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Published in: Diabetologia 12/2012

01-12-2012 | Article

A local glucagon-like peptide 1 (GLP-1) system in human pancreatic islets

Authors: P. Marchetti, R. Lupi, M. Bugliani, C. L. Kirkpatrick, G. Sebastiani, F. A. Grieco, S. Del Guerra, V. D’Aleo, S. Piro, L. Marselli, U. Boggi, F. Filipponi, L. Tinti, L. Salvini, C. B. Wollheim, F. Purrello, F. Dotta

Published in: Diabetologia | Issue 12/2012

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Abstract

Aims/hypothesis

Glucagon-like peptide 1 (GLP-1) is a major incretin, mainly produced by the intestinal L cells, with beneficial actions on pancreatic beta cells. However, while in vivo only very small amounts of GLP-1 reach the pancreas in bioactive form, some observations indicate that GLP-1 may also be produced in the islets. We performed comprehensive morphological, functional and molecular studies to evaluate the presence and various features of a local GLP-1 system in human pancreatic islet cells, including those from type 2 diabetic patients.

Methods

The presence of insulin, glucagon, GLP-1, proconvertase (PC) 1/3 and PC2 was determined in human pancreas by immunohistochemistry with confocal microscopy. Islets were isolated from non-diabetic and type 2 diabetic donors. GLP-1 protein abundance was evaluated by immunoblotting and matrix-assisted laser desorption–ionisation-time of flight (MALDI–TOF) mass spectrometry. Single alpha and beta cell suspensions were obtained by enzymatic dissociation and FACS sorting. Glucagon and GLP-1 release were measured in response to nutrients.

Results

Confocal microscopy showed the presence of GLP-1-like and PC1/3 immunoreactivity in subsets of alpha cells, whereas GLP-1 was not observed in beta cells. The presence of GLP-1 in isolated islets was confirmed by immunoblotting, followed by mass spectrometry. Isolated islets and alpha (but not beta) cell fractions released GLP-1, which was regulated by glucose and arginine. PC1/3 (also known as PCSK1) gene expression was shown in alpha cells. GLP-1 release was significantly higher from type 2 diabetic than from non-diabetic isolated islets.

Conclusions/interpretation

We have shown the presence of a functionally competent GLP-1 system in human pancreatic islets, which resides in alpha cells and might be modulated by type 2 diabetes.
Appendix
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Literature
1.
2.
go back to reference Ahrén B (2007) GLP-1-based therapy of type 2 diabetes: GLP-1 mimetics and DPP-IV inhibitors. Curr Diab Rep 7:340–347PubMedCrossRef Ahrén B (2007) GLP-1-based therapy of type 2 diabetes: GLP-1 mimetics and DPP-IV inhibitors. Curr Diab Rep 7:340–347PubMedCrossRef
3.
go back to reference Mathieu C, Bollaerts K (2007) Antihyperglycaemic therapy in elderly patients with type 2 diabetes: potential role of incretin mimetics and DPP-4 inhibitors. Int J Clin Pract Suppl 154:29–37PubMedCrossRef Mathieu C, Bollaerts K (2007) Antihyperglycaemic therapy in elderly patients with type 2 diabetes: potential role of incretin mimetics and DPP-4 inhibitors. Int J Clin Pract Suppl 154:29–37PubMedCrossRef
4.
go back to reference Holst JJ, Bersani M, Johnsen AH, Kofod H, Hartmann B, Orskov C (1994) Proglucagon processing in porcine and human pancreas. J Biol Chem 269:18827–18833PubMed Holst JJ, Bersani M, Johnsen AH, Kofod H, Hartmann B, Orskov C (1994) Proglucagon processing in porcine and human pancreas. J Biol Chem 269:18827–18833PubMed
5.
go back to reference Vilsbøll T, Holst JJ (2004) Incretins, insulin secretion and type 2 diabetes mellitus. Diabetologia 47:357–366PubMedCrossRef Vilsbøll T, Holst JJ (2004) Incretins, insulin secretion and type 2 diabetes mellitus. Diabetologia 47:357–366PubMedCrossRef
6.
go back to reference Diamant M, Van Gaal L, Stranks S et al (2010) Once weekly exenatide compared with insulin glargine titrated to target in patients with type 2 diabetes (DURATION-3): an open-label randomised trial. Lancet 375:2234–2243PubMedCrossRef Diamant M, Van Gaal L, Stranks S et al (2010) Once weekly exenatide compared with insulin glargine titrated to target in patients with type 2 diabetes (DURATION-3): an open-label randomised trial. Lancet 375:2234–2243PubMedCrossRef
7.
9.
go back to reference Uttenthal LO, Ghiglione M, George SK, Bishop AE, Polak JM, Bloom SR (1985) Molecular forms of glucagon-like peptide-1 in human pancreas and glucagonomas. J Clin Endocrinol Metab 61:472–479PubMedCrossRef Uttenthal LO, Ghiglione M, George SK, Bishop AE, Polak JM, Bloom SR (1985) Molecular forms of glucagon-like peptide-1 in human pancreas and glucagonomas. J Clin Endocrinol Metab 61:472–479PubMedCrossRef
10.
go back to reference Varndell IM, Bishop AE, Sikri KL, Uttenthal LO, Bloom SR, Polak JM (1985) Localization of glucagon-like peptide (GLP) immunoreactants in human gut and pancreas using light and electron microscopic immunocytochemistry. J Histochem Cytochem 33:1080–1086PubMedCrossRef Varndell IM, Bishop AE, Sikri KL, Uttenthal LO, Bloom SR, Polak JM (1985) Localization of glucagon-like peptide (GLP) immunoreactants in human gut and pancreas using light and electron microscopic immunocytochemistry. J Histochem Cytochem 33:1080–1086PubMedCrossRef
11.
go back to reference Mojsov S, Kopczynski MG, Habener JF (1990) Both amidated and nonamidates forms of glucagon-like peptide I are synthesized in the rat intestine and the pancreas. J Biol Chem 265:8001–8008PubMed Mojsov S, Kopczynski MG, Habener JF (1990) Both amidated and nonamidates forms of glucagon-like peptide I are synthesized in the rat intestine and the pancreas. J Biol Chem 265:8001–8008PubMed
12.
go back to reference Heller RS, Aponte GW (1995) Intra-islet regulation of hormone secretion by glucagon-like peptide-1-(7-36)amide. Am J Physiol 269:G853–G860 Heller RS, Aponte GW (1995) Intra-islet regulation of hormone secretion by glucagon-like peptide-1-(7-36)amide. Am J Physiol 269:G853–G860
13.
go back to reference Kreymann B, Ghatei MA, Domin J, Kanse S, Bloom SR (1991) Developmental patterns of glucagon-like peptide-1-(7-36) amide and peptide-YY in rat pancreas and gut. Endocrinology 129:1001–1005PubMedCrossRef Kreymann B, Ghatei MA, Domin J, Kanse S, Bloom SR (1991) Developmental patterns of glucagon-like peptide-1-(7-36) amide and peptide-YY in rat pancreas and gut. Endocrinology 129:1001–1005PubMedCrossRef
14.
go back to reference Masur K, Tibaduiza EC, Chen C, Ligon B, Beinborn M (2005) Basal receptor activation by locally produced glucagon-like peptide-1 contributes to maintaining beta-cell function. Mol Endocrinol 19:1373–1382PubMedCrossRef Masur K, Tibaduiza EC, Chen C, Ligon B, Beinborn M (2005) Basal receptor activation by locally produced glucagon-like peptide-1 contributes to maintaining beta-cell function. Mol Endocrinol 19:1373–1382PubMedCrossRef
15.
go back to reference Thyssen S, Arany E, Hill DJ (2006) Ontogeny of regeneration of beta-cells in the neonatal rat after treatment with streptozotocin. Endocrinology 147:2346–2356PubMedCrossRef Thyssen S, Arany E, Hill DJ (2006) Ontogeny of regeneration of beta-cells in the neonatal rat after treatment with streptozotocin. Endocrinology 147:2346–2356PubMedCrossRef
16.
go back to reference Whalley NM, Pritchard LE, Smith DM, White A (2011) Processing of proglucagon to GLP-1 in pancreatic α-cells: is this a paracrine mechanism enabling GLP-1 to act on β-cells? J Endocrinol 211:99–106PubMedCrossRef Whalley NM, Pritchard LE, Smith DM, White A (2011) Processing of proglucagon to GLP-1 in pancreatic α-cells: is this a paracrine mechanism enabling GLP-1 to act on β-cells? J Endocrinol 211:99–106PubMedCrossRef
17.
go back to reference Hansen AM, Bödvarsdottir TB, Nordestgaard DN et al (2011) Upregulation of alpha cell glucagon-like peptide 1 (GLP-1) in Psammomys obesus—an adaptive response to hyperglycaemia? Diabetologia 54:1379–1387PubMedCrossRef Hansen AM, Bödvarsdottir TB, Nordestgaard DN et al (2011) Upregulation of alpha cell glucagon-like peptide 1 (GLP-1) in Psammomys obesus—an adaptive response to hyperglycaemia? Diabetologia 54:1379–1387PubMedCrossRef
18.
go back to reference Ellingsgaard H, Hauselmann I, Schuler B et al (2011) Interleukin-6 enhances insulin secretion by increasing glucagon-like peptide-1 secretion from L cells and alpha cells. Nat Med 17:1481–1489PubMedCrossRef Ellingsgaard H, Hauselmann I, Schuler B et al (2011) Interleukin-6 enhances insulin secretion by increasing glucagon-like peptide-1 secretion from L cells and alpha cells. Nat Med 17:1481–1489PubMedCrossRef
19.
go back to reference Tancredi M, Marselli L, Lencioni C et al (2011) Histopathology and ex vivo insulin secretion of pancreatic islets in gestational diabetes: a case report. Islets 3:231–233PubMedCrossRef Tancredi M, Marselli L, Lencioni C et al (2011) Histopathology and ex vivo insulin secretion of pancreatic islets in gestational diabetes: a case report. Islets 3:231–233PubMedCrossRef
20.
go back to reference Ghiglione M, Uttenthal LO, Koch C (1993) Monoclonal antibodies to glucagon-like peptide-1. Digestion 54:396–397 Ghiglione M, Uttenthal LO, Koch C (1993) Monoclonal antibodies to glucagon-like peptide-1. Digestion 54:396–397
21.
go back to reference Zhang H, Li J, Liang X, Luo Y, Zen K, Zhang CY (2012) Uncoupling protein 2 negatively regulates glucose-induced glucagon-like peptide-1 (GLP-1) secretion. J Mol Endocrinol 48:151–158PubMedCrossRef Zhang H, Li J, Liang X, Luo Y, Zen K, Zhang CY (2012) Uncoupling protein 2 negatively regulates glucose-induced glucagon-like peptide-1 (GLP-1) secretion. J Mol Endocrinol 48:151–158PubMedCrossRef
22.
go back to reference Igoillo-Esteve M, Marselli L, Cunha DA et al (2010) Palmitate induces a pro-inflammatory response in human pancreatic islets that mimics CCL2 expression by beta cells in type 2 diabetes. Diabetologia 53:1395–1405PubMedCrossRef Igoillo-Esteve M, Marselli L, Cunha DA et al (2010) Palmitate induces a pro-inflammatory response in human pancreatic islets that mimics CCL2 expression by beta cells in type 2 diabetes. Diabetologia 53:1395–1405PubMedCrossRef
23.
go back to reference Marchetti P, Bugliani M, Lupi R et al (2007) The endoplasmic reticulum in pancreatic beta cells of type 2 diabetes patients. Diabetologia 50:2486–2494PubMedCrossRef Marchetti P, Bugliani M, Lupi R et al (2007) The endoplasmic reticulum in pancreatic beta cells of type 2 diabetes patients. Diabetologia 50:2486–2494PubMedCrossRef
24.
go back to reference Di Poto C, Iadarola P, Bardoni AM et al (2007) 2-DE and MALDI-TOF-MS for a comparative analysis of proteins expressed in different cellular models of amyotrophic lateral sclerosis. Electrophoresis 28:4320–4329PubMedCrossRef Di Poto C, Iadarola P, Bardoni AM et al (2007) 2-DE and MALDI-TOF-MS for a comparative analysis of proteins expressed in different cellular models of amyotrophic lateral sclerosis. Electrophoresis 28:4320–4329PubMedCrossRef
25.
go back to reference Parnaud G, Bosco D, Berney T et al (2008) Proliferation of sorted human and rat beta cells. Diabetologia 51:91–100PubMedCrossRef Parnaud G, Bosco D, Berney T et al (2008) Proliferation of sorted human and rat beta cells. Diabetologia 51:91–100PubMedCrossRef
26.
go back to reference Kirkpatrick CL, Marchetti P, Purrel F et al (2010) Type 2 diabetes susceptibility gene expression in normal or diabetic sorted human alpha and beta cells: correlations with age or BMI of islet donors. PLoS One 5:e11053PubMedCrossRef Kirkpatrick CL, Marchetti P, Purrel F et al (2010) Type 2 diabetes susceptibility gene expression in normal or diabetic sorted human alpha and beta cells: correlations with age or BMI of islet donors. PLoS One 5:e11053PubMedCrossRef
27.
go back to reference Lukowiak B, Vandewalle B, Riachy R et al (2001) Identification and purification of functional human beta-cells by a new specific zinc-fluorescent probe. J Histochem Cytochem 49:519–528PubMedCrossRef Lukowiak B, Vandewalle B, Riachy R et al (2001) Identification and purification of functional human beta-cells by a new specific zinc-fluorescent probe. J Histochem Cytochem 49:519–528PubMedCrossRef
28.
go back to reference Davidson HW (2004) (Pro)Insulin processing: a historical perspective. Cell Biochem Biophys 40(3 Suppl):143–158PubMed Davidson HW (2004) (Pro)Insulin processing: a historical perspective. Cell Biochem Biophys 40(3 Suppl):143–158PubMed
29.
go back to reference Holst JJ (2010) Glucagon and glucagon-like peptides 1 and 2. Results Probl Cell Differ 50:121–135PubMed Holst JJ (2010) Glucagon and glucagon-like peptides 1 and 2. Results Probl Cell Differ 50:121–135PubMed
30.
go back to reference Jensen PB, Larsen PJ, Karlsen C, Jensen HI, Holst JJ, Madsen OD (2011) Foetal proglucagon processing in relation to adult appetite control: lessons from a transplantable rat glucagonoma with severe anorexia. Diabetes Obes Metab 13(Suppl 1):60–68PubMedCrossRef Jensen PB, Larsen PJ, Karlsen C, Jensen HI, Holst JJ, Madsen OD (2011) Foetal proglucagon processing in relation to adult appetite control: lessons from a transplantable rat glucagonoma with severe anorexia. Diabetes Obes Metab 13(Suppl 1):60–68PubMedCrossRef
31.
go back to reference Portela-Gomes GM, Grimelius L, Stridsberg M (2008) Prohormone convertases 1/3, 2, furin and protein 7B2 (Secretogranin V) in endocrine cells of the human pancreas. Regul Pept 146:117–124PubMedCrossRef Portela-Gomes GM, Grimelius L, Stridsberg M (2008) Prohormone convertases 1/3, 2, furin and protein 7B2 (Secretogranin V) in endocrine cells of the human pancreas. Regul Pept 146:117–124PubMedCrossRef
32.
go back to reference Bosco D, Armanet M, Morel P et al (2010) Unique arrangement of alpha- and beta-cells in human islets of Langerhans. Diabetes 59:1202–1210PubMedCrossRef Bosco D, Armanet M, Morel P et al (2010) Unique arrangement of alpha- and beta-cells in human islets of Langerhans. Diabetes 59:1202–1210PubMedCrossRef
33.
go back to reference Wilson ME, Kalamaras JA, German MS (2002) Expression pattern of IAPP and prohormone convertase 1/3 reveals a distinctive set of endocrine cells in the embryonic pancreas. Mech Dev 115:171–176PubMedCrossRef Wilson ME, Kalamaras JA, German MS (2002) Expression pattern of IAPP and prohormone convertase 1/3 reveals a distinctive set of endocrine cells in the embryonic pancreas. Mech Dev 115:171–176PubMedCrossRef
34.
go back to reference Kilimnik G, Kim A, Steiner DF, Friedman TC, Hara M (2010) Intraislet production of GLP-1 by activation of prohormone convertase 1/3 in pancreatic α-cells in mouse models of β-cell regeneration. Islets 2:149–155PubMedCrossRef Kilimnik G, Kim A, Steiner DF, Friedman TC, Hara M (2010) Intraislet production of GLP-1 by activation of prohormone convertase 1/3 in pancreatic α-cells in mouse models of β-cell regeneration. Islets 2:149–155PubMedCrossRef
35.
go back to reference Fujita Y, Wideman RD, Asadi A et al (2010) Glucose-dependent insulinotropic polypeptide is expressed in pancreatic islet alpha-cells and promotes insulin secretion. Gastroenterology 138:1966–1975PubMedCrossRef Fujita Y, Wideman RD, Asadi A et al (2010) Glucose-dependent insulinotropic polypeptide is expressed in pancreatic islet alpha-cells and promotes insulin secretion. Gastroenterology 138:1966–1975PubMedCrossRef
36.
go back to reference De Marinis YZ, Zhang E, Amisten S et al (2010) Enhancement of glucagon secretion in mouse and human pancreatic alpha cells by protein kinase C (PKC) involves intracellular trafficking of PKCalpha and PKCdelta. Diabetologia 53:717–729PubMedCrossRef De Marinis YZ, Zhang E, Amisten S et al (2010) Enhancement of glucagon secretion in mouse and human pancreatic alpha cells by protein kinase C (PKC) involves intracellular trafficking of PKCalpha and PKCdelta. Diabetologia 53:717–729PubMedCrossRef
37.
go back to reference Walker JN, Ramracheya R, Zhang Q, Johnson PR, Braun M, Rorsman P (2011) Regulation of glucagon secretion by glucose: paracrine, intrinsic or both? Diabetes Obes Metab 13(Suppl 1):95–105PubMedCrossRef Walker JN, Ramracheya R, Zhang Q, Johnson PR, Braun M, Rorsman P (2011) Regulation of glucagon secretion by glucose: paracrine, intrinsic or both? Diabetes Obes Metab 13(Suppl 1):95–105PubMedCrossRef
38.
go back to reference Deng S, Vatamaniuk M, Huang X et al (2004) Structural and functional abnormalities in the islets isolated from type 2 diabetic subjects. Diabetes 53:624–632PubMedCrossRef Deng S, Vatamaniuk M, Huang X et al (2004) Structural and functional abnormalities in the islets isolated from type 2 diabetic subjects. Diabetes 53:624–632PubMedCrossRef
39.
go back to reference Henquin JC, Rahier J (2011) Pancreatic alpha cell mass in European subjects with type 2 diabetes. Diabetologia 54:1720–1725PubMedCrossRef Henquin JC, Rahier J (2011) Pancreatic alpha cell mass in European subjects with type 2 diabetes. Diabetologia 54:1720–1725PubMedCrossRef
40.
go back to reference Meier JJ, Ueberberg S, Korbas S, Schneider S (2011) Diminished glucagon suppression after β-cell reduction is due to impaired α-cell function rather than an expansion of α-cell mass. Am J Physiol Endocrinol Metab 300:E717–E723PubMedCrossRef Meier JJ, Ueberberg S, Korbas S, Schneider S (2011) Diminished glucagon suppression after β-cell reduction is due to impaired α-cell function rather than an expansion of α-cell mass. Am J Physiol Endocrinol Metab 300:E717–E723PubMedCrossRef
41.
go back to reference Nauck MA, Vardarli I, Deacon CF, Holst JJ, Meier JJ (2011) Secretion of glucagon-like peptide-1 (GLP-1) in type 2 diabetes: what is up, what is down? Diabetologia 54:10–18PubMedCrossRef Nauck MA, Vardarli I, Deacon CF, Holst JJ, Meier JJ (2011) Secretion of glucagon-like peptide-1 (GLP-1) in type 2 diabetes: what is up, what is down? Diabetologia 54:10–18PubMedCrossRef
42.
go back to reference Toft-Nielsen MB, Damholt MB, Madsbad S et al (2001) Determinants of the impaired secretion of glucagon-like peptide-1 in type 2 diabetic patients. J Clin Endocrinol Metab 86:3717–3723PubMedCrossRef Toft-Nielsen MB, Damholt MB, Madsbad S et al (2001) Determinants of the impaired secretion of glucagon-like peptide-1 in type 2 diabetic patients. J Clin Endocrinol Metab 86:3717–3723PubMedCrossRef
43.
go back to reference Dunning BE, Foley JE, Ahrén B (2005) Alpha cell function in health and disease: influence of glucagon-like peptide-1. Diabetologia 48:1700–1713PubMedCrossRef Dunning BE, Foley JE, Ahrén B (2005) Alpha cell function in health and disease: influence of glucagon-like peptide-1. Diabetologia 48:1700–1713PubMedCrossRef
44.
go back to reference Ryskjaer J, Deacon CF, Carr RD et al (2006) Plasma dipeptidyl peptidase-IV activity in patients with type-2 diabetes mellitus correlates positively with HbAlc levels, but is not acutely affected by food intake. Eur J Endocrinol 155:485–493PubMedCrossRef Ryskjaer J, Deacon CF, Carr RD et al (2006) Plasma dipeptidyl peptidase-IV activity in patients with type-2 diabetes mellitus correlates positively with HbAlc levels, but is not acutely affected by food intake. Eur J Endocrinol 155:485–493PubMedCrossRef
45.
go back to reference Mannucci E, Pala L, Ciani S et al (2005) Hyperglycaemia increases dipeptidyl peptidase IV activity in diabetes mellitus. Diabetologia 48:1168–1172PubMedCrossRef Mannucci E, Pala L, Ciani S et al (2005) Hyperglycaemia increases dipeptidyl peptidase IV activity in diabetes mellitus. Diabetologia 48:1168–1172PubMedCrossRef
46.
go back to reference Cnop M, Foufelle F, Velloso LA (2012) Endoplasmic reticulum stress, obesity and diabetes. Trends Mol Med 18:59–68PubMedCrossRef Cnop M, Foufelle F, Velloso LA (2012) Endoplasmic reticulum stress, obesity and diabetes. Trends Mol Med 18:59–68PubMedCrossRef
47.
go back to reference Marchetti P, Lupi R, del Guerra S et al (2009) Goals of treatment for type 2 diabetes: beta-cell preservation for glycemic control. Diabetes Care 32(Suppl 2):S178–S183PubMedCrossRef Marchetti P, Lupi R, del Guerra S et al (2009) Goals of treatment for type 2 diabetes: beta-cell preservation for glycemic control. Diabetes Care 32(Suppl 2):S178–S183PubMedCrossRef
48.
go back to reference Liu Z, Stanojevic V, Avadhani S, Yano T, Habener JF (2011) Stromal cell-derived factor-1 (SDF-1)/chemokine (C-X-C motif) receptor 4 (CXCR4) axis activation induces intra-islet glucagon-like peptide-1 (GLP-1) production and enhances beta cell survival. Diabetologia 54:2067–2076PubMedCrossRef Liu Z, Stanojevic V, Avadhani S, Yano T, Habener JF (2011) Stromal cell-derived factor-1 (SDF-1)/chemokine (C-X-C motif) receptor 4 (CXCR4) axis activation induces intra-islet glucagon-like peptide-1 (GLP-1) production and enhances beta cell survival. Diabetologia 54:2067–2076PubMedCrossRef
49.
go back to reference Wideman RD, Yu IL, Webber TD et al (2006) Improving function and survival of pancreatic islets by endogenous production of glucagon-like peptide 1 (GLP-1). Proc Natl Acad Sci U S A 103:13468–13473PubMedCrossRef Wideman RD, Yu IL, Webber TD et al (2006) Improving function and survival of pancreatic islets by endogenous production of glucagon-like peptide 1 (GLP-1). Proc Natl Acad Sci U S A 103:13468–13473PubMedCrossRef
50.
go back to reference Wideman RD, Covey SD, Webb GC, Drucker DJ, Kieffer TJ (2007) A switch from prohormone convertase (PC)-2 to PC1/3 expression in transplanted alpha-cells is accompanied by differential processing of proglucagon and improved glucose homeostasis in mice. Diabetes 56:2744–2752PubMedCrossRef Wideman RD, Covey SD, Webb GC, Drucker DJ, Kieffer TJ (2007) A switch from prohormone convertase (PC)-2 to PC1/3 expression in transplanted alpha-cells is accompanied by differential processing of proglucagon and improved glucose homeostasis in mice. Diabetes 56:2744–2752PubMedCrossRef
Metadata
Title
A local glucagon-like peptide 1 (GLP-1) system in human pancreatic islets
Authors
P. Marchetti
R. Lupi
M. Bugliani
C. L. Kirkpatrick
G. Sebastiani
F. A. Grieco
S. Del Guerra
V. D’Aleo
S. Piro
L. Marselli
U. Boggi
F. Filipponi
L. Tinti
L. Salvini
C. B. Wollheim
F. Purrello
F. Dotta
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 12/2012
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-012-2716-9

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