Amylin: Pharmacology, Physiology, and Clinical Potential
Open accessAbstract
Amylin is a pancreatic β-cell hormone that produces effects in several different organ systems. Here, we review the literature in rodents and in humans on amylin research since its discovery as a hormone about 25 years ago. Amylin is a 37-amino-acid peptide that activates its specific receptors, which are multisubunit G protein-coupled receptors resulting from the coexpression of a core receptor protein with receptor activity-modifying proteins, resulting in multiple receptor subtypes. Amylin's major role is as a glucoregulatory hormone, and it is an important regulator of energy metabolism in health and disease. Other amylin actions have also been reported, such as on the cardiovascular system or on bone. Amylin acts principally in the circumventricular organs of the central nervous system and functionally interacts with other metabolically active hormones such as cholecystokinin, leptin, and estradiol. The amylin-based peptide, pramlintide, is used clinically to treat type 1 and type 2 diabetes. Clinical studies in obesity have shown that amylin agonists could also be useful for weight loss, especially in combination with other agents.
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Amylin acts on amylin receptors in the brainstem to reduce food intake and improves glucose metabolism by delaying gastric emptying and inhibiting glucagon secretion.
“Amylin acts on amylin receptors in the brainstem to reduce food intake [83] and improves glucose metabolism by delaying gastric emptying and inhibiting glucagon secretion [84, 85].”
From What is the pipeline for future medications for obesity? (2025) · cites this paper as [85]
Amylin increases satiety and reduces food intake through actions on the area postrema at the brainstem.
“Amylin also increases satiety and reduces food intake through actions on the area postrema at the brainstem, and the reduction in food intake is not accompanied by the expected decrease in energy expenditure [61].”
The reduction in food intake with amylin is not accompanied by the expected decrease in energy expenditure.
“Amylin also increases satiety and reduces food intake through actions on the area postrema at the brainstem, and the reduction in food intake is not accompanied by the expected decrease in energy expenditure [61].”
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References 308 · Cited by 400
- Authors
- Hay, D. L., Chen, S., Lutz, T. A., Parkes, D. G., & Roth, J. D.
- Affiliations
- University of Auckland (NZ)
- Venue
- Pharmacological Reviews
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 67
- Issue
- 3
- Pages
- 564-600
- ISSN
- 0031-6997 (ISSN-L)
- OpenAlex
- W2157652680
- Cited by
- 400
- References
- 308
- Citations by year
- 2026: 37 · 2025: 54 · 2024: 42 · 2023: 30 · 2022: 34 · 2021: 44 · 2020: 42 · 2019: 30 · 2018: 31 · 2017: 32 · 2016: 19 · 2015: 5
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pharmacological Reviews (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- amylin, G protein-coupled receptors, receptor activity-modifying proteins, glucoregulation, energy metabolism, cardiovascular effects, bone metabolism, circumventricular organs, cholecystokinin, leptin, estradiol, pramlintide, type 1 diabetes, type 2 diabetes, obesity, weight loss
- MeSH terms
- Animals, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Energy Metabolism, Humans, Hypoglycemic Agents, Weight Loss, Islet Amyloid Polypeptide
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