2012
DOI: 10.1111/j.1463-1326.2012.01663.x
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GLP‐1 receptor activated insulin secretion from pancreatic β‐cells: mechanism and glucose dependence

Abstract: The major goal in the treatment of type 2 diabetes mellitus is to control the hyperglycaemia characteristic of the disease. However, treatment with common therapies such as insulin or insulinotrophic sulphonylureas (SU), while effective in reducing hyperglycaemia, may impose a greater risk of hypoglycaemia, as neither therapy is self-regulated by ambient blood glucose concentrations. Hypoglycaemia has been associated with adverse physical and psychological outcomes and may contribute to negative cardiovascular… Show more

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Cited by 280 publications
(215 citation statements)
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“…Interestingly, we also show that alpha cell mass was reduced to such an extent that the ratio of alpha to beta cells remained unchanged. Acute GLP-1R stimulation of beta cells is known to increase insulin secretion in a glucose-dependent manner [17][18][19]. We show that sustained GLP-1RA treatment during normoglycaemic conditions is associated with increased insulin secretion from isolated islets even in the absence of direct GLP-1RA stimulation in vitro.…”
Section: Discussionmentioning
confidence: 73%
See 1 more Smart Citation
“…Interestingly, we also show that alpha cell mass was reduced to such an extent that the ratio of alpha to beta cells remained unchanged. Acute GLP-1R stimulation of beta cells is known to increase insulin secretion in a glucose-dependent manner [17][18][19]. We show that sustained GLP-1RA treatment during normoglycaemic conditions is associated with increased insulin secretion from isolated islets even in the absence of direct GLP-1RA stimulation in vitro.…”
Section: Discussionmentioning
confidence: 73%
“…The effect of GLP-1-based therapy on insulin secretion from beta cells has been reported to be glucose dependent [17][18][19], but its effect on beta cell mass under different glycaemic conditions is less clear. While GLP-1RA treatment increases beta cell mass in animal models of diabetes, we now show a reduction in beta cell mass in normoglycaemic mice.…”
Section: Discussionmentioning
confidence: 99%
“…Once‐weekly exenatide has been shown to improve glycaemic control in a glucose‐dependent manner, with a low risk of hypoglycaemia, in people with type 2 diabetes 10. The extended‐release delivery method, glucose‐dependent effects on insulin and glucagon,11 and improved postprandial glucose (PPG) control observed with once‐weekly exenatide12 are proposed to lead to less glycaemic variability, although studies specifically designed to evaluate glycaemic variability with once‐weekly exenatide treatment have been limited.…”
Section: Introductionmentioning
confidence: 99%
“…2e, secreted insulin levels were similar in control and CUGBP1 OE islets in the presence of 3.3 mmol/l glucose; however, upon 16.7 mmol/l glucose stimulation insulin levels in CUGBP1 OE islets were significantly lower than in control islets (p < 0.05). GLP-1 is known to stimulate insulin secretion through binding to and activating the GLP-1 receptor, and thereby inducing cAMP production [39]. We therefore tested whether CUGBP1 has a role in GLP-1-induced insulin secretion.…”
Section: Cugbp1 Is Overexpressed In the Islets Of Diabetic Micementioning
confidence: 99%