Glucagon-like peptide 1 (GLP-1)

T. D. Mueller, B. Finan, S. R. Bloom, D. D'Alessio, D. J. Drucker, P. R. Flatt, A. Fritsche, F. Gribble, H. J. Grill, J. F. Habener, J. J. Holst, W. Langhans, J. J. Meier, M. A. Nauck, D. Perez-Tilve, A. Pocai, F. Reimann, D. A. Sandoval, T. W. Schwartz, R. J. SeeleyK. Stemmer, M. Tang-Christensen, S. C. Woods, R. D. DiMarchi, M. H. Tschoep

166 Citationer (Scopus)

Abstract

Background: The glucagon-like peptide-1 (GLP-1) is a multifaceted hormone with broad pharmacological potential. Among the numerous metabolic effects of GLP-1 are the glucose-dependent stimulation of insulin secretion, decrease of gastric emptying, inhibition of food intake, increase of natriuresis and diuresis, and modulation of rodent beta-cell proliferation. GLP-1 also has cardio- and neuroprotective effects, decreases inflammation and apoptosis, and has implications for learning and memory, reward behavior, and palatability. Biochemically modified for enhanced potency and sustained action, GLP-1 receptor agonists are successfully in clinical use for the treatment of type-2 diabetes, and several GLP-1-based pharmacotherapies are in clinical evaluation for the treatment of obesity.

Scope of review: In this review, we provide a detailed overview on the multifaceted nature of GLP-1 and its pharmacology and discuss its therapeutic implications on various diseases.

Major conclusions: Since its discovery, GLP-1 has emerged as a pleiotropic hormone with a myriad of metabolic functions that go well beyond its classical identification as an incretin hormone. The numerous beneficial effects of GLP-1 render this hormone an interesting candidate for the development of pharmacotherapies to treat obesity, diabetes, and neurodegenerative disorders (C) 2019 The Authors. Published by Elsevier GmbH.
OriginalsprogEngelsk
TidsskriftMolecular Metabolism
Vol/bind30
Sider (fra-til)72-130
ISSN2212-8778
DOI
StatusUdgivet - dec. 2019

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