Pharmacology, physiology, and mechanisms of incretin hormone action.

Published

Journal Article (Review)

Incretin peptides, principally GLP-1 and GIP, regulate islet hormone secretion, glucose concentrations, lipid metabolism, gut motility, appetite and body weight, and immune function, providing a scientific basis for utilizing incretin-based therapies in the treatment of type 2 diabetes. Activation of GLP-1 and GIP receptors also leads to nonglycemic effects in multiple tissues, through direct actions on tissues expressing incretin receptors and indirect mechanisms mediated through neuronal and endocrine pathways. Here we contrast the pharmacology and physiology of incretin hormones and review recent advances in mechanisms coupling incretin receptor signaling to pleiotropic metabolic actions in preclinical studies. We discuss whether mechanisms identified in preclinical studies have potential translational relevance for the treatment of human disease and highlight controversies and uncertainties in incretin biology that require resolution in future studies.

Full Text

Duke Authors

Cited Authors

  • Campbell, JE; Drucker, DJ

Published Date

  • June 4, 2013

Published In

Volume / Issue

  • 17 / 6

Start / End Page

  • 819 - 837

PubMed ID

  • 23684623

Pubmed Central ID

  • 23684623

Electronic International Standard Serial Number (EISSN)

  • 1932-7420

Digital Object Identifier (DOI)

  • 10.1016/j.cmet.2013.04.008

Language

  • eng

Conference Location

  • United States