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Diabetes 55:S70-S77, 2006
DOI: 10.2337/db06-S020
© 2006 by the American Diabetes Association
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Section III: The Gastrointestinal Connection

Glucagon-Like Peptide 1 Secretion by the L-Cell

The View From Within

Gareth E. Lim1, and Patricia L. Brubaker1,2

1 Department of Physiology, University of Toronto, Toronto, Ontario, Canada
2 Department of Medicine, University of Toronto, Toronto, Ontario, Canada

Address correspondence and reprint requests to Dr. P.L. Brubaker, Room 3366, Medical Sciences Building, University of Toronto, 1 King’s College Circle, Toronto, ON M5S 1A8 Canada. E-mail: p.brubaker{at}utoronto.ca

Abbreviations: GABA, {gamma}-aminobutyric acid; GIP, glucose-dependent insulinotropic peptide; GLP-1, glucagon-like peptide 1; GRP, gastrin-releasing peptide; KATP channel, ATP-sensitive K+ channel; MAPK, mitogen-activated protein kinase; MUFA, monounsaturated fatty acid; PKA, protein kinase A; PKC, protein kinase C; STAT, signal transducer and activator of transcription

Glucagon-like peptide 1 (GLP-1) is a gut-derived peptide secreted from intestinal L-cells after a meal. GLP-1 has numerous physiological actions, including potentiation of glucose-stimulated insulin secretion, enhancement of ß-cell growth and survival, and inhibition of glucagon release, gastric emptying, and food intake. These antidiabetic effects of GLP-1 have led to intense interest in the use of this peptide for the treatment of patients with type 2 diabetes. Oral nutrients such as glucose and fat are potent physiological regulators of GLP-1 secretion, but non-nutrient stimulators of GLP-1 release have also been identified, including the neuromodulators acetylcholine and gastrin-releasing peptide. Peripheral hormones that participate in energy homeostasis, such as leptin, have also been implicated in the regulation of GLP-1 release. Recent studies have begun to elucidate the intracellular signaling pathways that mediate the effects of GLP-1 secretagogues on the intestinal L-cell. The purpose of this review is to summarize the known signaling mechanisms of GLP-1 secretagogues based on the available literature. A better understanding of the pathways underlying GLP-1 secretion may lead to novel approaches by which the levels of this important insulinotropic hormone can be enhanced in patients with type 2 diabetes.


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Copyright © 2006 by the American Diabetes Association.