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α-Cells of the Endocrine Pancreas: 35 Years of Research but the Enigma Remains

Open access
Gromada, Jesper, Franklin, Isobel, Wollheim, Claes B.·2007·Endocrine Reviews

Abstract

Glucagon, a hormone secreted from the α-cells of the endocrine pancreas, is critical for blood glucose homeostasis. It is the major counterpart to insulin and is released during hypoglycemia to induce hepatic glucose output. The control of glucagon secretion is multifactorial and involves direct effects of nutrients on α-cell stimulus-secretion coupling as well as paracrine regulation by insulin and zinc and other factors secreted from neighboring β- and δ-cells within the islet of Langerhans. Glucagon secretion is also regulated by circulating hormones and the autonomic nervous system. In this review, we describe the components of the α-cell stimulus secretion coupling and how nutrient metabolism in the α-cell leads to changes in glucagon secretion. The islet cell composition and organization are described in different species and serve as a basis for understanding how the numerous paracrine, hormonal, and nervous signals fine-tune glucagon secretion under different physiological conditions. We also highlight the pathophysiology of the α-cell and how hyperglucagonemia represents an important component of the metabolic abnormalities associated with diabetes mellitus. Therapeutic inhibition of glucagon action in patients with type 2 diabetes remains an exciting prospect.

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Metadata

Authors
Gromada, J., Franklin, I., & Wollheim, C. B.
Venue
Endocrine Reviews
Published
2007-02-01
Volume
28
Issue
1
Pages
84-116
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2154785285
Cited by
581
References
57
FWCI
40.67
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: α-Cells of the Endocrine Pancreas: 35 Years of Research but the Enigma Remains. https://app.cochat.ai/papers/10.1210/er.2006-0007
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Gromada, J., Franklin, I., & Wollheim, C. B. (2007). α-Cells of the Endocrine Pancreas: 35 Years of Research but the Enigma Remains. Endocrine Reviews. https://doi.org/10.1210/er.2006-0007

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