Cited by 121Diabetes Treatment and ManagementPancreatic function and diabetesDiabetes Management and Research

Incretins: their physiology and application in the treatment of diabetes mellitus

Tasyurek, Hale M., Altunbas, Hasan Ali, Balci, Mustafa Kemal, Sanlioglu, Salih·2014·Diabetes/Metabolism Research and Reviews

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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Crossref · 10.1002/dmrr.2501

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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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