Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions

The pancreas has physiologically important endocrine and exocrine functions; secreting enzymes into the small intestine to aid digestion and releasing multiple peptide hormones via the islets of Langerhans to regulate glucose metabolism, respectively. Insulin and glucagon, in combination with ghreli...

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Main Authors: Andrew English, Nigel Irwin
Format: Article
Language:English
Published: SAGE Publishing 2019-12-01
Series:Clinical Medicine Insights: Endocrinology and Diabetes
Online Access:https://doi.org/10.1177/1179551419888871
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author Andrew English
Nigel Irwin
author_facet Andrew English
Nigel Irwin
author_sort Andrew English
collection DOAJ
description The pancreas has physiologically important endocrine and exocrine functions; secreting enzymes into the small intestine to aid digestion and releasing multiple peptide hormones via the islets of Langerhans to regulate glucose metabolism, respectively. Insulin and glucagon, in combination with ghrelin, pancreatic polypeptide and somatostatin, are the main classical islet peptides critical for the maintenance of blood glucose. However, pancreatic islets also synthesis numerous ‘nonclassical’ peptides that have recently been demonstrated to exert fundamental effects on overall islet function and metabolism. As such, insights into the physiological relevance of these nonclassical peptides have shown impact on glucose metabolism, insulin action, cell survival, weight loss, and energy expenditure. This review will focus on the role of individual nonclassical islet peptides to stimulate pancreatic islet secretions as well as regulate metabolism. In addition, the more recognised actions of these peptides on satiety and energy regulation will also be considered. Furthermore, recent advances in the field of peptide therapeutics and obesity-diabetes have focused on the benefits of simultaneously targeting several hormone receptor signalling cascades. The potential for nonclassical islet hormones within such combinational approaches will also be discussed.
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spelling doaj.art-806a0560aada42ce9b8a8363d7f576992022-12-21T20:32:17ZengSAGE PublishingClinical Medicine Insights: Endocrinology and Diabetes1179-55142019-12-011210.1177/1179551419888871Nonclassical Islet Peptides: Pancreatic and Extrapancreatic ActionsAndrew EnglishNigel IrwinThe pancreas has physiologically important endocrine and exocrine functions; secreting enzymes into the small intestine to aid digestion and releasing multiple peptide hormones via the islets of Langerhans to regulate glucose metabolism, respectively. Insulin and glucagon, in combination with ghrelin, pancreatic polypeptide and somatostatin, are the main classical islet peptides critical for the maintenance of blood glucose. However, pancreatic islets also synthesis numerous ‘nonclassical’ peptides that have recently been demonstrated to exert fundamental effects on overall islet function and metabolism. As such, insights into the physiological relevance of these nonclassical peptides have shown impact on glucose metabolism, insulin action, cell survival, weight loss, and energy expenditure. This review will focus on the role of individual nonclassical islet peptides to stimulate pancreatic islet secretions as well as regulate metabolism. In addition, the more recognised actions of these peptides on satiety and energy regulation will also be considered. Furthermore, recent advances in the field of peptide therapeutics and obesity-diabetes have focused on the benefits of simultaneously targeting several hormone receptor signalling cascades. The potential for nonclassical islet hormones within such combinational approaches will also be discussed.https://doi.org/10.1177/1179551419888871
spellingShingle Andrew English
Nigel Irwin
Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions
Clinical Medicine Insights: Endocrinology and Diabetes
title Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions
title_full Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions
title_fullStr Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions
title_full_unstemmed Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions
title_short Nonclassical Islet Peptides: Pancreatic and Extrapancreatic Actions
title_sort nonclassical islet peptides pancreatic and extrapancreatic actions
url https://doi.org/10.1177/1179551419888871
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