The metabolic actions of glucagon revisited.

The metabolic actions of glucagon revisited.
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DOI:
10.1038/nrendo.2010.187
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发表时间:
2010-12
期刊:
Nature reviews. Endocrinology
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其他
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胰升糖素作为胰岛素的反向调节激素的初步鉴定表明,这种激素在很大程度上具有独特的生理和药理作用。然而,高血糖素激动剂也被证明对脂肪代谢、能量平衡、身体脂肪组织质量和食物摄入量产生影响。胰升糖素刺激能量消耗的能力,以及它的降血脂和饱和作用,特别是使这种激素成为治疗血脂异常和肥胖的有吸引力的药物。一些研究描述了胰升糖素的新的临床前应用,单独或与胰升糖素样肽1激动剂联合应用,揭示了胰升糖素激动剂在治疗代谢综合征中的潜在益处。总而言之,这些观察结果挑战我们深入研究胰岛素的长期对手的生理学和治疗潜力。
The initial identification of glucagon as a counter-regulatory hormone to insulin revealed this hormone to be of largely singular physiological and pharmacological purpose. Glucagon agonism, however, has also been shown to exert effects on lipid metabolism, energy balance, body adipose tissue mass and food intake. The ability of glucagon to stimulate energy expenditure, along with its hypolipidemic and satiating effects, in particular, make this hormone an attractive pharmaceutical agent for the treatment of dyslipidemia and obesity. Studies that describe novel preclinical applications of glucagon, alone and in concert with glucagon-like peptide 1 agonism, have revealed potential benefits of glucagon agonism in the treatment of the metabolic syndrome. Collectively, these observations challenge us to thoroughly investigate the physiology and therapeutic potential of insulin's long-known opponent.
DOI: 10.1152/ajpregu.1991.261.2.r501
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