The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310053, China.
Department of Endocrinology, Diabetes and Nutrition, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, Germany.
Nutrients. 2023 Sep 8;15(18):3913. doi: 10.3390/nu15183913.
Glucagon was initially regarded as a hyperglycemic substance; however, recent research has revealed its broader role in metabolism, encompassing effects on glucose, amino acids (AAs), and lipid metabolism. Notably, the interplay of glucagon with nutrient intake, particularly of AAs, and non-nutrient components is central to its secretion. Fasting and postprandial hyperglucagonemia have long been linked to the development and progression of type 2 diabetes (T2DM). However, recent studies have brought to light the positive impact of glucagon agonists on lipid metabolism and energy homeostasis. This review explores the multifaceted actions of glucagon, focusing on its regulation, signaling pathways, and effects on glucose, AAs, and lipid metabolism. The interplay between glucagon and other hormones, including insulin and incretins, is examined to provide a mechanistic understanding of its functions. Notably, the liver-α-cell axis, which involves glucagon and amino acids, emerges as a critical aspect of metabolic regulation. The dysregulation of glucagon secretion and its impact on conditions such as T2DM are discussed. The review highlights the potential therapeutic applications of targeting the glucagon pathway in the treatment of metabolic disorders.
胰高血糖素最初被认为是一种升高血糖的物质;然而,最近的研究揭示了它在代谢中的更广泛作用,包括对葡萄糖、氨基酸(AA)和脂质代谢的影响。值得注意的是,胰高血糖素与营养摄入的相互作用,特别是氨基酸和非营养成分的相互作用,是其分泌的核心。空腹和餐后高胰高血糖素血症与 2 型糖尿病(T2DM)的发生和发展长期以来一直相关。然而,最近的研究揭示了胰高血糖素激动剂对脂质代谢和能量平衡的积极影响。本综述探讨了胰高血糖素的多方面作用,重点关注其调节、信号通路以及对葡萄糖、氨基酸和脂质代谢的影响。还研究了胰高血糖素与其他激素(包括胰岛素和肠促胰岛素)之间的相互作用,以深入了解其功能。值得注意的是,涉及胰高血糖素和氨基酸的肝-α细胞轴是代谢调节的关键方面。讨论了胰高血糖素分泌失调及其对 T2DM 等疾病的影响。该综述强调了靶向胰高血糖素途径治疗代谢紊乱的潜在治疗应用。