Abstract
Glucagon-like peptide-1 (GLP-1), a peptide hormone produce by intestinal cells, has
recently been shown to be capable of modulating islet cell mass. Administration of
GLP-1 to rodent models of type 2 diabetes ameliorates insulin secretion, induces the
replication of islet cells, and promotes islet-cell neogenesis from pancreatic ductal
cells susceptible to transdifferentiate in insulin-producing cells. In addition, an
anti-apoptotic effect of GLP-1 has been described in hyperglycemic animal models,
using freshly isolated human islets or cultured beta cell lines exposed to various
pro-apoptotic stimuli. The aim of this article is to review those reports that have
emphasized the role of GLP-1 as a regulator of islet cell mass.
Key words
Beta-cells · Insulin · Differentiation · Regeneration and apoptosis · Diabetes
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R. Perfetti, M. D., Ph. D.
Div. Endocrinology and Metabolism
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