Skip to main content

23.03.2024 | Mini-Review

Advances in clinical research on glucagon

verfasst von: Ichiro Horie, Norio Abiru

Erschienen in: Diabetology International

Einloggen, um Zugang zu erhalten

Abstract

We are now celebrating the 100th anniversary of the discovery of an important pancreatic hormone, glucagon. Glucagon is historically described as a diabetogenic hormone elevating glucose levels via increases in insulin resistance and hepatic gluconeogenesis. The more recently identified actions of glucagon include not only its pathophysiologic effects on glucose metabolism but also its significant roles in amino-acid metabolism in the liver. The possibility that abnormalities in α-cells’ secretion of glucagon in metabolic disorders are a compensatory adaptation for the maintenance of metabolic homeostasis is another current issue. However, the clinical research concerning glucagon has been considerably behind the advances in basic research due to the lack of suitable methodology for obtaining precise measurements of plasma glucagon levels in humans. The precise physiology of glucagon secretory dynamics in individuals with metabolic dysfunction (including diabetes) has been clarified since the development in 2014 of a quantitative measurement technique for glucagon. In this review, we summarize the advances in the clinical research concerning glucagon, including those of our studies and the relevant literature.
Literatur
1.
Zurück zum Zitat Scheen AJ, Lefebvre PJ. Glucagon, from past to present: a century of intensive research and controversies. Lancet Diabetes Endocrinol. 2023;11:129–38.PubMedCrossRef Scheen AJ, Lefebvre PJ. Glucagon, from past to present: a century of intensive research and controversies. Lancet Diabetes Endocrinol. 2023;11:129–38.PubMedCrossRef
2.
Zurück zum Zitat Wewer Albrechtsen NJ, Holst JJ, Cherrington AD, Finan B, Gluud LL, et al. 100 years of glucagon and 100 more. Diabetologia. 2023;66:1378–94.PubMedCrossRef Wewer Albrechtsen NJ, Holst JJ, Cherrington AD, Finan B, Gluud LL, et al. 100 years of glucagon and 100 more. Diabetologia. 2023;66:1378–94.PubMedCrossRef
4.
Zurück zum Zitat Wewer Albrechtsen NJ, Hartmann B, Veedfald S, Windelov JA, Plamboeck A, et al. Hyperglucagonaemia analysed by glucagon sandwich ELISA: nonspecific interference or truly elevated levels? Diabetologia. 2014;57:1919–26.PubMedCrossRef Wewer Albrechtsen NJ, Hartmann B, Veedfald S, Windelov JA, Plamboeck A, et al. Hyperglucagonaemia analysed by glucagon sandwich ELISA: nonspecific interference or truly elevated levels? Diabetologia. 2014;57:1919–26.PubMedCrossRef
5.
Zurück zum Zitat Miyachi A, Kobayashi M, Mieno E, Goto M, Furusawa K, et al. Accurate analytical method for human plasma glucagon levels using liquid chromatography-high resolution mass spectrometry: comparison with commercially available immunoassays. Anal Bioanal Chem. 2017;409:5911–8.PubMedCrossRef Miyachi A, Kobayashi M, Mieno E, Goto M, Furusawa K, et al. Accurate analytical method for human plasma glucagon levels using liquid chromatography-high resolution mass spectrometry: comparison with commercially available immunoassays. Anal Bioanal Chem. 2017;409:5911–8.PubMedCrossRef
6.
Zurück zum Zitat Katahira T, Kanazawa A, Shinohara M, Koshibu M, Kaga H, et al. Postprandial plasma glucagon kinetics in type 2 diabetes mellitus: comparison of immunoassay and mass spectrometry. J Endocr Soc. 2019;3:42–51.PubMedCrossRef Katahira T, Kanazawa A, Shinohara M, Koshibu M, Kaga H, et al. Postprandial plasma glucagon kinetics in type 2 diabetes mellitus: comparison of immunoassay and mass spectrometry. J Endocr Soc. 2019;3:42–51.PubMedCrossRef
7.
Zurück zum Zitat Muller WA, Faloona GR, Aguilar-Parada E, Unger RH. Abnormal alpha-cell function in diabetes. Response to carbohydrate and protein ingestion. N Engl J Med. 1970;283:109–15.PubMedCrossRef Muller WA, Faloona GR, Aguilar-Parada E, Unger RH. Abnormal alpha-cell function in diabetes. Response to carbohydrate and protein ingestion. N Engl J Med. 1970;283:109–15.PubMedCrossRef
8.
Zurück zum Zitat Holst JJ, Wewer Albrechtsen NJ, Pedersen J, Knop FK. Glucagon and amino acids are linked in a mutual feedback cycle: the liver-alpha-cell axis. Diabetes. 2017;66:235–40.PubMedCrossRef Holst JJ, Wewer Albrechtsen NJ, Pedersen J, Knop FK. Glucagon and amino acids are linked in a mutual feedback cycle: the liver-alpha-cell axis. Diabetes. 2017;66:235–40.PubMedCrossRef
9.
Zurück zum Zitat Kawai K, Murayama Y, Okuda Y, Yamashita K. Postprandial glucose, insulin and glucagon responses to meals with different nutrient compositions in non-insulin-dependent diabetes mellitus. Endocrinol Jpn. 1987;34:745–53.PubMedCrossRef Kawai K, Murayama Y, Okuda Y, Yamashita K. Postprandial glucose, insulin and glucagon responses to meals with different nutrient compositions in non-insulin-dependent diabetes mellitus. Endocrinol Jpn. 1987;34:745–53.PubMedCrossRef
10.
Zurück zum Zitat Yabe D, Kuroe A, Watanabe K, Iwasaki M, Hamasaki A, et al. Early phase glucagon and insulin secretory abnormalities, but not incretin secretion, are similarly responsible for hyperglycemia after ingestion of nutrients. J Diabetes Complicat. 2015;29:413–21.CrossRef Yabe D, Kuroe A, Watanabe K, Iwasaki M, Hamasaki A, et al. Early phase glucagon and insulin secretory abnormalities, but not incretin secretion, are similarly responsible for hyperglycemia after ingestion of nutrients. J Diabetes Complicat. 2015;29:413–21.CrossRef
11.
Zurück zum Zitat Matsuo T, Miyagawa J, Kusunoki Y, Miuchi M, Ikawa T, et al. Postabsorptive hyperglucagonemia in patients with type 2 diabetes mellitus analyzed with a novel enzyme-linked immunosorbent assay. J Diabetes Investig. 2016;7:324–31.PubMedCrossRef Matsuo T, Miyagawa J, Kusunoki Y, Miuchi M, Ikawa T, et al. Postabsorptive hyperglucagonemia in patients with type 2 diabetes mellitus analyzed with a novel enzyme-linked immunosorbent assay. J Diabetes Investig. 2016;7:324–31.PubMedCrossRef
12.
Zurück zum Zitat Kobayashi M, Satoh H, Matsuo T, Kusunoki Y, Tokushima M, et al. Plasma glucagon levels measured by sandwich ELISA are correlated with impaired glucose tolerance in type 2 diabetes. Endocr J. 2020;67:903–22.PubMedCrossRef Kobayashi M, Satoh H, Matsuo T, Kusunoki Y, Tokushima M, et al. Plasma glucagon levels measured by sandwich ELISA are correlated with impaired glucose tolerance in type 2 diabetes. Endocr J. 2020;67:903–22.PubMedCrossRef
13.
Zurück zum Zitat Ichikawa R, Takano K, Fujimoto K, Kobayashi M, Kitamura T, Shichiri M, Miyatsuka T. Robust increase in glucagon secretion after oral protein intake, but not after glucose or lipid intake in Japanese people without diabetes. J Diabetes Investig. 2023;14:1172–4.PubMedPubMedCentralCrossRef Ichikawa R, Takano K, Fujimoto K, Kobayashi M, Kitamura T, Shichiri M, Miyatsuka T. Robust increase in glucagon secretion after oral protein intake, but not after glucose or lipid intake in Japanese people without diabetes. J Diabetes Investig. 2023;14:1172–4.PubMedPubMedCentralCrossRef
14.
Zurück zum Zitat Horie I, Abiru N, Eto M, Sako A, Akeshima J, et al. Sex differences in insulin and glucagon responses for glucose homeostasis in young healthy Japanese adults. J Diabetes Investig. 2018;9:1283–7.PubMedPubMedCentralCrossRef Horie I, Abiru N, Eto M, Sako A, Akeshima J, et al. Sex differences in insulin and glucagon responses for glucose homeostasis in young healthy Japanese adults. J Diabetes Investig. 2018;9:1283–7.PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Faerch K, Borch-Johnsen K, Vaag A, Jorgensen T, Witte DR. Sex differences in glucose levels: a consequence of physiology or methodological convenience? The Inter99 study. Diabetologia. 2010;53:858–65.PubMedCrossRef Faerch K, Borch-Johnsen K, Vaag A, Jorgensen T, Witte DR. Sex differences in glucose levels: a consequence of physiology or methodological convenience? The Inter99 study. Diabetologia. 2010;53:858–65.PubMedCrossRef
16.
Zurück zum Zitat Sicree RA, Zimmet PZ, Dunstan DW, Cameron AJ, Welborn TA, et al. Differences in height explain gender differences in the response to the oral glucose tolerance test—the AusDiab study. Diabet Med. 2008;25:296–302.PubMedCrossRef Sicree RA, Zimmet PZ, Dunstan DW, Cameron AJ, Welborn TA, et al. Differences in height explain gender differences in the response to the oral glucose tolerance test—the AusDiab study. Diabet Med. 2008;25:296–302.PubMedCrossRef
17.
Zurück zum Zitat Rathmann W, Strassburger K, Giani G, Doring A, Meisinger C. Differences in height explain gender differences in the response to the oral glucose tolerance test. Diabet Med. 2008;25:1374–5.PubMedCrossRef Rathmann W, Strassburger K, Giani G, Doring A, Meisinger C. Differences in height explain gender differences in the response to the oral glucose tolerance test. Diabet Med. 2008;25:1374–5.PubMedCrossRef
18.
Zurück zum Zitat Faerch K, Pacini G, Nolan JJ, Hansen T, Tura A, et al. Impact of glucose tolerance status, sex, and body size on glucose absorption patterns during OGTTs. Diabetes Care. 2013;36:3691–7.PubMedPubMedCentralCrossRef Faerch K, Pacini G, Nolan JJ, Hansen T, Tura A, et al. Impact of glucose tolerance status, sex, and body size on glucose absorption patterns during OGTTs. Diabetes Care. 2013;36:3691–7.PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Qiao Q, Hu G, Tuomilehto J, Nakagami T, Balkau B, et al. Age- and sex-specific prevalence of diabetes and impaired glucose regulation in 11 Asian cohorts. Diabetes Care. 2003;26:1770–80.PubMedCrossRef Qiao Q, Hu G, Tuomilehto J, Nakagami T, Balkau B, et al. Age- and sex-specific prevalence of diabetes and impaired glucose regulation in 11 Asian cohorts. Diabetes Care. 2003;26:1770–80.PubMedCrossRef
20.
Zurück zum Zitat Anderwald C, Gastaldelli A, Tura A, Krebs M, Promintzer-Schifferl M, et al. Mechanism and effects of glucose absorption during an oral glucose tolerance test among females and males. J Clin Endocrinol Metab. 2011;96:515–24.PubMedCrossRef Anderwald C, Gastaldelli A, Tura A, Krebs M, Promintzer-Schifferl M, et al. Mechanism and effects of glucose absorption during an oral glucose tolerance test among females and males. J Clin Endocrinol Metab. 2011;96:515–24.PubMedCrossRef
21.
Zurück zum Zitat Knop FK, Aaboe K, Vilsboll T, Volund A, Holst JJ, et al. Impaired incretin effect and fasting hyperglucagonaemia characterizing type 2 diabetic subjects are early signs of dysmetabolism in obesity. Diabetes Obes Metab. 2012;14:500–10.PubMedCrossRef Knop FK, Aaboe K, Vilsboll T, Volund A, Holst JJ, et al. Impaired incretin effect and fasting hyperglucagonaemia characterizing type 2 diabetic subjects are early signs of dysmetabolism in obesity. Diabetes Obes Metab. 2012;14:500–10.PubMedCrossRef
22.
Zurück zum Zitat Wewer Albrechtsen NJ, Junker AE, Christensen M, Haedersdal S, Wibrand F, et al. Hyperglucagonemia correlates with plasma levels of non-branched-chain amino acids in patients with liver disease independent of type 2 diabetes. Am J Physiol Gastrointest Liver Physiol. 2018;314:G91–6.PubMedCrossRef Wewer Albrechtsen NJ, Junker AE, Christensen M, Haedersdal S, Wibrand F, et al. Hyperglucagonemia correlates with plasma levels of non-branched-chain amino acids in patients with liver disease independent of type 2 diabetes. Am J Physiol Gastrointest Liver Physiol. 2018;314:G91–6.PubMedCrossRef
23.
Zurück zum Zitat Morita Y, Ohno H, Kobuke K, Oki K, Yoneda M. Variation in plasma glucagon levels according to obesity status in Japanese Americans with normal glucose tolerance. Endocr J. 2021;68:95–102.PubMedCrossRef Morita Y, Ohno H, Kobuke K, Oki K, Yoneda M. Variation in plasma glucagon levels according to obesity status in Japanese Americans with normal glucose tolerance. Endocr J. 2021;68:95–102.PubMedCrossRef
24.
Zurück zum Zitat Junker AE, Gluud L, Holst JJ, Knop FK, Vilsboll T. Diabetic and nondiabetic patients with nonalcoholic fatty liver disease have an impaired incretin effect and fasting hyperglucagonaemia. J Intern Med. 2016;279:485–93.PubMedCrossRef Junker AE, Gluud L, Holst JJ, Knop FK, Vilsboll T. Diabetic and nondiabetic patients with nonalcoholic fatty liver disease have an impaired incretin effect and fasting hyperglucagonaemia. J Intern Med. 2016;279:485–93.PubMedCrossRef
25.
Zurück zum Zitat Suppli MP, Lund A, Bagger JI, Vilsboll T, Knop FK. Involvement of steatosis-induced glucagon resistance in hyperglucagonaemia. Med Hypotheses. 2016;86:100–3.PubMedCrossRef Suppli MP, Lund A, Bagger JI, Vilsboll T, Knop FK. Involvement of steatosis-induced glucagon resistance in hyperglucagonaemia. Med Hypotheses. 2016;86:100–3.PubMedCrossRef
26.
Zurück zum Zitat Wewer Albrechtsen NJ, Pedersen J, Galsgaard KD, Winther-Sorensen M, Suppli MP, et al. The liver-alpha-cell axis and type 2 diabetes. Endocr Rev. 2019;40:1353–66.PubMedCrossRef Wewer Albrechtsen NJ, Pedersen J, Galsgaard KD, Winther-Sorensen M, Suppli MP, et al. The liver-alpha-cell axis and type 2 diabetes. Endocr Rev. 2019;40:1353–66.PubMedCrossRef
27.
Zurück zum Zitat Suppli MP, Bagger JI, Lund A, Demant M, van Hall G, et al. Glucagon resistance at the level of amino acid turnover in obese subjects with hepatic steatosis. Diabetes. 2020;69:1090–9.PubMedCrossRef Suppli MP, Bagger JI, Lund A, Demant M, van Hall G, et al. Glucagon resistance at the level of amino acid turnover in obese subjects with hepatic steatosis. Diabetes. 2020;69:1090–9.PubMedCrossRef
28.
Zurück zum Zitat Wewer Albrechtsen NJ. Glucagon receptor signaling in metabolic diseases. Peptides. 2018;100:42–7.PubMedCrossRef Wewer Albrechtsen NJ. Glucagon receptor signaling in metabolic diseases. Peptides. 2018;100:42–7.PubMedCrossRef
29.
Zurück zum Zitat Wewer Albrechtsen NJ, Faerch K, Jensen TM, Witte DR, Pedersen J, et al. Evidence of a liver-alpha cell axis in humans: hepatic insulin resistance attenuates relationship between fasting plasma glucagon and glucagonotropic amino acids. Diabetologia. 2018;61:671–80.PubMedCrossRef Wewer Albrechtsen NJ, Faerch K, Jensen TM, Witte DR, Pedersen J, et al. Evidence of a liver-alpha cell axis in humans: hepatic insulin resistance attenuates relationship between fasting plasma glucagon and glucagonotropic amino acids. Diabetologia. 2018;61:671–80.PubMedCrossRef
30.
Zurück zum Zitat Kjeldsen SAS, Thomsen MN, Skytte MJ, Samkani A, Richter MM, et al. Markers of glucagon resistance improve with reductions in hepatic steatosis and body weight in type 2 diabetes. J Endocr Soc. 2023;7:bvad122.PubMedPubMedCentralCrossRef Kjeldsen SAS, Thomsen MN, Skytte MJ, Samkani A, Richter MM, et al. Markers of glucagon resistance improve with reductions in hepatic steatosis and body weight in type 2 diabetes. J Endocr Soc. 2023;7:bvad122.PubMedPubMedCentralCrossRef
31.
Zurück zum Zitat Bagger JI, Knop FK, Lund A, Holst JJ, Vilsboll T. Glucagon responses to increasing oral loads of glucose and corresponding isoglycaemic intravenous glucose infusions in patients with type 2 diabetes and healthy individuals. Diabetologia. 2014;57:1720–5.PubMedCrossRef Bagger JI, Knop FK, Lund A, Holst JJ, Vilsboll T. Glucagon responses to increasing oral loads of glucose and corresponding isoglycaemic intravenous glucose infusions in patients with type 2 diabetes and healthy individuals. Diabetologia. 2014;57:1720–5.PubMedCrossRef
32.
Zurück zum Zitat Ichikawa R, Takano K, Fujimoto K, Motomiya T, Kobayashi M, et al. Basal glucagon hypersecretion and response to oral glucose load in prediabetes and mild type 2 diabetes. Endocr J. 2019;66:663–75.PubMedCrossRef Ichikawa R, Takano K, Fujimoto K, Motomiya T, Kobayashi M, et al. Basal glucagon hypersecretion and response to oral glucose load in prediabetes and mild type 2 diabetes. Endocr J. 2019;66:663–75.PubMedCrossRef
33.
Zurück zum Zitat Gar C, Rottenkolber M, Sacco V, Moschko S, Banning F, et al. Patterns of plasma glucagon dynamics do not match metabolic phenotypes in young women. J Clin Endocrinol Metab. 2018;103:972–82.PubMedCrossRef Gar C, Rottenkolber M, Sacco V, Moschko S, Banning F, et al. Patterns of plasma glucagon dynamics do not match metabolic phenotypes in young women. J Clin Endocrinol Metab. 2018;103:972–82.PubMedCrossRef
34.
Zurück zum Zitat Shah P, Vella A, Basu A, Basu R, Schwenk WF, et al. Lack of suppression of glucagon contributes to postprandial hyperglycemia in subjects with type 2 diabetes mellitus. J Clin Endocrinol Metab. 2000;85:4053–9.PubMed Shah P, Vella A, Basu A, Basu R, Schwenk WF, et al. Lack of suppression of glucagon contributes to postprandial hyperglycemia in subjects with type 2 diabetes mellitus. J Clin Endocrinol Metab. 2000;85:4053–9.PubMed
35.
Zurück zum Zitat Unger RH, Cherrington AD. Glucagonocentric restructuring of diabetes: a pathophysiologic and therapeutic makeover. J Clin Invest. 2012;122:4–12.PubMedPubMedCentralCrossRef Unger RH, Cherrington AD. Glucagonocentric restructuring of diabetes: a pathophysiologic and therapeutic makeover. J Clin Invest. 2012;122:4–12.PubMedPubMedCentralCrossRef
36.
39.
Zurück zum Zitat Catalano PM, Tyzbir ED, Roman NM, Amini SB, Sims EA. Longitudinal changes in insulin release and insulin resistance in nonobese pregnant women. Am J Obstet Gynecol. 1991;165:1667–72.PubMedCrossRef Catalano PM, Tyzbir ED, Roman NM, Amini SB, Sims EA. Longitudinal changes in insulin release and insulin resistance in nonobese pregnant women. Am J Obstet Gynecol. 1991;165:1667–72.PubMedCrossRef
40.
Zurück zum Zitat Kuhl C. Etiology and pathogenesis of gestational diabetes. Diabetes Care. 1998;21(Suppl 2):B19–26.PubMed Kuhl C. Etiology and pathogenesis of gestational diabetes. Diabetes Care. 1998;21(Suppl 2):B19–26.PubMed
41.
Zurück zum Zitat Grigorakis SI, Alevizaki M, Beis C, Anastasiou E, Alevizaki CC, et al. Hormonal parameters in gestational diabetes mellitus during the third trimester: high glucagon levels. Gynecol Obstet Invest. 2000;49:106–9.PubMedCrossRef Grigorakis SI, Alevizaki M, Beis C, Anastasiou E, Alevizaki CC, et al. Hormonal parameters in gestational diabetes mellitus during the third trimester: high glucagon levels. Gynecol Obstet Invest. 2000;49:106–9.PubMedCrossRef
42.
Zurück zum Zitat Beis C, Grigorakis SI, Philippou G, Alevizaki M, Anastasiou E. Lack of suppression of plasma glucagon levels in late pregnancy persists postpartum only in women with previous gestational diabetes mellitus. Acta Diabetol. 2005;42:31–5.PubMedCrossRef Beis C, Grigorakis SI, Philippou G, Alevizaki M, Anastasiou E. Lack of suppression of plasma glucagon levels in late pregnancy persists postpartum only in women with previous gestational diabetes mellitus. Acta Diabetol. 2005;42:31–5.PubMedCrossRef
43.
Zurück zum Zitat Bonde L, Vilsboll T, Nielsen T, Bagger JI, Svare JA, et al. Reduced postprandial GLP-1 responses in women with gestational diabetes mellitus. Diabetes Obes Metab. 2013;15:713–20.PubMedCrossRef Bonde L, Vilsboll T, Nielsen T, Bagger JI, Svare JA, et al. Reduced postprandial GLP-1 responses in women with gestational diabetes mellitus. Diabetes Obes Metab. 2013;15:713–20.PubMedCrossRef
44.
Zurück zum Zitat Horie I, Haraguchi A, Ito A, Nozaki A, Natsuda S, et al. Impaired early-phase suppression of glucagon secretion after glucose load is associated with insulin requirement during pregnancy in gestational diabetes. J Diabetes Investig. 2020;11:232–40.PubMedCrossRef Horie I, Haraguchi A, Ito A, Nozaki A, Natsuda S, et al. Impaired early-phase suppression of glucagon secretion after glucose load is associated with insulin requirement during pregnancy in gestational diabetes. J Diabetes Investig. 2020;11:232–40.PubMedCrossRef
45.
Zurück zum Zitat Committee on Practice B-O. ACOG Practice Bulletin No. 190: Gestational diabetes mellitus. Obstet Gynecol. 2018;131:e49–64.CrossRef Committee on Practice B-O. ACOG Practice Bulletin No. 190: Gestational diabetes mellitus. Obstet Gynecol. 2018;131:e49–64.CrossRef
47.
Zurück zum Zitat Shigeno R, Horie I, Miwa M, Ito A, Haraguchi A, et al. Bihormonal dysregulation of insulin and glucagon contributes to glucose intolerance development at one year post-delivery in women with gestational diabetes: a prospective cohort study using an early postpartum 75-g glucose tolerance test. Endocr J. 2021;68:919–31.PubMedCrossRef Shigeno R, Horie I, Miwa M, Ito A, Haraguchi A, et al. Bihormonal dysregulation of insulin and glucagon contributes to glucose intolerance development at one year post-delivery in women with gestational diabetes: a prospective cohort study using an early postpartum 75-g glucose tolerance test. Endocr J. 2021;68:919–31.PubMedCrossRef
48.
Zurück zum Zitat Kramer CK, Borgono CA, Van Nostrand P, Retnakaran R, Zinman B. Glucagon response to oral glucose challenge in type 1 diabetes: lack of impact of euglycemia. Diabetes Care. 2014;37:1076–82.PubMedCrossRef Kramer CK, Borgono CA, Van Nostrand P, Retnakaran R, Zinman B. Glucagon response to oral glucose challenge in type 1 diabetes: lack of impact of euglycemia. Diabetes Care. 2014;37:1076–82.PubMedCrossRef
49.
Zurück zum Zitat Komada H, Hirota Y, Sakaguchi K, Okuno Y, Ogawa W, et al. Impaired glucagon secretion in patients with fulminant type 1 diabetes mellitus. Endocrine. 2019;63:476–9.PubMedCrossRef Komada H, Hirota Y, Sakaguchi K, Okuno Y, Ogawa W, et al. Impaired glucagon secretion in patients with fulminant type 1 diabetes mellitus. Endocrine. 2019;63:476–9.PubMedCrossRef
50.
Zurück zum Zitat Kielgast U, Holst JJ, Madsbad S. Antidiabetic actions of endogenous and exogenous GLP-1 in type 1 diabetic patients with and without residual beta-cell function. Diabetes. 2011;60:1599–607.PubMedPubMedCentralCrossRef Kielgast U, Holst JJ, Madsbad S. Antidiabetic actions of endogenous and exogenous GLP-1 in type 1 diabetic patients with and without residual beta-cell function. Diabetes. 2011;60:1599–607.PubMedPubMedCentralCrossRef
51.
52.
Zurück zum Zitat Akturk HK, Rewers A, Joseph H, Schneider N, Garg SK. Possible ways to improve postprandial glucose control in type 1 diabetes. Diabetes Technol Ther. 2018;20:S224–32.PubMedCrossRef Akturk HK, Rewers A, Joseph H, Schneider N, Garg SK. Possible ways to improve postprandial glucose control in type 1 diabetes. Diabetes Technol Ther. 2018;20:S224–32.PubMedCrossRef
53.
Zurück zum Zitat Hosokawa Y, Kozawa J, Nishizawa H, Kawamori D, Maeda N, et al. Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes. Heliyon. 2019;5: e01715.PubMedPubMedCentralCrossRef Hosokawa Y, Kozawa J, Nishizawa H, Kawamori D, Maeda N, et al. Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes. Heliyon. 2019;5: e01715.PubMedPubMedCentralCrossRef
55.
Zurück zum Zitat Sherr J, Tsalikian E, Fox L, Buckingham B, Weinzimer S, et al. Evolution of abnormal plasma glucagon responses to mixed-meal feedings in youth with type 1 diabetes during the first 2 years after diagnosis. Diabetes Care. 2014;37:1741–4.PubMedPubMedCentralCrossRef Sherr J, Tsalikian E, Fox L, Buckingham B, Weinzimer S, et al. Evolution of abnormal plasma glucagon responses to mixed-meal feedings in youth with type 1 diabetes during the first 2 years after diagnosis. Diabetes Care. 2014;37:1741–4.PubMedPubMedCentralCrossRef
56.
Zurück zum Zitat Fredheim S, Andersen ML, Porksen S, Nielsen LB, Pipper C, et al. The influence of glucagon on postprandial hyperglycaemia in children 5 years after onset of type 1 diabetes. Diabetologia. 2015;58:828–34.PubMedCrossRef Fredheim S, Andersen ML, Porksen S, Nielsen LB, Pipper C, et al. The influence of glucagon on postprandial hyperglycaemia in children 5 years after onset of type 1 diabetes. Diabetologia. 2015;58:828–34.PubMedCrossRef
57.
Zurück zum Zitat Li K, Song WJ, Wu X, Gu DY, Zang P, et al. Associations of serum glucagon levels with glycemic variability in type 1 diabetes with different disease durations. Endocrine. 2018;61:473–81.PubMedCrossRef Li K, Song WJ, Wu X, Gu DY, Zang P, et al. Associations of serum glucagon levels with glycemic variability in type 1 diabetes with different disease durations. Endocrine. 2018;61:473–81.PubMedCrossRef
58.
Zurück zum Zitat Thivolet C, Marchand L, Chikh K. Inappropriate glucagon and GLP-1 secretion in individuals with long-standing type 1 diabetes: effects of residual C-peptide. Diabetologia. 2019;62:593–7.PubMedCrossRef Thivolet C, Marchand L, Chikh K. Inappropriate glucagon and GLP-1 secretion in individuals with long-standing type 1 diabetes: effects of residual C-peptide. Diabetologia. 2019;62:593–7.PubMedCrossRef
59.
Zurück zum Zitat Ito A, Horie I, Miwa M, Sako A, Niri T, et al. Impact of glucagon response on early postprandial glucose excursions irrespective of residual beta-cell function in type 1 diabetes: a cross-sectional study using a mixed meal tolerance test. J Diabetes Investig. 2021;12:1367–76.PubMedPubMedCentralCrossRef Ito A, Horie I, Miwa M, Sako A, Niri T, et al. Impact of glucagon response on early postprandial glucose excursions irrespective of residual beta-cell function in type 1 diabetes: a cross-sectional study using a mixed meal tolerance test. J Diabetes Investig. 2021;12:1367–76.PubMedPubMedCentralCrossRef
60.
Zurück zum Zitat Takahashi N, Chujo D. Response to “preserved” glucagon secretion in fulminant type 1 diabetes. J Diabetes Investig. 2019;10:188–9.PubMedCrossRef Takahashi N, Chujo D. Response to “preserved” glucagon secretion in fulminant type 1 diabetes. J Diabetes Investig. 2019;10:188–9.PubMedCrossRef
61.
Zurück zum Zitat Sayama K, Imagawa A, Okita K, Uno S, Moriwaki M, et al. Pancreatic beta and alpha cells are both decreased in patients with fulminant type 1 diabetes: a morphometrical assessment. Diabetologia. 2005;48:1560–4.PubMedCrossRef Sayama K, Imagawa A, Okita K, Uno S, Moriwaki M, et al. Pancreatic beta and alpha cells are both decreased in patients with fulminant type 1 diabetes: a morphometrical assessment. Diabetologia. 2005;48:1560–4.PubMedCrossRef
62.
Zurück zum Zitat Kawamori D, Katakami N, Takahara M, Miyashita K, Sakamoto F, et al. Dysregulated plasma glucagon levels in Japanese young adult type 1 diabetes patients. J Diabetes Investig. 2019;10:62–6.PubMedCrossRef Kawamori D, Katakami N, Takahara M, Miyashita K, Sakamoto F, et al. Dysregulated plasma glucagon levels in Japanese young adult type 1 diabetes patients. J Diabetes Investig. 2019;10:62–6.PubMedCrossRef
64.
65.
Zurück zum Zitat Pixner T, Stummer N, Schneider AM, Lukas A, Gramlinger K, et al. The relationship between glucose and the liver-alpha cell axis—a systematic review. Front Endocrinol. 2022;13:1061682.CrossRef Pixner T, Stummer N, Schneider AM, Lukas A, Gramlinger K, et al. The relationship between glucose and the liver-alpha cell axis—a systematic review. Front Endocrinol. 2022;13:1061682.CrossRef
67.
68.
Zurück zum Zitat Mitrakou A, Fanelli C, Veneman T, Perriello G, Calderone S, et al. Reversibility of unawareness of hypoglycemia in patients with insulinomas. N Engl J Med. 1993;329:834–9.PubMedCrossRef Mitrakou A, Fanelli C, Veneman T, Perriello G, Calderone S, et al. Reversibility of unawareness of hypoglycemia in patients with insulinomas. N Engl J Med. 1993;329:834–9.PubMedCrossRef
69.
Zurück zum Zitat Arbelaez AM, Xing D, Cryer PE, Kollman C, Beck RW, et al. Blunted glucagon but not epinephrine responses to hypoglycemia occurs in youth with less than 1 yr duration of type 1 diabetes mellitus. Pediatr Diabetes. 2014;15:127–34.PubMedCrossRef Arbelaez AM, Xing D, Cryer PE, Kollman C, Beck RW, et al. Blunted glucagon but not epinephrine responses to hypoglycemia occurs in youth with less than 1 yr duration of type 1 diabetes mellitus. Pediatr Diabetes. 2014;15:127–34.PubMedCrossRef
70.
Zurück zum Zitat Sherr J, Xing D, Ruedy KJ, Beck RW, Kollman C, et al. Lack of association between residual insulin production and glucagon response to hypoglycemia in youth with short duration of type 1 diabetes. Diabetes Care. 2013;36:1470–6.PubMedPubMedCentralCrossRef Sherr J, Xing D, Ruedy KJ, Beck RW, Kollman C, et al. Lack of association between residual insulin production and glucagon response to hypoglycemia in youth with short duration of type 1 diabetes. Diabetes Care. 2013;36:1470–6.PubMedPubMedCentralCrossRef
72.
Zurück zum Zitat Hare KJ, Vilsboll T, Asmar M, Deacon CF, Knop FK, et al. The glucagonostatic and insulinotropic effects of glucagon-like peptide 1 contribute equally to its glucose-lowering action. Diabetes. 2010;59:1765–70.PubMedPubMedCentralCrossRef Hare KJ, Vilsboll T, Asmar M, Deacon CF, Knop FK, et al. The glucagonostatic and insulinotropic effects of glucagon-like peptide 1 contribute equally to its glucose-lowering action. Diabetes. 2010;59:1765–70.PubMedPubMedCentralCrossRef
73.
Zurück zum Zitat Balas B, Baig MR, Watson C, Dunning BE, Ligueros-Saylan M, et al. The dipeptidyl peptidase IV inhibitor vildagliptin suppresses endogenous glucose production and enhances islet function after single-dose administration in type 2 diabetic patients. J Clin Endocrinol Metab. 2007;92:1249–55.PubMedCrossRef Balas B, Baig MR, Watson C, Dunning BE, Ligueros-Saylan M, et al. The dipeptidyl peptidase IV inhibitor vildagliptin suppresses endogenous glucose production and enhances islet function after single-dose administration in type 2 diabetic patients. J Clin Endocrinol Metab. 2007;92:1249–55.PubMedCrossRef
74.
Zurück zum Zitat Kuhadiya ND, Dhindsa S, Ghanim H, Mehta A, Makdissi A, et al. Addition of liraglutide to insulin in patients with type 1 diabetes: a randomized placebo-controlled clinical trial of 12 weeks. Diabetes Care. 2016;39:1027–35.PubMedPubMedCentralCrossRef Kuhadiya ND, Dhindsa S, Ghanim H, Mehta A, Makdissi A, et al. Addition of liraglutide to insulin in patients with type 1 diabetes: a randomized placebo-controlled clinical trial of 12 weeks. Diabetes Care. 2016;39:1027–35.PubMedPubMedCentralCrossRef
75.
Zurück zum Zitat Redondo MJ, Bacha F. GLP-1 receptor agonist as adjuvant therapy in type 1 diabetes: no apparent benefit for beta-cell function or glycemia. J Clin Endocrinol Metab. 2020;105:e3000–2.PubMedPubMedCentralCrossRef Redondo MJ, Bacha F. GLP-1 receptor agonist as adjuvant therapy in type 1 diabetes: no apparent benefit for beta-cell function or glycemia. J Clin Endocrinol Metab. 2020;105:e3000–2.PubMedPubMedCentralCrossRef
76.
Zurück zum Zitat Riddle MC, Nahra R, Han J, Castle J, Hanavan K, et al. Control of postprandial hyperglycemia in type 1 diabetes by 24-hour fixed-dose coadministration of pramlintide and regular human insulin: a randomized, two-way crossover study. Diabetes Care. 2018;41:2346–52.PubMedCrossRef Riddle MC, Nahra R, Han J, Castle J, Hanavan K, et al. Control of postprandial hyperglycemia in type 1 diabetes by 24-hour fixed-dose coadministration of pramlintide and regular human insulin: a randomized, two-way crossover study. Diabetes Care. 2018;41:2346–52.PubMedCrossRef
77.
Zurück zum Zitat Ferrannini E, Muscelli E, Frascerra S, Baldi S, Mari A, et al. Metabolic response to sodium-glucose cotransporter 2 inhibition in type 2 diabetic patients. J Clin Invest. 2014;124:499–508.PubMedPubMedCentralCrossRef Ferrannini E, Muscelli E, Frascerra S, Baldi S, Mari A, et al. Metabolic response to sodium-glucose cotransporter 2 inhibition in type 2 diabetic patients. J Clin Invest. 2014;124:499–508.PubMedPubMedCentralCrossRef
78.
Zurück zum Zitat Suga T, Kikuchi O, Kobayashi M, Matsui S, Yokota-Hashimoto H, et al. SGLT1 in pancreatic alpha cells regulates glucagon secretion in mice, possibly explaining the distinct effects of SGLT2 inhibitors on plasma glucagon levels. Mol Metab. 2019;19:1–12.PubMedCrossRef Suga T, Kikuchi O, Kobayashi M, Matsui S, Yokota-Hashimoto H, et al. SGLT1 in pancreatic alpha cells regulates glucagon secretion in mice, possibly explaining the distinct effects of SGLT2 inhibitors on plasma glucagon levels. Mol Metab. 2019;19:1–12.PubMedCrossRef
79.
Zurück zum Zitat Committee on the Proper Use of SI. Recommendations on the proper use of SGLT2 inhibitors. J Diabetes Investig. 2020;11:257–61.CrossRef Committee on the Proper Use of SI. Recommendations on the proper use of SGLT2 inhibitors. J Diabetes Investig. 2020;11:257–61.CrossRef
80.
Zurück zum Zitat Nakamura Y, Horie I, Tashiro S, Kobayashi M, Kitamura T, et al. Study of glucagon response and its association with glycemic control and variability after administration of ipragliflozin as an adjunctive to insulin treatment in patients with type 1 diabetes (Suglat-AID): a protocol for single-arm, multicenter, open-label, prospective exploratory trial. Med Case Rep Study Protoc. 2021;2: e0135.CrossRef Nakamura Y, Horie I, Tashiro S, Kobayashi M, Kitamura T, et al. Study of glucagon response and its association with glycemic control and variability after administration of ipragliflozin as an adjunctive to insulin treatment in patients with type 1 diabetes (Suglat-AID): a protocol for single-arm, multicenter, open-label, prospective exploratory trial. Med Case Rep Study Protoc. 2021;2: e0135.CrossRef
81.
Zurück zum Zitat Lefebvre PJ, Paquot N, Scheen AJ. Inhibiting or antagonizing glucagon: making progress in diabetes care. Diabetes Obes Metab. 2015;17:720–5.PubMedCrossRef Lefebvre PJ, Paquot N, Scheen AJ. Inhibiting or antagonizing glucagon: making progress in diabetes care. Diabetes Obes Metab. 2015;17:720–5.PubMedCrossRef
82.
Zurück zum Zitat Kazda CM, Ding Y, Kelly RP, Garhyan P, Shi C, et al. Evaluation of efficacy and safety of the glucagon receptor antagonist LY2409021 in patients with type 2 diabetes: 12- and 24-week phase 2 studies. Diabetes Care. 2016;39:1241–9.PubMedCrossRef Kazda CM, Ding Y, Kelly RP, Garhyan P, Shi C, et al. Evaluation of efficacy and safety of the glucagon receptor antagonist LY2409021 in patients with type 2 diabetes: 12- and 24-week phase 2 studies. Diabetes Care. 2016;39:1241–9.PubMedCrossRef
83.
Zurück zum Zitat Yabe D, Kawamori D, Seino Y, Oura T, Takeuchi M. Change in pharmacodynamic variables following once-weekly tirzepatide treatment versus dulaglutide in Japanese patients with type 2 diabetes (SURPASS J-mono substudy). Diabetes Obes Metab. 2023;25:398–406.PubMedCrossRef Yabe D, Kawamori D, Seino Y, Oura T, Takeuchi M. Change in pharmacodynamic variables following once-weekly tirzepatide treatment versus dulaglutide in Japanese patients with type 2 diabetes (SURPASS J-mono substudy). Diabetes Obes Metab. 2023;25:398–406.PubMedCrossRef
84.
Zurück zum Zitat Heise T, Mari A, DeVries JH, Urva S, Li J, et al. Effects of subcutaneous tirzepatide versus placebo or semaglutide on pancreatic islet function and insulin sensitivity in adults with type 2 diabetes: a multicentre, randomised, double-blind, parallel-arm, phase 1 clinical trial. Lancet Diabetes Endocrinol. 2022;10:418–29.PubMedCrossRef Heise T, Mari A, DeVries JH, Urva S, Li J, et al. Effects of subcutaneous tirzepatide versus placebo or semaglutide on pancreatic islet function and insulin sensitivity in adults with type 2 diabetes: a multicentre, randomised, double-blind, parallel-arm, phase 1 clinical trial. Lancet Diabetes Endocrinol. 2022;10:418–29.PubMedCrossRef
85.
Zurück zum Zitat Ambery P, Parker VE, Stumvoll M, Posch MG, Heise T, et al. MEDI0382, a GLP-1 and glucagon receptor dual agonist, in obese or overweight patients with type 2 diabetes: a randomised, controlled, double-blind, ascending dose and phase 2a study. Lancet. 2018;391:2607–18.PubMedCrossRef Ambery P, Parker VE, Stumvoll M, Posch MG, Heise T, et al. MEDI0382, a GLP-1 and glucagon receptor dual agonist, in obese or overweight patients with type 2 diabetes: a randomised, controlled, double-blind, ascending dose and phase 2a study. Lancet. 2018;391:2607–18.PubMedCrossRef
86.
Zurück zum Zitat Tillner J, Posch MG, Wagner F, Teichert L, Hijazi Y, et al. A novel dual glucagon-like peptide and glucagon receptor agonist SAR425899: results of randomized, placebo-controlled first-in-human and first-in-patient trials. Diabetes Obes Metab. 2019;21:120–8.PubMedCrossRef Tillner J, Posch MG, Wagner F, Teichert L, Hijazi Y, et al. A novel dual glucagon-like peptide and glucagon receptor agonist SAR425899: results of randomized, placebo-controlled first-in-human and first-in-patient trials. Diabetes Obes Metab. 2019;21:120–8.PubMedCrossRef
88.
Zurück zum Zitat Cegla J, Troke RC, Jones B, Tharakan G, Kenkre J, et al. Coinfusion of low-dose GLP-1 and glucagon in man results in a reduction in food intake. Diabetes. 2014;63:3711–20.PubMedCrossRef Cegla J, Troke RC, Jones B, Tharakan G, Kenkre J, et al. Coinfusion of low-dose GLP-1 and glucagon in man results in a reduction in food intake. Diabetes. 2014;63:3711–20.PubMedCrossRef
89.
Zurück zum Zitat Finan B, Capozzi ME, Campbell JE. Repositioning glucagon action in the physiology and pharmacology of diabetes. Diabetes. 2020;69:532–41.PubMedCrossRef Finan B, Capozzi ME, Campbell JE. Repositioning glucagon action in the physiology and pharmacology of diabetes. Diabetes. 2020;69:532–41.PubMedCrossRef
Metadaten
Titel
Advances in clinical research on glucagon
verfasst von
Ichiro Horie
Norio Abiru
Publikationsdatum
23.03.2024
Verlag
Springer Nature Singapore
Erschienen in
Diabetology International
Print ISSN: 2190-1678
Elektronische ISSN: 2190-1686
DOI
https://doi.org/10.1007/s13340-024-00705-w

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.