Glucagon-like peptide-1(7-36)amide (GLP-1) is a 30-residue peptide hormone released from intestinal L cells following nutrient consumption. It potentiates the glucose-induced secretion of insulin from pancreatic beta cells, increases insulin expression, inhibits beta-cell apoptosis, promotes beta-cell neogenesis, reduces glucagon secretion, delays gastric emptying, promotes satiety and increases peripheral glucose disposal. These multiple effects have generated a great deal of interest in the discovery of long-lasting agonists of the GLP-1 receptor (GLP-1R) in order to treat type 2 diabetes. This review article summarizes the literature regarding the discovery of GLP-1 and its physiological functions. The structure, function and sequence-activity relationships of the hormone and its natural analogue exendin-4 (Ex4) are reviewed in detail. The current knowledge of the structure of GLP-1R, a Family B GPCR, is summarized and discussed, before its known interactions with the principle peptide ligands are described and summarized. Finally, progress in discovering non-peptide ligands of GLP-1R is reviewed. GLP-1 is clearly an important hormone linking nutrient consumption with blood sugar control, and therefore knowledge of its structure, function and mechanism of action is of great importance.
LINKED ARTICLESThis article is part of a themed section on Secretin Family (Class B) G Protein-Coupled Receptors. To view the other articles in this section visit http://dx.doi.org/10.1111/bph.2012.166.issue-1
AbbreviationsBPh, benzoylphenylalanine; DPPIV, dipeptidyl peptidase IV; DSS, disuccinimidyl suberate; GIP, glucose-dependent insulinotropic polypeptide; GLP-1, glucagon-like peptide-1; GLP-1R, GLP-1 receptor; hGLP-1R, human GLP-1R; NTD, N-terminal domain; rGLP-1R, rat GLP-1R
IntroductionThe incretin effect describes the increased secretory response of beta cells, above that of glycaemia itself, which results from the actions of gut-derived factors (McIntyre et al., 1964). Glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) are the hormones responsible for the incretin effect, and together they account for up to 60% of postprandial insulin release (Nauck et al., 1986). However, despite their equivalent roles in potentiating glucose-induced insulin release, therapeutic strategies for the treatment of type 2 diabetes have focused primarily on GLP-1 since, unlike GIP, it continues to elicit a response in type 2 diabetic patients (Nauck et al., 1993).GLP-1 is expressed in intestinal L cells and is derived from the cell-specific post-translational processing of the preproglucagon gene (Mojsov et al., 1986). Initially, the peptide GLP-1(1-37) was identified from this processing, but it was the two N-terminally truncated products, GLP-1(7-37) and amide, that were found to recognize the pancreatic receptor and which were determined to be the active species in vivo (Drucker et al., 1987;Holst et al., 1987;Mojsov et al., 1987;Ørskov and Nielsen, 1988;Weir et al., 1989). These two shorter peptides a...