The incretin concept today

W Creutzfeldt - Diabetologia, 1979 - Springer
W Creutzfeldt
Diabetologia, 1979Springer
The insulinogenic factor of the gastrointestinal mucosa named “incretin” is only one part of
the complex enteroinsular axis.—2. Of the chemically defined gastrointestinal hormones GIP
is the strongest incretin candidate.—3. Because of the dual function of GIP as gastrone and
insulinotropic substance several safeguards against GIP-mediated insulin hypoglycaemia
exist.—4. No pathological condition has yet been found which is causally related to hyper-or
hyposecretion of GIP. However, an exaggerated GIP response (usually secondary to the …
Summary
1.|The insulinogenic factor of the gastrointestinal mucosa named“incretin” is only one part of the complex enteroinsular axis. — 2. Of the chemically defined gastrointestinal hormones GIP is the strongestincretin candidate. — 3. Because of the dual function of GIP as gastrone and insulinotropic substance several safeguards against GIP-mediated insulin hypoglycaemia exist. — 4. No pathological condition has yet been found which is causally related to hyper- or hyposecretion of GIP. However, an exaggerated GIP response (usually secondary to the disease) may participate in the pathogenesis of hyperinsulinaemia of patients with obesity and duodenal ulcer. — 5. The injection of GIP antibodies only partially abolishes theincretin effect. Therefore, GIP, although important, is not the onlyincretin.
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