Incretin hormones and beta-cell mass expansion: what we know and what is missing?

Abstract:

:Pancreatic beta-cell mass expands through beta-cell proliferation and neogenesis while it decreases mainly via apoptosis. The loss of balance between beta-cell death and regeneration leads to a reduction of beta-cell functional mass, thus contributing to the pathogenesis of type 2 diabetes mellitus (T2DM). The pathogenetic mechanisms causing T2DM are complex, and also include a significant reduction of the incretin effect. A better understanding of the role of incretin hormones in glucose homeostasis has led to the development of incretin-based therapies. Recently, incretin hormones have been shown to stimulate the beta-cell growth and differentiation from pancreas-derived stem/progenitor cells, as well as to exert cytoprotective, antiapoptotic effects on beta-cells. However, the role and the molecular mechanisms by which GLP-1 and its agonists regulate beta-cell mass have not been fully investigated. This review focuses the current findings and the missing understanding of the effects of incretin hormones on beta-cell mass expansion.

journal_name

Arch Physiol Biochem

authors

Tortosa F,Dotta F

doi

10.3109/13813455.2013.795175

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

161-9

issue

4

eissn

1381-3455

issn

1744-4160

journal_volume

119

pub_type

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