Preservation of β-cell function in type 2 diabetes by GLP-1 based therapy
- VernacularTitle:新一代药物GLP-1类似物对2型糖尿病患者β细胞功能的保护
- Author:
Wenying YANG
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Islet β-cells;
Glucagon-like peptide-1
- From:
Chinese Journal of Endocrinology and Metabolism
2008;24(6):附录6a-5
- CountryChina
- Language:Chinese
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Abstract:
Type 2 diabetes is characterized by deteriorated β-cell function and progressive loss of β-cell mass. Pancreatic islets are a target of high concentrations of glucose, pro-inflammatory cytokines and free fatty acid levels, which are associated with obesity, insulin resistance and β-cell apeptosis. Therapy targeting β-cell dysfunction is crucial in the treatment of type 2 diabetes. GLP-1, one of the incretin hormones, has been demonstrated to improve glycaemic control and β-cell function through its multiple physiological effects. In this review, the mechanisms involved in β-cell dysfunction and β-cell loss are addressed, and the updates in GLP-1 based therapy for the preservation of β-cell mass and β-cell function in type 2 diabetes are also reviewed.