Glucagon-like peptide-1 analogues: An overview

Abnormalities of the incretin axis have been implicated in the pathogenesis of type 2 diabetes mellitus. Glucagon-like peptide-1 (GLP-1) and gastroinhibitory intestinal peptide constitutes >90% of all the incretin function. Augmentation of GLP-1 results in improvement of beta cell health in a glu...

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Main Author: Vishal Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=3;spage=413;epage=421;aulast=Gupta
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author Vishal Gupta
author_facet Vishal Gupta
author_sort Vishal Gupta
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description Abnormalities of the incretin axis have been implicated in the pathogenesis of type 2 diabetes mellitus. Glucagon-like peptide-1 (GLP-1) and gastroinhibitory intestinal peptide constitutes >90% of all the incretin function. Augmentation of GLP-1 results in improvement of beta cell health in a glucose-dependant manner (post-prandial hyperglycemia) and suppression of glucagon (fasting hyperglycemia), amongst other beneficial pleiotropic effects. Native GLP-1 has a very short plasma half-life and novel methods have been developed to augment its half life, such that its anti-hyperglycemic effects can be exploited. They can be broadly classified as exendin-based therapies (exenatide, exenatide once weekly), DPP-4-resistant analogues (lixisenatide, albiglutide), and analogues of human GLP-1 (liraglutide, taspoglutide). Currently, commercially available analogues are exenatide, exenatide once weekly, and liraglutide. This review aims to provide an overview of most GLP-1 analogues.
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spelling doaj.art-3ae47a5170114ca5896027f08f61207a2022-12-21T20:07:53ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002013-01-0117341342110.4103/2230-8210.111625Glucagon-like peptide-1 analogues: An overviewVishal GuptaAbnormalities of the incretin axis have been implicated in the pathogenesis of type 2 diabetes mellitus. Glucagon-like peptide-1 (GLP-1) and gastroinhibitory intestinal peptide constitutes >90% of all the incretin function. Augmentation of GLP-1 results in improvement of beta cell health in a glucose-dependant manner (post-prandial hyperglycemia) and suppression of glucagon (fasting hyperglycemia), amongst other beneficial pleiotropic effects. Native GLP-1 has a very short plasma half-life and novel methods have been developed to augment its half life, such that its anti-hyperglycemic effects can be exploited. They can be broadly classified as exendin-based therapies (exenatide, exenatide once weekly), DPP-4-resistant analogues (lixisenatide, albiglutide), and analogues of human GLP-1 (liraglutide, taspoglutide). Currently, commercially available analogues are exenatide, exenatide once weekly, and liraglutide. This review aims to provide an overview of most GLP-1 analogues.http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=3;spage=413;epage=421;aulast=GuptaExenatideglucagon-like-peptideGLP-analoguesincretinsincretin-mimeticsliraglutide
spellingShingle Vishal Gupta
Glucagon-like peptide-1 analogues: An overview
Indian Journal of Endocrinology and Metabolism
Exenatide
glucagon-like-peptide
GLP-analogues
incretins
incretin-mimetics
liraglutide
title Glucagon-like peptide-1 analogues: An overview
title_full Glucagon-like peptide-1 analogues: An overview
title_fullStr Glucagon-like peptide-1 analogues: An overview
title_full_unstemmed Glucagon-like peptide-1 analogues: An overview
title_short Glucagon-like peptide-1 analogues: An overview
title_sort glucagon like peptide 1 analogues an overview
topic Exenatide
glucagon-like-peptide
GLP-analogues
incretins
incretin-mimetics
liraglutide
url http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=3;spage=413;epage=421;aulast=Gupta
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