Published in:
01-12-2007 | Commentary
The enteroinsular axis may mediate the diabetogenic effects of TCF7L2 polymorphisms
Authors:
M. A. Nauck, J. J. Meier
Published in:
Diabetologia
|
Issue 12/2007
Login to get access
Excerpt
In an article in this issue of
Diabetologia, Schäfer et al. report that the acute insulin response to glucagon-like peptide-1 (GLP-1) is reduced in individuals with normal or impaired oral glucose tolerance undergoing a hyperglycaemic clamp experiment [
1]. This effect was specific for individuals with the polymorphisms rs7903146 or rs12255372 in the gene sequence coding for transcription factor 7-like-2 (
TCF7L2), polymorphisms associated with an increased risk of type 2 diabetes [
2‐
4], and reduced insulin secretion [
3,
5‐
11]. TCF7L2 plays a role in the WNT signalling pathway [
12], which (among other things) influences the synthesis (and possibly secretion) of GLP-1 [
13], and the embryological development of the endocrine pancreas [
14]. It was therefore of interest to characterise the effect of GLP-1 upon insulin secretion in individuals with these polymorphisms. …