Benefits and limitations of reducing glucagon action for the treatment of type 2 diabetes

S Ali, DJ Drucker - American Journal of Physiology …, 2009 - journals.physiology.org
S Ali, DJ Drucker
American Journal of Physiology-Endocrinology and Metabolism, 2009journals.physiology.org
Glucagon is secreted from the α-cells of the pancreatic islets and regulates glucose
homeostasis through modulation of hepatic glucose production. As elevated glucagon levels
contribute to the pathophysiology of hyperglycemia in subjects with type 2 diabetes,
reduction of glucagon receptor gene (Gcgr) activity represents a potential target for the
treatment of T2DM. Herein, we review current concepts of glucagon action in hepatic and
extrahepatic tissues and evaluate the therapeutic potential, mechanisms of action, and …
Glucagon is secreted from the α-cells of the pancreatic islets and regulates glucose homeostasis through modulation of hepatic glucose production. As elevated glucagon levels contribute to the pathophysiology of hyperglycemia in subjects with type 2 diabetes, reduction of glucagon receptor gene (Gcgr) activity represents a potential target for the treatment of T2DM. Herein, we review current concepts of glucagon action in hepatic and extrahepatic tissues and evaluate the therapeutic potential, mechanisms of action, and safety of reducing Gcgr signaling for the treatment of T2DM.
American Physiological Society