胰高血糖素样肽
通过抑制二肽基肽酶-4(dipeptidylpeptidase,dpp-4)或加强人胰高血糖素样肽(glucagon-likepeptide-1,glp-1),二甲双胍与dpp-4和glp-1之间可能存在潜在的联合作用[11,12]。
样肽
通过抑制二肽基肽酶-4(dipeptidylpeptidase,dpp-4)或加强人胰高血糖素样肽(glucagon-likepeptide-1,glp-1),二甲双胍与dpp-4和glp-1之间可能存在潜在的联合作用[11,12]。
糖素样肽
通过抑制二肽基肽酶-4(dipeptidylpeptidase,dpp-4)或加强人胰高血糖素样肽(glucagon-likepeptide-1,glp-1),二甲双胍与dpp-4和glp-1之间可能存在潜在的联合作用[11,12]。
胰高血糖素
... GAL(Galanin):甘丙肽 GLP-1:胰高血糖素-1 Insulin:胰岛素 ...
Glucagon-like peptide-1 (GLP-1) is an incretin derived from the transcription product of the proglucagon gene. The major source of GLP-1 in the body is the intestinal L cell that secretes GLP-1 as a gut hormone. The biologically active forms of GLP-1 are: GLP-1-(7-37) and GLP-1-(7-36)NH2. Those peptides result from selective cleavage of the proglucagon molecule.GLP-1 secretion by ileal L cells is dependent on the presence of nutrients in the lumen of the small intestine. The secretagogues (agents that cause or stimulate secretion) of this hormone include major nutrients like carbohydrate, protein and lipid. Once in the circulation, GLP-1 has a half-life of less than 2 minutes, due to rapid degradation by the enzyme dipeptidyl peptidase-4. It is a potent antihyperglycemic hormone, inducing glucose-dependent stimulation of insulin secretion while suppressing glucagon secretion. Such glucose-dependent action is particularly attractive because, when the plasma glucose concentration is in the normal fasting range, GLP-1 no longer stimulates insulin to cause hypoglycemia. GLP-1 appears to restore the glucose sensitivity of pancreatic β-cells, with the mechanism possibly involving the increased expression of GLUT2 and glucokinase. GLP-1 is also known to inhibit pancreatic β-cell apoptosis and stimulate the proliferation and differentiation of insulin-secreting β-cells. In addition, GLP-1 inhibits gastric secretion and motility. This delays and protracts carbohydrate absorption and contributes to a satiating effect.