Az inkretin hormonok szerepe az inzulin-homeosztázis és a szénhidrát-anyagcsere szabályozásában Irodalmi összefoglaló
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Date
2017-02Author
Mátis, Gábor
Mackei, Máté
Neogrády, Zsuzsanna
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Summary
In the present literature review, the authors discuss the central role of the gutdriven incretin hormones, namely GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide 1), as members of the enteroinsular axis,
with regard on the pancreatic insulin production. The GIP, produced by K cells of
the small intestines after feed intake, stimulates the insulin secretion of β cells
mostly by the mediation of cAMP as a second messenger. Further, GLP-1, released
from L cells, being presented in both small and large intestines, increases insulin
synthesis by affecting insulin gene expression, enhances pancreatic insulin exocytosis and stimulates proliferation as well as differentiation of β cells. In addition,
glucagon production of α cells can be inhibited by GLP-1, while GIP is capable to
increase pancreatic glucagon secretion. Concerning the incretin effects in further
tissues, lipogenesis and proliferation of osteoblasts can be also stimulated by GIP,
leading to enhanced lipid storage in adipose tissue and to faster bone formation
of growing animals, respectively. The way of incretin action is partly differing in
birds from that of mammals, increasing pancreatic insulin release more likely by
influencing the somatostatin production of δ cells rather than by direct stimulation
of β cells. However, their anorexigenic effect, similarly to mammalian species, was
stated in chicken, as well. Based on the available literature data, the authors declare
that special emphasis should be taken on the role of incretin hormones in the
complex regulation of insulin secretion. Influencing incretin and insulin homeostasis by nutrition or certain drugs can be of special relevance in the treatment of
diabetic patients, and, based on insulin’s anabolic action, in improving the growth
performance of food-producing animals.