DPP4 in Diabetes

Dipeptidyl peptidase 4 (DPP4) is a glycoprotein of 110 kDa, which is ubiquitously expressed on the surface of a variety of cells. This exopeptidase selectively cleaves N-terminal dipeptides from a variety of substrates, including cytokines, growth factors neuropeptides, and the incretin hormones. Ex...

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Main Authors: Diana eRöhrborn, Nina eWronkowitz, Juergen eEckel
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00386/full
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author Diana eRöhrborn
Nina eWronkowitz
Juergen eEckel
author_facet Diana eRöhrborn
Nina eWronkowitz
Juergen eEckel
author_sort Diana eRöhrborn
collection DOAJ
description Dipeptidyl peptidase 4 (DPP4) is a glycoprotein of 110 kDa, which is ubiquitously expressed on the surface of a variety of cells. This exopeptidase selectively cleaves N-terminal dipeptides from a variety of substrates, including cytokines, growth factors neuropeptides, and the incretin hormones. Expression of DPP4 is substantially dysregulated in a variety of disease states including inflammation, cancer, obesity and diabetes. Since the incretin hormones GLP-1 and GIP are major regulators of post-prandial insulin secretion, inhibition of DPP4 by the gliptin family of drugs has gained considerable interest for the therapy of type 2 diabetic patients. In this review, we summarise the current knowledge on the DPP4 - incretin axis, and evaluate most recent findings on DPP4 inhibitors.Furthermore, DPP4 as a type II transmembrane protein is also known to be cleaved from the cell membrane involving different metalloproteases in a cell-type specific manner. Circulating, soluble DPP4 has been identified as a new adipokine which exerts both para- and endocrine effects. Recently, a novel receptor for soluble DPP4 has been identified and data are accumulating that the adipokine-related effects of DPP4 may play an important role in the pathogenesis of cardiovascular disease. Importantly, circulating DPP4 is augmented in obese and type 2 diabetic subjects and it may represent a molecular link between obesity and vascular dysfunction. A critical evaluation of the impact of circulating DPP4 is presented and the potential role of DPP4 inhibition at this level is also discussed.
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spelling doaj.art-3bcaa864c3e44e678ab8a39560c39b0c2022-12-22T02:46:48ZengFrontiers Media S.A.Frontiers in Immunology1664-32242015-07-01610.3389/fimmu.2015.00386150851DPP4 in DiabetesDiana eRöhrborn0Nina eWronkowitz1Juergen eEckel2German Diabetes CenterGerman Diabetes CenterGerman Diabetes CenterDipeptidyl peptidase 4 (DPP4) is a glycoprotein of 110 kDa, which is ubiquitously expressed on the surface of a variety of cells. This exopeptidase selectively cleaves N-terminal dipeptides from a variety of substrates, including cytokines, growth factors neuropeptides, and the incretin hormones. Expression of DPP4 is substantially dysregulated in a variety of disease states including inflammation, cancer, obesity and diabetes. Since the incretin hormones GLP-1 and GIP are major regulators of post-prandial insulin secretion, inhibition of DPP4 by the gliptin family of drugs has gained considerable interest for the therapy of type 2 diabetic patients. In this review, we summarise the current knowledge on the DPP4 - incretin axis, and evaluate most recent findings on DPP4 inhibitors.Furthermore, DPP4 as a type II transmembrane protein is also known to be cleaved from the cell membrane involving different metalloproteases in a cell-type specific manner. Circulating, soluble DPP4 has been identified as a new adipokine which exerts both para- and endocrine effects. Recently, a novel receptor for soluble DPP4 has been identified and data are accumulating that the adipokine-related effects of DPP4 may play an important role in the pathogenesis of cardiovascular disease. Importantly, circulating DPP4 is augmented in obese and type 2 diabetic subjects and it may represent a molecular link between obesity and vascular dysfunction. A critical evaluation of the impact of circulating DPP4 is presented and the potential role of DPP4 inhibition at this level is also discussed.http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00386/fullIncretinsmultifunctional enzymetype 2 diabetes mellitusCD26/DPP4soluble DPP4DPP4 inhibitors/Gliptins
spellingShingle Diana eRöhrborn
Nina eWronkowitz
Juergen eEckel
DPP4 in Diabetes
Frontiers in Immunology
Incretins
multifunctional enzyme
type 2 diabetes mellitus
CD26/DPP4
soluble DPP4
DPP4 inhibitors/Gliptins
title DPP4 in Diabetes
title_full DPP4 in Diabetes
title_fullStr DPP4 in Diabetes
title_full_unstemmed DPP4 in Diabetes
title_short DPP4 in Diabetes
title_sort dpp4 in diabetes
topic Incretins
multifunctional enzyme
type 2 diabetes mellitus
CD26/DPP4
soluble DPP4
DPP4 inhibitors/Gliptins
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00386/full
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AT juergeneeckel dpp4indiabetes