Discovery, characterization, and clinical development of the glucagon-like peptides
Open accessAbstract
The discovery, characterization, and clinical development of glucagon-like-peptide-1 (GLP-1) spans more than 30 years and includes contributions from multiple investigators, science recognized by the 2017 Harrington Award Prize for Innovation in Medicine. Herein, we provide perspectives on the historical events and key experimental findings establishing the biology of GLP-1 as an insulin-stimulating glucoregulatory hormone. Important attributes of GLP-1 action and enteroendocrine science are reviewed, with emphasis on mechanistic advances and clinical proof-of-concept studies. The discovery that GLP-2 promotes mucosal growth in the intestine is described, and key findings from both preclinical studies and the GLP-2 clinical development program for short bowel syndrome (SBS) are reviewed. Finally, we summarize recent progress in GLP biology, highlighting emerging concepts and scientific insights with translational relevance.
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Circulating GLP-1 is low during fasting and between meals but rises quickly after oral nutrients, stimulating insulin secretion, inhibiting glucagon secretion, slowing gastric emptying, and reducing hyperglycemia in type 2 diabetes.
“Circulating levels of GLP-1 are low in the fasting or inter-prandial state but spike quickly following oral nutrient loads, thus stimulating insulin secretion from the pancreatic β-cells, inhibiting glucagon secretion from the α-cells and slowing gastric emptying, thereby reducing hyperglycemia in T2D (Figure 1).13,14”
From Management of type 2 diabetes, obesity, or nonalcoholic steatohepatitis with high‐dose GLP‐1 receptor agonists and GLP‐1 receptor‐based co‐agonists (2024) · cites this paper as [13]
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- Authors
- Drucker, D. J., Habener, J. F., & Holst, J. J.
- Affiliations
- Mount Sinai Hospital (CA)
- Harvard University (US)
- University of Copenhagen (DK)
- Corresponding author
- Drucker, Daniel J.
- Venue
- Journal of Clinical Investigation
- Published
- 2017-12-01
- Volume
- 127
- Issue
- 12
- Pages
- 4217-4227
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC5707151
- OpenAlex
- W2772059359
- Cited by
- 418
- References
- 105
- Citations by year
- 2026: 46 · 2025: 62 · 2024: 58 · 2023: 41 · 2022: 52 · 2021: 49 · 2020: 38 · 2019: 42 · 2018: 29 · 2014: 1
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- Funders
- Canada Research Chairs, Canadian Institutes for Health Research (MOP123391)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- glucagon-like peptide-1, glucagon-like peptide-2, enteroendocrine hormones, insulin secretion, glucoregulation, intestinal mucosal growth, short bowel syndrome
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, Glucagon-Like Peptide-1 Receptor Agonists, Animals, Diabetes Mellitus, Type 2, Humans, Short Bowel Syndrome, Structure-Activity Relationship, Glucagon-Like Peptide 1, Glucagon-Like Peptide 2, Drug Discovery
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