围内。在这方面,胰腺β细胞对葡萄糖和肠促胰岛素激素的敏感性对于维持正常的葡萄糖稳态至关重要。在本次 Namgok 讲座 2022 中,我们将回顾目前抗糖尿病药物对胰腺β细胞对葡萄糖和肠促胰岛素激素敏感性的影响。