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Incretins

  • Tongzhi Wu
  • Christopher K. RaynerEmail author
  • Michael Horowitz
Part of the Handbook of Experimental Pharmacology book series (HEP, volume 233)

Abstract

Glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) are the known incretin hormones in humans, released predominantly from the enteroendocrine K and L cells within the gut. Their secretion is regulated by a complex of integrated mechanisms involving direct contact for the activation of different chemo-sensors on the brush boarder of K and L cells and several indirect neuro-immuno-hormonal loops. The biological actions of GIP and GLP-1 are fundamental determinants of islet function and blood glucose homeostasis in health and type 2 diabetes. Moreover, there is increasing recognition that GIP and GLP-1 also exert pleiotropic extra-glycaemic actions, which may represent therapeutic targets for human diseases. In this review, we summarise current knowledge of the biology of incretin hormones in health and metabolic disorders and highlight the therapeutic potential of incretin hormones in metabolic regulation.

Keywords

Extra-glycaemic actions Glucagon-like peptide-1 Glucose-dependent insulinotropic polypeptide Glycaemic actions Incretin hormones Obesity Type 2 diabetes 

Notes

Acknowledgements

The authors’ work has been supported by the National Health and Medical Research Council of Australia (NHMRC). TW is supported by a Royal Adelaide Hospital Early Career Fellowship.

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Tongzhi Wu
    • 1
  • Christopher K. Rayner
    • 1
    • 2
    Email author
  • Michael Horowitz
    • 1
    • 2
  1. 1.Discipline of MedicineThe University of Adelaide, Royal Adelaide HospitalAdelaideAustralia
  2. 2.Centre of Research Excellence in Translating Nutritional Science into Good HealthThe University of AdelaideAdelaideAustralia

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