2017
DOI: 10.1002/med.21441
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Free Fatty Acid Receptor 1 (FFAR1) as an Emerging Therapeutic Target for Type 2 Diabetes Mellitus: Recent Progress and Prevailing Challenges

Abstract: The free fatty acid receptor 1 (FFAR1/GPR40) amplifies glucose-dependent insulin secretion; therefore, it has attracted widespread attention as a promising antidiabetic target. Current clinical proof of concept also indicates that FFAR1 agonists achieve the initially therapeutic endpoint for the treatment of type 2 diabetes mellitus (T2DM) without the hypoglycemic risk. Thus, many pharmaceutical companies and academic institutes are competing to develop FFAR1 agonists. However, several candidates have been dis… Show more

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Cited by 69 publications
(41 citation statements)
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References 179 publications
(441 reference statements)
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“…FFAR1 is also expressed intestinal L and K cells, which secrete incretin hormones such as glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) ( 31 ), suggested that FFAR1 regulate FFA-induced insulin secretion from beta-cells directly and indirectly by regulation of incretin secretion. Therefore, many pharmaceutical companies and academic institutes are undertaking development of FFAR1 agonists such as Tak-875, LY2881835, and AMG-837 ( 32 ). Tak-875 reduced glycemia in diabetic patients but not in normoglycemic people without diabetes and progressed to phase III clinical trials ( 33 ).…”
Section: Fatty Acids and Lipotoxicitymentioning
confidence: 99%
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“…FFAR1 is also expressed intestinal L and K cells, which secrete incretin hormones such as glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) ( 31 ), suggested that FFAR1 regulate FFA-induced insulin secretion from beta-cells directly and indirectly by regulation of incretin secretion. Therefore, many pharmaceutical companies and academic institutes are undertaking development of FFAR1 agonists such as Tak-875, LY2881835, and AMG-837 ( 32 ). Tak-875 reduced glycemia in diabetic patients but not in normoglycemic people without diabetes and progressed to phase III clinical trials ( 33 ).…”
Section: Fatty Acids and Lipotoxicitymentioning
confidence: 99%
“…However, the development was discontinued because of hepatotoxicity ( 34 ). Recently, some agonist such as P11187, LY2922470, and SHR0534 are currently in phase I clinical trials ( 32 ).…”
Section: Fatty Acids and Lipotoxicitymentioning
confidence: 99%
“…The GPR40/FFA1 receptor, a G-protein-coupled receptor (GPCR), couples predominantly with the Gq/11 protein, promoting phospholipase C-dependent hydrolysis of phosphatidylinositol 4,5-bisphosphate into diacylglycerol and inositol 1,4,5-triphosphate (Ghislain and Poitout, 2017). This, in turn, increases intracellular Ca 21 concentrations (Li et al, 2018). Medium-to-long chain fatty acids activate intracellular Ca 21 responses in GPR40-expressing cells, demonstrating that they are natural GPR40 ligands (Briscoe et al, 2003;Itoh et al, 2003;Kotarsky et al, 2003).…”
Section: Introductionmentioning
confidence: 99%
“…[ 5,33,34 ] Many FFA1 agonists are widely studied in type 2 diabetes, which is highly correlated with NAFLD. [ 35–37 ] Furthermore, the role of FFA1 in hepatic steatosis and fibrosis had also been reported. [ 10,11 ] In previous studies, we found HWL‐088 exerted stronger hypoglycemic effect than TAK‐875, the most advanced candidate of FFA1 agonists.…”
Section: Discussionmentioning
confidence: 99%