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Pancreatic alpha cells and glucagon secretion : Novel functions and targets in glucose homeostasis

Wendt, Anna LU and Eliasson, Lena LU orcid (2022) In Current Opinion in Pharmacology 63.
Abstract

Diabetes is the result of dysregulation of both insulin and glucagon. Still, insulin has attracted much more attention than glucagon. Glucagon is released from alpha cells in the islets of Langerhans in response to low glucose and certain amino acids. Drugs with the primary aim of targeting glucagon signalling are scarce. However, glucagon is often administered to counteract severe hypoglycaemia, and commonly used diabetes medications such as GLP-1 analogues, sulfonylureas and SGLT2-inhibitors also affect alpha cells. Indeed, there are physiological and developmental similarities between the alpha cell and the insulin-secreting beta cell and new data confirm that alpha cells can be converted into insulin-secreting cells. These aspects... (More)

Diabetes is the result of dysregulation of both insulin and glucagon. Still, insulin has attracted much more attention than glucagon. Glucagon is released from alpha cells in the islets of Langerhans in response to low glucose and certain amino acids. Drugs with the primary aim of targeting glucagon signalling are scarce. However, glucagon is often administered to counteract severe hypoglycaemia, and commonly used diabetes medications such as GLP-1 analogues, sulfonylureas and SGLT2-inhibitors also affect alpha cells. Indeed, there are physiological and developmental similarities between the alpha cell and the insulin-secreting beta cell and new data confirm that alpha cells can be converted into insulin-secreting cells. These aspects and attributes, the need to find novel therapies targeting the alpha cell and more are considered in this review.

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Contribution to journal
publication status
published
subject
in
Current Opinion in Pharmacology
volume
63
article number
102199
publisher
Elsevier
external identifiers
  • pmid:35245797
  • scopus:85125705353
ISSN
1471-4892
DOI
10.1016/j.coph.2022.102199
language
English
LU publication?
yes
id
61317b68-9768-4909-9f04-4f190f9339ac
date added to LUP
2022-04-14 10:56:56
date last changed
2024-06-21 04:27:34
@article{61317b68-9768-4909-9f04-4f190f9339ac,
  abstract     = {{<p>Diabetes is the result of dysregulation of both insulin and glucagon. Still, insulin has attracted much more attention than glucagon. Glucagon is released from alpha cells in the islets of Langerhans in response to low glucose and certain amino acids. Drugs with the primary aim of targeting glucagon signalling are scarce. However, glucagon is often administered to counteract severe hypoglycaemia, and commonly used diabetes medications such as GLP-1 analogues, sulfonylureas and SGLT2-inhibitors also affect alpha cells. Indeed, there are physiological and developmental similarities between the alpha cell and the insulin-secreting beta cell and new data confirm that alpha cells can be converted into insulin-secreting cells. These aspects and attributes, the need to find novel therapies targeting the alpha cell and more are considered in this review.</p>}},
  author       = {{Wendt, Anna and Eliasson, Lena}},
  issn         = {{1471-4892}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Current Opinion in Pharmacology}},
  title        = {{Pancreatic alpha cells and glucagon secretion : Novel functions and targets in glucose homeostasis}},
  url          = {{http://dx.doi.org/10.1016/j.coph.2022.102199}},
  doi          = {{10.1016/j.coph.2022.102199}},
  volume       = {{63}},
  year         = {{2022}},
}