The role of GIP in the regulation of GLP-1 satiety and nausea

MR Hayes, T Borner, BC De Jonghe - Diabetes, 2021 - Am Diabetes Assoc
Diabetes, 2021Am Diabetes Assoc
Gastric inhibitory peptide (GIP) is best known for its role as an incretin hormone in control of
blood glucose concentrations. As a classic satiation signal, however, the literature illustrates
a mixed picture of GIP involvement with an at best weak anorectic response profile being
reported for GIP receptor (GIPR) signaling. Not surprisingly, the pursuit of exploiting the GIP
system as a therapeutic target for diabetes and obesity has fallen behind that of the other
gastrointestinal-derived incretin, glucagon-like peptide 1 (GLP-1). However, recent …
Gastric inhibitory peptide (GIP) is best known for its role as an incretin hormone in control of blood glucose concentrations. As a classic satiation signal, however, the literature illustrates a mixed picture of GIP involvement with an at best weak anorectic response profile being reported for GIP receptor (GIPR) signaling. Not surprisingly, the pursuit of exploiting the GIP system as a therapeutic target for diabetes and obesity has fallen behind that of the other gastrointestinal-derived incretin, glucagon-like peptide 1 (GLP-1). However, recent discoveries highlighted here support potential therapeutic advantages of combinatorial therapies targeting GIP and GLP-1 systems together, with perhaps the most surprising finding that GIPR agonism may have antiemetic properties. As nausea and vomiting are the most common side effects of all existing GLP-1 pharmacotherapies, the ability for GIP agonism to reduce GLP-1–induced illness behaviors but retain (if not enhance) weight loss and glycemic control may offer a new era in the treatment of obesity and diabetes.
Am Diabetes Assoc