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Review
. 2013 Feb;24(2):85-91.
doi: 10.1016/j.tem.2012.11.008. Epub 2013 Jan 16.

Glucagon-like peptide 1 and appetite

Affiliations
Review

Glucagon-like peptide 1 and appetite

Megan J Dailey et al. Trends Endocrinol Metab. 2013 Feb.

Abstract

Glucagon-like peptide 1 (GLP-1) and GLP-1 analogs have received much recent attention due to the success of GLP-1 mimetics in treating type II diabetes mellitus (T2DM), but these compounds may also have the potential to treat obesity. The satiety effect of GLP-1 may involve both within-meal enteroenteric reflexes, and across-meal central signaling mechanisms, that mediate changes in appetite and promote satiety. Here, we review data supporting the role of both peripheral and central GLP-1 signaling in the control of gastrointestinal motility and food intake. Understanding the mechanisms underlying the appetite-suppressive effects of GLP-1 may help in developing targeted treatments for obesity.

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Figures

Figure 1
Figure 1. GLP-1 action in the gut
(A) GLP-1 released from the L cells diffuses into the lamina propria and enters the lymph or capillaries. DPP-IV is expressed in the capillaries and can immediately begin to degrade GLP-1 before it even reaches the hepatic portal vein. GLP-1 released from the L cell can mediate changes in the submucosal (B) and myenteric nerves (C). (D) GLP-1 can have a direct effect on vagal primary afferents. (E) Luminal nutrients in the proximal GI tract may stimulate distal GLP-1 secretion through an enteroendocrine loop that involves vagal and enteric neural connections. Hormones released from the stomach or proximal intestine stimulate vagal pathways that synapse on GRP neurons in the myenteric plexus to cause downstream stimulation of GLP-1 fom the L cell in the mucosal epithelium. Ach: acetylcholine, GRP: gastrin-releasing peptide, DPP-IV: dipeptidyl peptidase-4, GLP-1: Glucagon-like peptide-1.

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