<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">diaendo</journal-id><journal-title-group><journal-title xml:lang="ru">Сахарный диабет</journal-title><trans-title-group xml:lang="en"><trans-title>Diabetes mellitus</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0351</issn><issn pub-type="epub">2072-0378</issn><publisher><publisher-name>Endocrinology research centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/2072-0351-815</article-id><article-id custom-type="elpub" pub-id-type="custom">diaendo-815</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Вопросы патогенеза</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Pathogenesis</subject></subj-group></article-categories><title-group><article-title>Глюкагон и альфа-клетки - новая терапевтическая мишень в лечении сахарного диабета</article-title><trans-title-group xml:lang="en"><trans-title>Glucagon and alpha-cells as a novel therapeutic target in the management of diabetes mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петунина</surname><given-names>Нина Александровна</given-names></name><name name-style="western" xml:lang="en"><surname>Petunina</surname><given-names>Nina Alexandrovna</given-names></name></name-alternatives><email xlink:type="simple">napetunina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трухина</surname><given-names>Любовь Валентиновна</given-names></name><name name-style="western" xml:lang="en"><surname>Trukhina</surname><given-names>Lyubov' Valentinovna</given-names></name></name-alternatives><email xlink:type="simple">napetunina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Синицына</surname><given-names>Елена Игоревна</given-names></name><name name-style="western" xml:lang="en"><surname>Sinicyna</surname><given-names>Elena Igorevna</given-names></name></name-alternatives><email xlink:type="simple">napetunina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шестакова</surname><given-names>Марина Владимировна</given-names></name><name name-style="western" xml:lang="en"><surname>Shestakova</surname><given-names>Marina Vladimirovna</given-names></name></name-alternatives><email xlink:type="simple">nephro@endocrincentr.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБОУ ВПО Первый МГМУ им. И.М. Сеченова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБОУ ВПО Первый МГМУ им. И.М. Сеченова; ФГБУ Эндокринологический научный центр</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Moscow; Endocrinology Research Centre, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>05</day><month>11</month><year>2013</year></pub-date><volume>16</volume><issue>3</issue><issue-title>Сахарный диабет</issue-title><fpage>35</fpage><lpage>40</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Петунина Н.А., Трухина Л.В., Синицына Е.И., Шестакова М.В., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Петунина Н.А., Трухина Л.В., Синицына Е.И., Шестакова М.В.</copyright-holder><copyright-holder xml:lang="en">Petunina N.A., Trukhina L.V., Sinicyna E.I., Shestakova M.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.dia-endojournals.ru/jour/article/view/815">https://www.dia-endojournals.ru/jour/article/view/815</self-uri><abstract><p>Десятки исследований последних лет посвящены глюкагону, его физиологическому действию в поддержании нормального уровня глюкозы и роли в патогенезе диабета. В настоящем обзоре представлены данные, раскрывающие основные этапы образования и дифференцировки эндокринных клеток поджелудочной железы. Основное внимание уделено альфа-клеткам и основным механизмам действия глюкагона. Представлены новые направления и перспективы коррекции углеводного обмена у больных сахарным диабетом, основанные на коррекции секреции глюкагона.</p></abstract><trans-abstract xml:lang="en"><p>For the past several years, a number of studies addressed glucagon and its role in glycemic homeostasis and the development of diabetes mellitus. Current review discusses basic developmental stages of pancreatic islets with special regard for the role of beta-cells and basic mechanisms of glucagon function. We also highlight promising approaches to diabetes compensation based on adjustment of glucagon secretion.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>глюкагон</kwd><kwd>альфа-клетки</kwd><kwd>регуляция экспрессии</kwd><kwd>функциональные бета-клетки</kwd><kwd>инкретины</kwd><kwd>биоактивные гастроэнтеропанкреатические гормоны</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>glucagon</kwd><kwd>alpha-cells</kwd><kwd>expression regulation</kwd><kwd>functioning beta-cells</kwd><kwd>incretins</kwd><kwd>bioactive gastrointestinal hormones</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lefebvre PJ. Early milestones in glucagon research. Diabetes Obes Metab. 2011;13 Suppl 1:1-4. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01437.x</mixed-citation><mixed-citation xml:lang="en">Lefebvre PJ. Early milestones in glucagon research. Diabetes Obes Metab. 2011;13 Suppl 1:1-4. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01437.x</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Bramswig NC, Kaestner KH. Transcriptional regulation of alpha-cell differentiation. Diabetes Obes Metab. 2011;13 Suppl 1:13-20. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01440.x</mixed-citation><mixed-citation xml:lang="en">Bramswig NC, Kaestner KH. Transcriptional regulation of alpha-cell differentiation. Diabetes Obes Metab. 2011;13 Suppl 1:13-20. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01440.x</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Cnop M, Hughes SJ, Igoillo-Esteve M, Hoppa MB, Sayyed F, van de Laar L, et al. The long lifespan and low turnover of human islet beta cells estimated by mathematical modelling of lipofuscin accumulation. Diabetologia. 2010;53(2):321-330. DOI: http://dx.doi.org/10.1007/s00125-009-1562-x [PubMed]</mixed-citation><mixed-citation xml:lang="en">Cnop M, Hughes SJ, Igoillo-Esteve M, Hoppa MB, Sayyed F, van de Laar L, et al. The long lifespan and low turnover of human islet beta cells estimated by mathematical modelling of lipofuscin accumulation. Diabetologia. 2010;53(2):321-330. DOI: http://dx.doi.org/10.1007/s00125-009-1562-x [PubMed]</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Li HJ, Ray SK, Singh NK, Johnston B, Leiter AB. Basic helix-loop-helix transcription factors and enteroendocrine cell differentiation. Diabetes Obes Metab. 2011;13 Suppl 1:5-12. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01438.x</mixed-citation><mixed-citation xml:lang="en">Li HJ, Ray SK, Singh NK, Johnston B, Leiter AB. Basic helix-loop-helix transcription factors and enteroendocrine cell differentiation. Diabetes Obes Metab. 2011;13 Suppl 1:5-12. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01438.x</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Collombat P, Hecksher-Sorensen J, Krull J, Berger J, Riedel D, Herrera PL, et al. Embryonic endocrine pancreas and mature beta cells acquire alpha and PP cell phenotypes upon Arx misexpression. Journal of Clinical Investigation. 2007;117(4):961-970. DOI: http://dx.doi.org/10.1172/JCI29115</mixed-citation><mixed-citation xml:lang="en">Collombat P, Hecksher-Sorensen J, Krull J, Berger J, Riedel D, Herrera PL, et al. Embryonic endocrine pancreas and mature beta cells acquire alpha and PP cell phenotypes upon Arx misexpression. Journal of Clinical Investigation. 2007;117(4):961-970. DOI: http://dx.doi.org/10.1172/JCI29115</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Collombat P, Mansouri A, Hecksher-Sorensen J, Serup P, Krull J, Gradwohl G, et al. Opposing actions of Arx and Pax4 in endocrine pancreas development. Genes and Development. 2003;17(20):2591-2603. DOI: http://dx.doi.org/10.1101/gad.269003</mixed-citation><mixed-citation xml:lang="en">Collombat P, Mansouri A, Hecksher-Sorensen J, Serup P, Krull J, Gradwohl G, et al. Opposing actions of Arx and Pax4 in endocrine pancreas development. Genes and Development. 2003;17(20):2591-2603. DOI: http://dx.doi.org/10.1101/gad.269003</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Gosmain Y, Cheyssac C, Masson MH, Guerardel A, Poisson C, Philippe J. Pax6 is a key component of regulated glucagon secretion. Endocrinology. 2012;153(9):4204-4215. DOI: http://dx.doi.org/10.1210/en.2012-1425</mixed-citation><mixed-citation xml:lang="en">Gosmain Y, Cheyssac C, Masson MH, Guerardel A, Poisson C, Philippe J. Pax6 is a key component of regulated glucagon secretion. Endocrinology. 2012;153(9):4204-4215. DOI: http://dx.doi.org/10.1210/en.2012-1425</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Gosmain Y, Marthinet E, Cheyssac C, Guerardel A, Mamin A, Katz LS, et al. Pax6 controls the expression of critical genes involved in pancreatic {alpha} cell differentiation and function. Journal of Biological Chemistry. 2010;285(43):33381-33393. DOI: http://dx.doi.org/10.1074/jbc.M110.147215</mixed-citation><mixed-citation xml:lang="en">Gosmain Y, Marthinet E, Cheyssac C, Guerardel A, Mamin A, Katz LS, et al. Pax6 controls the expression of critical genes involved in pancreatic {alpha} cell differentiation and function. Journal of Biological Chemistry. 2010;285(43):33381-33393. DOI: http://dx.doi.org/10.1074/jbc.M110.147215</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Hayashi Y, Yamamoto M, Mizoguchi H, Watanabe C, Ito R, Yamamoto S, et al. Mice deficient for glucagon gene-derived peptides display normoglycemia and hyperplasia of islet {alpha}-cells but not of intestinal L-cells. Molecular Endocrinology. 2009;23(12):1990-1999. DOI: http://dx.doi.org/10.1210/me.2009-0296</mixed-citation><mixed-citation xml:lang="en">Hayashi Y, Yamamoto M, Mizoguchi H, Watanabe C, Ito R, Yamamoto S, et al. Mice deficient for glucagon gene-derived peptides display normoglycemia and hyperplasia of islet {alpha}-cells but not of intestinal L-cells. Molecular Endocrinology. 2009;23(12):1990-1999. DOI: http://dx.doi.org/10.1210/me.2009-0296</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Irwin DM. Molecular evolution of mammalian incretin hormone genes. Regulatory Peptides. 2009;155(1-3):121-130. DOI: http://dx.doi.org/10.1016/j.regpep.2009.04.009</mixed-citation><mixed-citation xml:lang="en">Irwin DM. Molecular evolution of mammalian incretin hormone genes. Regulatory Peptides. 2009;155(1-3):121-130. DOI: http://dx.doi.org/10.1016/j.regpep.2009.04.009</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Holst JJ, Vilsboll T, Deacon CF. The incretin system and its role in type 2 diabetes mellitus. Molecular and Cellular Endocrinology. 2009;297(1-2):127-136. DOI: http://dx.doi.org/10.1016/j.mce.2008.08.012</mixed-citation><mixed-citation xml:lang="en">Holst JJ, Vilsboll T, Deacon CF. The incretin system and its role in type 2 diabetes mellitus. Molecular and Cellular Endocrinology. 2009;297(1-2):127-136. DOI: http://dx.doi.org/10.1016/j.mce.2008.08.012</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Kawamori D, Kurpad AJ, Hu J, Liew CW, Shih JL, Ford EL, et al. Insulin signaling in alpha cells modulates glucagon secretion in vivo. Cell Metabolism. 2009;9(4):350-361. DOI: http://dx.doi.org/10.1016/j.cmet.2009.02.007</mixed-citation><mixed-citation xml:lang="en">Kawamori D, Kurpad AJ, Hu J, Liew CW, Shih JL, Ford EL, et al. Insulin signaling in alpha cells modulates glucagon secretion in vivo. Cell Metabolism. 2009;9(4):350-361. DOI: http://dx.doi.org/10.1016/j.cmet.2009.02.007</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Holst JJ, Christensen M, Lund A, de Heer J, Svendsen B, Kielgast U, et al. Regulation of glucagon secretion by incretins. Diabetes Obes Metab. 2011;13 Suppl 1:89-94. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01452.x</mixed-citation><mixed-citation xml:lang="en">Holst JJ, Christensen M, Lund A, de Heer J, Svendsen B, Kielgast U, et al. Regulation of glucagon secretion by incretins. Diabetes Obes Metab. 2011;13 Suppl 1:89-94. DOI: http://dx.doi.org/10.1111/j.1463-1326.2011.01452.x</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Balas B, Baig MR, Watson C, Dunning BE, Ligueros-Saylan M, Wang Y, et al. The dipeptidyl peptidase IV inhibitor vildagliptin suppresses endogenous glucose production and enhances islet function after single-dose administration in type 2 diabetic patients. Journal of Clinical Endocrinology and Metabolism. 2007;92(4):1249-1255. DOI: http://dx.doi.org/10.1210/jc.2006-1882</mixed-citation><mixed-citation xml:lang="en">Balas B, Baig MR, Watson C, Dunning BE, Ligueros-Saylan M, Wang Y, et al. The dipeptidyl peptidase IV inhibitor vildagliptin suppresses endogenous glucose production and enhances islet function after single-dose administration in type 2 diabetic patients. Journal of Clinical Endocrinology and Metabolism. 2007;92(4):1249-1255. DOI: http://dx.doi.org/10.1210/jc.2006-1882</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Kieffer TJ, Habener JF. The glucagon-like peptides. Endocrine Reviews. 1999;20(6):876-913. DOI: http://dx.doi.org/10.1210/er.20.6.876</mixed-citation><mixed-citation xml:lang="en">Kieffer TJ, Habener JF. The glucagon-like peptides. Endocrine Reviews. 1999;20(6):876-913. DOI: http://dx.doi.org/10.1210/er.20.6.876</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Kielgast U, Holst JJ, Madsbad S. Antidiabetic actions of endogenous and exogenous GLP-1 in type 1 diabetic patients with and without residual ß-cell function. Diabetes. 2011;60(5):1599-1607. DOI: http://dx.doi.org/10.2337/db10-1790</mixed-citation><mixed-citation xml:lang="en">Kielgast U, Holst JJ, Madsbad S. Antidiabetic actions of endogenous and exogenous GLP-1 in type 1 diabetic patients with and without residual ß-cell function. Diabetes. 2011;60(5):1599-1607. DOI: http://dx.doi.org/10.2337/db10-1790</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Ahren B. Autonomic regulation of islet hormone secretion--implications for health and disease. Diabetologia. 2000;43(4):393-410. DOI: http://dx.doi.org/10.1007/s001250051322</mixed-citation><mixed-citation xml:lang="en">Ahren B. Autonomic regulation of islet hormone secretion--implications for health and disease. Diabetologia. 2000;43(4):393-410. DOI: http://dx.doi.org/10.1007/s001250051322</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
