Incretins: their physiology and application in the treatment of diabetes mellitus
Abstract
Summary: Therapies targeting the action of incretin hormones have been under close scrutiny in recent years. The incretin effect has been defined as postprandial enhancement of insulin secretion by gut‐derived factors. Likewise, incretin mimetics and incretin effect amplifiers are the two different incretin‐based treatment strategies developed for the treatment of diabetes. Although, incretin mimetics produce effects very similar to those of natural incretin hormones, incretin effect amplifiers act by inhibiting dipeptidyl peptidase‐4 (DPP‐4) enzyme to increase plasma concentration of incretins and their biologic effects. Because glucagon‐like peptide‐1 (GLP‐1) is an incretin hormone with various anti‐diabetic actions including stimulation of glucose‐induced insulin secretion, inhibition of glucagon secretion, hepatic glucose production and gastric emptying, it has been evaluated as a novel therapeutic agent for the treatment of type 2 diabetes mellitus (T2DM). GLP‐1 also manifests trophic effects on pancreas such as pancreatic beta cell growth and differentiation. Because DPP‐4 is the enzyme responsible for the inactivation of GLP‐1, DPP‐4 inhibition represents another potential strategy to increase plasma concentration of GLP‐1 to enhance the incretin effect. Thus, anti‐diabetic properties of these two classes of drugs have stimulated substantial clinical interest in the potential of incretin‐based therapeutic agents as a means to control glucose homeostasis in T2DM patients. Despite this fact, clinical use of GLP‐1 mimetics and DPP‐4 inhibitors have raised substantial concerns owing to possible side effects of the treatments involving increased risk for pancreatitis, and C‐cell adenoma/carcinoma. Thus, controversial issues in incretin‐based therapies under development are reviewed and discussed in this manuscript. Copyright © 2013 John Wiley & Sons, Ltd.
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Incretins can shrink appetite, reduce food intake, and lead to weight reduction.
“Moreover, incretins can shrink appetite, thus reduce food intake, leading to weight reduction (192).”
From Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments (2020) · cites this paper as [192]
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Prediabetes diagnosis and treatment: A review
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- Authors
- Tasyurek, H. M., Altunbas, H. A., Balci, M. K., & Sanlioglu, S.
- Affiliations
- Akdeniz University (TR)
- Human Gene and Cell Therapy Center Akdeniz University Faculty of Medicine Antalya Turkey
- Venue
- Diabetes/Metabolism Research and Reviews
- Publisher
- Wiley
- Published
- 2014-07
- Volume
- 30
- Issue
- 5
- Pages
- 354-371
- ISSN
- 1520-7552 (ISSN-L)
- 1520-7560
- OpenAlex
- W2128259846
- Cited by
- 121
- References
- 193
- Citations by year
- 2026: 2 · 2025: 14 · 2024: 12 · 2023: 6 · 2022: 14 · 2021: 12 · 2020: 9 · 2019: 14 · 2018: 14 · 2017: 8 · 2016: 7 · 2015: 8 · 2014: 1
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes/Metabolism Research and Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- TUBITAK (112S114)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- incretins, incretin effect, type 2 diabetes, glucagon-like peptide-1, GLP-1 receptor agonists, DPP-4 inhibitors, incretin mimetics, insulin secretion, glucose homeostasis, pancreatitis risk, beta-cell growth
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, Insulin Glargine, Exenatide, Insulin Secretion, Animals, Diabetes Mellitus, Type 2, Gastric Inhibitory Polypeptide, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Insulin, Peptides, Venoms, Receptors, Glucagon, Dipeptidyl Peptidase 4, Insulin, Long-Acting, Insulin-Secreting Cells, Glucagon-Like Peptide 1, Incretins, Dipeptidyl-Peptidase IV Inhibitors
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