Glucagon-like peptide-1

Understanding Glucagon-like Peptide-1 (GLP-1): A Hormone with a Big Impact

Imagine a tiny messenger in your body, constantly working to keep everything in balance—Glucagon-like Peptide-1 (GLP-1) is that messenger. This hormone plays a crucial role in managing blood sugar levels and much more. But how does it do all this? Let’s dive into the fascinating world of GLP-1.

Where Does It Come From?

GLP-1 is produced by intestinal L-cells and certain neurons, but its journey starts with a protein called proglucagon. This protein undergoes some fancy posttranslational processing to become two active forms: GLP-1 (7–36) amide and GLP-1 (7–37). It’s like magic, isn’t it? Just one molecule turning into two superheroes!

How Does It Work?

GLP-1 is a glucose-dependent hormone. When you eat something, your body starts producing more of this little hero to help regulate blood sugar levels. But here’s the catch: GLP-1 has a short half-life due to degradation by dipeptidyl peptidase-4 (DPP-4) and neutral endopeptide 24.11. This means that without some extra help, it won’t last long enough to do its job properly.

So, researchers came up with a brilliant solution: GLP-1 receptor agonists or DPP-4 inhibitors. These are like supercharged versions of the hormone, ensuring it stays active and effective for longer periods. It’s almost as if we’re giving our little messenger an energy drink to keep it going all day long!

Where Can You Find GLP-1?

GLP-1 isn’t just hanging around in one place; it’s everywhere! This hormone is expressed in several organs, including the pancreas, gut, and brain. In the pancreas, its expression increases during fasting, while in the gut, it spikes after you eat. It’s like a superhero with multiple identities, each suited for different missions.

How Does GLP-1 Travel?

Once produced, GLP-1 is packaged into secretory granules and released by intestinal L-cells, primarily found in the distal ileum and colon. This release follows a biphasic pattern: an early phase after 10–15 minutes and a longer second phase after 30–60 minutes. Think of it as a two-act play, where the first act is quick and intense, while the second act builds up over time.

Once in circulation, GLP-1 faces some challenges. Only about 10-15% of it reaches the bloodstream intact due to degradation by DPP-4 in the gut and liver. The rest gets broken down by NEP primarily in the kidneys. It’s like a game of musical chairs, where only a few lucky molecules make it through unscathed.

What Does GLP-1 Do?

GLP-1 is a multi-talented superhero. It promotes insulin secretion in response to glucose levels, increases β cell insulin stores by enhancing gene transcription and mRNA stability, and even helps with β cell proliferation and neogenesis while inhibiting apoptosis. This means it not only helps produce more insulin but also ensures that the cells producing it stay healthy.

But GLP-1’s powers don’t stop there. It has neurotrophic effects on the brain, promoting neurogenesis and protecting against diseases like Parkinson’s, Alzheimer’s, stroke, traumatic brain injury, and multiple sclerosis. It also inhibits gastric emptying, acid secretion, and motility, reducing appetite and lowering postprandial glucose levels.

GLP-1’s impact is felt in numerous tissues, including the heart, tongue, adipose tissue, muscles, bones, kidneys, liver, and lungs. It’s like a Swiss Army knife of hormones, capable of tackling multiple tasks at once!

A Brief History

The discovery of GLP-1’s half-life was a turning point in its development as a drug. Researchers realized that to make it effective, they needed to target the receptor instead. This led to the creation of GLP-1 receptor agonists, which have become crucial tools in managing diabetes and other conditions.

The journey of GLP-1 began in the early 1980s with Richard Goodman and P. Kay Lund. Their work laid the foundation for what we know today about this fascinating hormone. It’s a testament to how far science has come, and how much more there is yet to discover.

GLP-1 receptors are involved in various physiological processes, including insulin release pathways, glucose regulation, and appetite control. They’re like the command center of our body’s regulatory systems, ensuring everything runs smoothly.

Condensed Infos to Glucagon-like peptide-1