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data-getFTR-links-count='10' data-getFTR-request-source="FULL_TEXT" data-getFTR-doi="10.1111/dom.13129"><div class="row article-row"><div id="article__content" tabindex="-1" class="col-sm-12 col-md-8 col-lg-8 article__content article-row-left"><div data-pb-dropzone="mrwBannerDropZone" class="mrw-banner-dropzone"> </div><div class="article-citation"><div class="citation"> <div class="pb-dropzone" data-pb-dropzone="publicaitonContent-series-title"><div id="journal-banner-text" class="journal-banner-text"><a href="/journal/14631326" title="Diabetes, Obesity and Metabolism homepage">Diabetes, Obesity and Metabolism</a></div><a href="/toc/14631326/2018/20/S1" class="volume-issue">Volume 20, Issue S1</a><span class="citation__page-range"> p. 5-21</span><a href="/journal/14631326" title="Diabetes, Obesity and Metabolism homepage" class="citation--logo"><img id="journal-banner-image" test="test-value" alt="Diabetes, Obesity and Metabolism" src="/pb-assets/journal-banners/14631326-1501384689387.jpg" class="journal-banner-image"></a><script>var image = new Image(); image.onerror = function() { // if the image does not exist //document.getElementById("journal-banner-text").style.marginBottom = "15px"; document.getElementById("journal-banner-text").style.fontSize = "22px"; document.getElementById("journal-banner-image").style.display = "none"; } image.src = "/pb-assets/journal-banners/14631326-1501384689387.jpg";</script></div> <div class="doi-access-container clearfix"><span class="primary-heading"><span class="primary-heading">REVIEW ARTICLE</span></span></div> <h1 class="citation__title">Incretin hormones: Their role in health and disease</h1> <div class="pb-dropzone" data-pb-dropzone="publicaitonContent-versions"></div> <div class="loa comma visible-xs mobile-authors loa-authors-trunc"> <div class="comma__list"><span class="accordion-tabbed__tab-mobile accordion__closed"><a href="/authored-by/Nauck/Michael+A." class="author-name accordion-tabbed__control" data-id="am1" data-db-target-for="am1" aria-controls="am1" aria-haspopup="true" id="am1_Ctrl" role="button"><span>Michael A. Nauck MD<i aria-hidden="true" class="icon-mail_outline"></i></span><i aria-hidden="true" class="icon-section_arrow_d"></i></a><span class="comma-separator">, </span><div class="author-info accordion-tabbed__content" data-db-target-of="am1" aria-labelledby="am1_Ctrl" role="region" id="am1"> <p class="author-type mb-1">Corresponding Author</p> <p class="author-name">Michael A. Nauck MD</p> <ul class="rlist sm-account"> <li class="sm-account__item"><a class="sm-account__link" title="Link to email address" href="mailto:michael.nauck@rub.de"><i aria-hidden="true" class="icon-ic_mail_solid"></i><span>michael.nauck@rub.de</span></a></li> </ul> <ul class="rlist sm-account"> <li class="sm-account__item"><a target="_blank" class="sm-account__link" href="https://orcid.org/0000-0002-5749-6954"><i aria-hidden="true" class="icon-orcid"></i><span>orcid.org/0000-0002-5749-6954</span></a></li> </ul> <p>Diabetes Center Bochum-Hattingen, Medical Department I, St. Josef-Hospital, Ruhr-University, Bochum, Germany</p> <p><b>Correspondence</b></p> <p>Prof. Dr. med. Dr. h.c. Michael A. Nauck, Diabetes Center Bochum-Hattingen, Medical Department I, St. Josef-Hospital, Ruhr-University Bochum, Gudrunstraße. 56, 44791 Bochum, Germany. Email: <a class="corr-email" title="Link to email address" href="mailto:michael.nauck@rub.de"><span>michael.nauck@rub.de</span></a></p><a class="moreInfoLink" href="/authored-by/Nauck/Michael+A.">Search for more papers by this author</a></div></span><span class="accordion-tabbed__tab-mobile accordion__closed"><a href="/authored-by/Meier/Juris+J." class="author-name accordion-tabbed__control" data-id="am2" data-db-target-for="am2" aria-controls="am2" aria-haspopup="true" id="am2_Ctrl" role="button"><span>Juris J. Meier MD</span><i aria-hidden="true" class="icon-section_arrow_d"></i></a><span class="comma-separator">, </span><div class="author-info accordion-tabbed__content" data-db-target-of="am2" aria-labelledby="am2_Ctrl" role="region" id="am2"> <p class="author-name">Juris J. Meier MD</p> <ul class="rlist sm-account"> <li class="sm-account__item"><a target="_blank" class="sm-account__link" href="https://orcid.org/0000-0002-5835-8019"><i aria-hidden="true" class="icon-orcid"></i><span>orcid.org/0000-0002-5835-8019</span></a></li> </ul> <p>Diabetes Center Bochum-Hattingen, Medical Department I, St. Josef-Hospital, Ruhr-University, Bochum, Germany</p><a class="moreInfoLink" href="/authored-by/Meier/Juris+J.">Search for more papers by this author</a></div></span></div> </div> <div class="loa-wrapper loa-authors hidden-xs desktop-authors"> <div id="sb-1" class="accordion"> <div class="comma__list"> <div class="accordion-tabbed"><span class="accordion-tabbed__tab-mobile accordion__closed"><a href="/authored-by/Nauck/Michael+A." class="author-name accordion-tabbed__control" data-id="a1" data-db-target-for="a1" aria-controls="a1" aria-haspopup="true" id="a1_Ctrl" role="button"><span>Michael A. Nauck MD<i aria-hidden="true" class="icon-mail_outline"></i></span><i aria-hidden="true" class="icon-section_arrow_d"></i></a><span class="comma-separator">, </span><div class="author-info accordion-tabbed__content" data-db-target-of="a1" aria-labelledby="a1_Ctrl" role="region" id="a1"> <p class="author-type mb-1">Corresponding Author</p> <p class="author-name">Michael A. Nauck MD</p> <ul class="rlist sm-account"> <li class="sm-account__item"><a class="sm-account__link" title="Link to email address" href="mailto:michael.nauck@rub.de"><i aria-hidden="true" class="icon-ic_mail_solid"></i><span>michael.nauck@rub.de</span></a></li> </ul> <ul class="rlist sm-account"> <li class="sm-account__item"><a target="_blank" class="sm-account__link" href="https://orcid.org/0000-0002-5749-6954"><i aria-hidden="true" class="icon-orcid"></i><span>orcid.org/0000-0002-5749-6954</span></a></li> </ul> <p>Diabetes Center Bochum-Hattingen, Medical Department I, St. Josef-Hospital, Ruhr-University, Bochum, Germany</p> <p><b>Correspondence</b></p> <p>Prof. Dr. med. Dr. h.c. Michael A. Nauck, Diabetes Center Bochum-Hattingen, Medical Department I, St. Josef-Hospital, Ruhr-University Bochum, Gudrunstraße. 56, 44791 Bochum, Germany. Email: <a class="corr-email" title="Link to email address" href="mailto:michael.nauck@rub.de"><span>michael.nauck@rub.de</span></a></p><a class="moreInfoLink" href="/authored-by/Nauck/Michael+A.">Search for more papers by this author</a></div></span><span class="accordion-tabbed__tab-mobile accordion__closed"><a href="/authored-by/Meier/Juris+J." class="author-name accordion-tabbed__control" data-id="a2" data-db-target-for="a2" aria-controls="a2" aria-haspopup="true" id="a2_Ctrl" role="button"><span>Juris J. Meier MD</span><i aria-hidden="true" class="icon-section_arrow_d"></i></a><span class="comma-separator">, </span><div class="author-info accordion-tabbed__content" data-db-target-of="a2" aria-labelledby="a2_Ctrl" role="region" id="a2"> <p class="author-name">Juris J. Meier MD</p> <ul class="rlist sm-account"> <li class="sm-account__item"><a target="_blank" class="sm-account__link" href="https://orcid.org/0000-0002-5835-8019"><i aria-hidden="true" class="icon-orcid"></i><span>orcid.org/0000-0002-5835-8019</span></a></li> </ul> <p>Diabetes Center Bochum-Hattingen, Medical Department I, St. Josef-Hospital, Ruhr-University, Bochum, Germany</p><a class="moreInfoLink" href="/authored-by/Meier/Juris+J.">Search for more papers by this author</a></div></span></div> </div> </div> </div> <div class="epub-sections"><div class="epub-section"><span class="epub-state">First published: </span><span class="epub-date">24 January 2018</span></div> <div class="epub-section"><a class="epub-doi" aria-label="Digital Object Identifier for Incretin hormones: Their role in health and disease link" href="https://doi.org/10.1111/dom.13129">https://doi.org/10.1111/dom.13129</a></div><div class="epub-section cited-by-count"><span>Citations: <a href="#citedby-section">557</a></span></div></div> <div class="epub-sections"> <div class="article-header__references-container no-truncate" id="dom13129-note-0101" tabindex="0"> <div class="header-note-content"><b>Funding information</b> Deutsche Forschungsgemeinschaft, Grant/Award number: Me 2096/6-1</div> </div> </div> </div></div><div class="fixedCoolBar"><nav aria-label="Article navigation and tools" class="coolBar stickybar"><div class="stickybar__wrapper coolBar__wrapper clearfix"><div class="rlist coolBar__zone"><div class="coolBar__section"><a href="/doi/full/10.1111/dom.13129" class="go-to-full"><span class="extra-text">Read the</span> full text<i aria-hidden="true" class="icon-arrow_r"></i></a></div><div class="coolBar__section"><a href="javascript:void(0)" data-db-target-for="article" data-db-switch="icon-close_thin" aria-haspopup="true" aria-controls="article_Pop" role="button" id="article_Ctrl" class="coolBar__ctrl hidden-lg"><i class="icon-abstract"></i><span>About</span></a><div data-db-target-of="article" aria-labelledby="article_Ctrl" id="article_Pop" class="coolBar__drop fixed rlist dropBlock__holder"><div data-target=".article-row-right .tab__nav, .coolBar--download" data-remove="false" data-targetClass="hidden-xs hidden-sm" data-toggle="transplant" data-direction="from" data-transplant="self" class="transplant showit"></div></div></div></div><div class="coolBar__second rlist"><div class="coolBar__section coolBar--download PdfLink"><a href="/doi/epdf/10.1111/dom.13129" title="ePDF" class="coolBar__ctrl pdf-download"><img src="/specs/products/acropolis/pericles/releasedAssets/images/pdf-icon-169a2eb30e52100e76dfa5f4b66998e6.png" alt=""/>PDF</a></div> <div class="relative"><a href="#" data-db-target-for="0e406ce9-5c43-4e2d-b741-e0b43d1f1865" data-db-switch="icon-close_thin" aria-haspopup="true" aria-controls="0e406ce9-5c43-4e2d-b741-e0b43d1f1865_Pop" role="button" id="0e406ce9-5c43-4e2d-b741-e0b43d1f1865_Ctrl" aria-label="Tools" class="article-tools__ctrl"><i aria-hidden="true" class="icon-Icon_Tools"></i><span>Tools</span></a><div data-db-target-of="0e406ce9-5c43-4e2d-b741-e0b43d1f1865" aria-labelledby="0e406ce9-5c43-4e2d-b741-e0b43d1f1865_Ctrl" id="0e406ce9-5c43-4e2d-b741-e0b43d1f1865_Pop" class="article-tools__block fixed dropBlock__holder"><ul role="menu" class="rlist w-slide--list"><li role="presentation" class="article-tool"><a href="https://dom-pubs.pericles-prod.literatumonline.com/action/rightsLink?doi=10.1111%2Fdom.13129&mode=" role="menuitem" target="_blank"><i aria-hidden="true" class="icon-permissions-key"></i><span>Request permission</span></a></li><li role="presentation" class="article-tool"><a href="/action/showCitFormats?doi=10.1111%2Fdom.13129" role="menuitem" target="_self"><i aria-hidden="true" class="icon-export-icon"></i><span>Export citation</span></a></li><li role="presentation" class="article-tool"><a href="/personalize/addFavoritePublication?doi=10.1111%2Fdom.13129" role="menuitem" target="_self"><i aria-hidden="true" class="icon-favorites"></i><span>Add to favorites</span></a></li><li role="presentation" class="article-tool"><a href="/action/addCitationAlert?doi=10.1111%2Fdom.13129" role="menuitem" target="_self"><i aria-hidden="true" class="icon-Icon_Track-citations"></i><span>Track citation</span></a></li></ul></div></div> <script type="text/javascript" defer="defer" src="https://static.addtoany.com/menu/page.js"></script><script type="text/javascript">var a2a_config = a2a_config || {}; 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GIP (glucose-dependent insulinotropic polypeptide) und GLP-1 (glucagon-like peptide-1) are the known incretin hormones from the upper (GIP, K cells) and lower (GLP-1, L cells) gut. Together, they are responsible for the incretin effect: a two- to three-fold higher insulin secretory response to oral as compared to intravenous glucose administration. In subjects with type 2 diabetes, this incretin effect is diminished or no longer present. This is the consequence of a substantially reduced effectiveness of GIP on the diabetic endocrine pancreas, and of the negligible physiological role of GLP-1 in mediating the incretin effect even in healthy subjects. However, the insulinotropic and glucagonostatic effects of GLP-1 are preserved in subjects with type 2 diabetes to the degree that pharmacological stimulation of GLP-1 receptors significantly reduces plasma glucose and improves glycaemic control. Thus, it has become a parent compound of incretin-based glucose-lowering medications (GLP-1 receptor agonists and inhibitors of dipeptidyl peptidase-4 or DPP-4). GLP-1, in addition, has multiple effects on various organ systems. Most relevant are a reduction in appetite and food intake, leading to weight loss in the long term. Since GLP-1 secretion from the gut seems to be impaired in obese subjects, this may even indicate a role in the pathophysiology of obesity. Along these lines, an increased secretion of GLP-1 induced by delivering nutrients to lower parts of the small intestines (rich in L cells) may be one factor (among others like peptide YY) explaining weight loss and improvements in glycaemic control after bariatric surgery (e.g., Roux-en-Y gastric bypass). GIP and GLP-1, originally characterized as incretin hormones, have additional effects in adipose cells, bone, and the cardiovascular system. Especially, the latter have received attention based on recent findings that GLP-1 receptor agonists such as liraglutide reduce cardiovascular events and prolong life in high-risk patients with type 2 diabetes. Thus, incretin hormones have an important role physiologically, namely they are involved in the pathophysiology of obesity and type 2 diabetes, and they have therapeutic potential that can be traced to well-characterized physiological effects.</p> </div> </section> </div><div class="pb-dropzone" data-pb-dropzone="below-abstract-group"></div><section class="article-section article-section__references" id="article-references-section-1"> <div class="accordion article-accordion"> <h2> <div tabindex="0" role="button" class="accordion__control" aria-controls="iddom13129-bibl-0001" aria-expanded="false" data-references="/action/ajaxShowEnhancedAbstract?widgetId=5cf4c79f-0ae9-4dc5-96ce-77f62de7ada9&ajax=true&doi=10.1111%2Fdom.13129&pbContext=%3BrequestedJournal%3Ajournal%3A14631326%3Bpage%3Astring%3AArticle%2FChapter+View%3Bctype%3Astring%3AJournal+Content%3BsubPage%3Astring%3AAbstract%3Bcsubtype%3Astring%3AVolume+Supplement%3Barticle%3Aarticle%3Adoi%5C%3A10.1111%2Fdom.13129%3Bjournal%3Ajournal%3A14631326%3Bwebsite%3Awebsite%3Adom-pubs%3Bissue%3Aissue%3Adoi%5C%3A10.1111%2Fdom.2018.20.issue-S1%3Bwgroup%3Astring%3APublication+Websites%3BpageGroup%3Astring%3APublication+Pages&widgetKey=ux3-publicationContent-widget_5cf4c79f-0ae9-4dc5-96ce-77f62de7ada9_3067_en&accordionHeadingWrapper=h2&onlyLog=true"><span class="section__title" id="references-section-1">REFERENCES</span><i aria-hidden="true" class="icon-section_arrow_d"></i></div> </h2> <div class="accordion__content" style="display: none;" role="region" aria-labelledby="references-section-1" id="dom13129-bibl-0001"> <ul class="rlist separator"> <li data-bib-id="dom13129-bib-0001"><span class="bullet">1</span><span class="author">Drucker DJ</span>, <span class="author">Nauck MA</span>. <span class="articleTitle">The incretin system: glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors in type 2 diabetes</span>. <i>Lancet</i>. <span class="pubYear">2006</span>; 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