Amylin Agonists: A Novel Approach in the Treatment of Diabetes

Amylin is a peptide hormone that is cosecreted with insulin from the pancreatic beta-cell and is thus deficient in diabetic people. It inhibits glucagon secretion, delays gastric emptying, and acts as a satiety agent. Amylin replacement could therefore possibly improve glycemic control in some peopl...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2004-12, Vol.53 (suppl 3), p.S233-S238
Hauptverfasser: SCHMITZ, Ole, BROCK, Birgitte, RUNGBY, Jorgen
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container_end_page S238
container_issue suppl 3
container_start_page S233
container_title Diabetes (New York, N.Y.)
container_volume 53
creator SCHMITZ, Ole
BROCK, Birgitte
RUNGBY, Jorgen
description Amylin is a peptide hormone that is cosecreted with insulin from the pancreatic beta-cell and is thus deficient in diabetic people. It inhibits glucagon secretion, delays gastric emptying, and acts as a satiety agent. Amylin replacement could therefore possibly improve glycemic control in some people with diabetes. However, human amylin exhibits physicochemical properties predisposing the peptide hormone to aggregate and form amyloid fibers, which may play a part in beta-cell destruction in type 2 diabetes. This obviously makes it unsuitable for pharmacological use. A stable analog, pramlintide, which has actions and pharmacokinetic and pharmacodynamic properties similar to the native peptide, has been developed. The efficacy and safety of pramlintide administration has been tested in a vast number of clinical trials. Approximately 5,000 insulin-treated patients have received pramlintide and approximately 250 for > or =2 years. The aims of this review are to 1) briefly describe actions of amylin as demonstrated in animal and human models and 2) primarily review results from clinical trials with the amylin analog pramlintide.
doi_str_mv 10.2337/diabetes.53.suppl_3.S233
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It inhibits glucagon secretion, delays gastric emptying, and acts as a satiety agent. Amylin replacement could therefore possibly improve glycemic control in some people with diabetes. However, human amylin exhibits physicochemical properties predisposing the peptide hormone to aggregate and form amyloid fibers, which may play a part in beta-cell destruction in type 2 diabetes. This obviously makes it unsuitable for pharmacological use. A stable analog, pramlintide, which has actions and pharmacokinetic and pharmacodynamic properties similar to the native peptide, has been developed. The efficacy and safety of pramlintide administration has been tested in a vast number of clinical trials. Approximately 5,000 insulin-treated patients have received pramlintide and approximately 250 for &gt; or =2 years. 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Target tissue resistance ; Glucagon ; Glucose ; Glycated Hemoglobin A - drug effects ; Glycated Hemoglobin A - metabolism ; Humans ; Hypoglycemia ; Insulin - therapeutic use ; Insulin resistance ; Islet Amyloid Polypeptide ; Medical sciences ; Metabolism ; Peptides ; Physiology ; Signal transduction</subject><ispartof>Diabetes (New York, N.Y.), 2004-12, Vol.53 (suppl 3), p.S233-S238</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright American Diabetes Association Dec 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c581t-4ac6f8230a0f6ef596a252cf7321f8751b0fb1113ab4ef13e0d45ac8d4ab50a23</citedby><cites>FETCH-LOGICAL-c581t-4ac6f8230a0f6ef596a252cf7321f8751b0fb1113ab4ef13e0d45ac8d4ab50a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16322836$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15561917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SCHMITZ, Ole</creatorcontrib><creatorcontrib>BROCK, Birgitte</creatorcontrib><creatorcontrib>RUNGBY, Jorgen</creatorcontrib><title>Amylin Agonists: A Novel Approach in the Treatment of Diabetes</title><title>Diabetes (New York, N.Y.)</title><addtitle>Diabetes</addtitle><description>Amylin is a peptide hormone that is cosecreted with insulin from the pancreatic beta-cell and is thus deficient in diabetic people. 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Target tissue resistance</subject><subject>Glucagon</subject><subject>Glucose</subject><subject>Glycated Hemoglobin A - drug effects</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Humans</subject><subject>Hypoglycemia</subject><subject>Insulin - therapeutic use</subject><subject>Insulin resistance</subject><subject>Islet Amyloid Polypeptide</subject><subject>Medical sciences</subject><subject>Metabolism</subject><subject>Peptides</subject><subject>Physiology</subject><subject>Signal transduction</subject><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kE1rGzEQhkVpiJ00f6GIQnNbRyOtpN0eCovTfIBJDnUgN6GVJXvDflXabfC_r4y3GAplDnOYZ2ZeHoQwkAVlTN5sKl3awYYFZ4sw9n2t2OJnnHxAc8hZnjAqXz-iOSFAE5C5nKGLEN4IISLWOZoB5wJykHP0vWj2ddXiYtu1VRjCN1zgp-63rXHR977TZofjdNhZvPZWD41tB9w5fDsF-ITOnK6DvZr6JXq5-7FePiSr5_vHZbFKDM9gSFJthMsoI5o4YR3PhaacGicZBZdJDiVxJQAwXabWAbNkk3Jtsk2qS040ZZfo-ng3Zvo12jCopgrG1rVubTcGJSQQkso0gl_-Ad-60bcxm6Ig0pwwKSOUHSHjuxC8dar3VaP9XgFRB8Hqr2DFmZoEq4PguPp5uj-Wjd2cFiejEfg6AToYXTuvW1OFEycYpRkTkYMjt6u2u_fK29PP_z7_A3g4mQ8</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>SCHMITZ, Ole</creator><creator>BROCK, Birgitte</creator><creator>RUNGBY, Jorgen</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Amylin Agonists: A Novel Approach in the Treatment of Diabetes</title><author>SCHMITZ, Ole ; BROCK, Birgitte ; RUNGBY, Jorgen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c581t-4ac6f8230a0f6ef596a252cf7321f8751b0fb1113ab4ef13e0d45ac8d4ab50a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Amyloid - agonists</topic><topic>Amyloid - physiology</topic><topic>Amyloid - therapeutic use</topic><topic>Animals</topic><topic>Binding sites</topic><topic>Biological and medical sciences</topic><topic>Clinical trials</topic><topic>Clinical Trials as Topic</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - drug therapy</topic><topic>Diabetes. 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The aims of this review are to 1) briefly describe actions of amylin as demonstrated in animal and human models and 2) primarily review results from clinical trials with the amylin analog pramlintide.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>15561917</pmid><doi>10.2337/diabetes.53.suppl_3.S233</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Amyloid - agonists
Amyloid - physiology
Amyloid - therapeutic use
Animals
Binding sites
Biological and medical sciences
Clinical trials
Clinical Trials as Topic
Diabetes
Diabetes Mellitus - drug therapy
Diabetes. Impaired glucose tolerance
Disease Models, Animal
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Glucagon
Glucose
Glycated Hemoglobin A - drug effects
Glycated Hemoglobin A - metabolism
Humans
Hypoglycemia
Insulin - therapeutic use
Insulin resistance
Islet Amyloid Polypeptide
Medical sciences
Metabolism
Peptides
Physiology
Signal transduction
title Amylin Agonists: A Novel Approach in the Treatment of Diabetes
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