摘要
胰高血糖素样肽-1(glucagon-like peptide-1,GLP-1)是由肠道L细胞分泌的一种肽类激素,综合的降糖作用使它在治疗糖尿病方面具有巨大的潜力。但由于二肽酰基肽酶Ⅳ(DPPⅣ)的降解,GLP-1血浆半寿期仅有几分钟,重复多次的给药方式降低了患者的依从性从而限制了它的临床应用。而基因治疗以抵抗DPPⅣ的GLP-1突变基因为基础,通过载体介导,旨在体内达到持续高效表达和延长半寿期的双重疗效。这一方法已成为目前关注的焦点。文章介绍了GLP-1分泌及降解,着重阐述近年来GLP-1在糖尿病基因治疗方面所取得的成果及存在的问题。
Glucagon-like peptide-1 (GLP-1) is a gut-derived peptide hormone secreted from intestinal L-cells. The combined properties of GLP-1 action make it an attractive candidate for treatment of diabetes mellitus. However, circulating GLP-1 has a remarkably short half-life of several minutes, due to its cleavage by dipeptidyl peptidase Ⅳ (DPP Ⅳ ) . Repetitive medication of GLP-1 reduces patient compliance, which limits the therapeutic value of GLP-1 in clinical application. Gene therapy strategy via vector mediation has potential not only in continuous expression of GLP-1 analog in vivo but also in extension of its half-life, which becomes now the focus of attention. The aim of this review is to summarize the recent advances in achievement and insufficiency of GLP-1 gene therapy. In addition, the mechanism how GLP-1 is secreted and degraded will be briefly outlined.
出处
《医学分子生物学杂志》
CAS
CSCD
2008年第5期449-453,共5页
Journal of Medical Molecular Biology
基金
广东省自然科学基金(No.7009923)~~
关键词
GLP-1
基因治疗
分泌
糖尿病
glucagon-like peptide-1
gene therapy
secretion
diabetes mellitus