PMID- 35487405 OWN - NLM STAT- MEDLINE DCOM- 20220527 LR - 20230309 IS - 1096-1186 (Electronic) IS - 1043-6618 (Print) IS - 1043-6618 (Linking) VI - 180 DP - 2022 Jun TI - Revisiting the concept of incretin and enteroendocrine L-cells as type 2 diabetes mellitus treatment. PG - 106237 LID - S1043-6618(22)00182-7 [pii] LID - 10.1016/j.phrs.2022.106237 [doi] AB - The significant growth in type 2 diabetes mellitus (T2DM) prevalence strikes a common threat to the healthcare and economic systems globally. Despite the availability of several anti-hyperglycaemic agents in the market, none can offer T2DM remission. These agents include the prominent incretin-based therapy such as glucagon-like peptide-1 receptor (GLP-1R) agonists and dipeptidyl peptidase-4 inhibitors that are designed primarily to promote GLP-1R activation. Recent interest in various therapeutically useful gastrointestinal hormones in T2DM and obesity has surged with the realisation that enteroendocrine L-cells modulate the different incretins secretion and glucose homeostasis, reflecting the original incretin definition. Targeting L-cells offers promising opportunities to mimic the benefits of bariatric surgery on glucose homeostasis, bodyweight management, and T2DM remission. Revising the fundamental incretin theory is an essential step for therapeutic development in this area. Therefore, the present review explores enteroendocrine L-cell hormone expression, the associated nutrient-sensing mechanisms, and other physiological characteristics. Subsequently, enteroendocrine L-cell line models and the latest L-cell targeted therapies are reviewed critically in this paper. Bariatric surgery, pharmacotherapy and new paradigm of L-cell targeted pharmaceutical formulation are discussed here, offering both clinician and scientist communities a new common interest to push the scientific boundary in T2DM therapy. CI - Copyright (c) 2022 Elsevier Ltd. All rights reserved. FAU - Lok, Kok-Hou AU - Lok KH AD - School of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia. Electronic address: Lok.KokHou@monash.edu. FAU - Wareham, Nicholas J AU - Wareham NJ AD - School of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia; MRC Epidemiology Unit, University of Cambridge, Institute of Metabolic Science, Cambridge, UK. Electronic address: Nick.wareham@mrc-epid.cam.ac.uk. FAU - Nair, Rajesh Sreedharan AU - Nair RS AD - School of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia. Electronic address: RajeshSreedharan.Nair@monash.edu. FAU - How, Chee Wun AU - How CW AD - School of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia. Electronic address: How.CheeWun@monash.edu. FAU - Chuah, Lay-Hong AU - Chuah LH AD - School of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia. Electronic address: alice.chuah@monash.edu. LA - eng GR - MC_UU_00006/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220426 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - *Diabetes Mellitus, Type 2/drug therapy/metabolism MH - *Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Glucagon-Like Peptide 1/metabolism MH - Glucagon-Like Peptide-1 Receptor MH - Glucose/metabolism MH - Hypoglycemic Agents/therapeutic use MH - Incretins/therapeutic use MH - L Cells MH - Mice PMC - PMC7614293 MID - EMS157810 OTO - NOTNLM OT - Bariatric surgery OT - Enteroendocrine L-cell OT - Incretin OT - Pharmaceutical formulation OT - Pharmacotherapy COIS- Declaration of Competing Interest The authors declare no conflict of interest. EDAT- 2022/04/30 06:00 MHDA- 2022/05/28 06:00 PMCR- 2023/03/08 CRDT- 2022/04/29 19:26 PHST- 2022/02/08 00:00 [received] PHST- 2022/04/08 00:00 [revised] PHST- 2022/04/22 00:00 [accepted] PHST- 2022/04/30 06:00 [pubmed] PHST- 2022/05/28 06:00 [medline] PHST- 2022/04/29 19:26 [entrez] PHST- 2023/03/08 00:00 [pmc-release] AID - S1043-6618(22)00182-7 [pii] AID - 10.1016/j.phrs.2022.106237 [doi] PST - ppublish SO - Pharmacol Res. 2022 Jun;180:106237. doi: 10.1016/j.phrs.2022.106237. Epub 2022 Apr 26.