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Protein May Be New Target For Diabetes Therapy
June 19 2000
NEW YORK (Reuters Health) - A protein found in the body may be a new target
for diabetes treatment, according to a report in the Proceedings of the
National Academy of Sciences.

Dr. Robert Sherwin, incoming president of the American Diabetes Association,
explained to Reuters Health that this newly discovered protein might lead to
a novel diabetes treatment that would concentrate on "enhancing your own
hormone responses" to blood sugar levels instead of targeting the beta-cells
that produce insulin in the pancreas.

This approach may improve the workings of the body's own intestinal hormones
in controlling blood sugar levels without producing hypoglycemia (low blood
sugar), Sherwin noted. Hypoglycemia is a common problem with traditional
oral drugs used to treat type 2 diabetes, where there is a lack of insulin
or the body is less sensitive to the hormone.

The study, conducted by Nicolai Wagtmann of Norvo Nordisk, Bagsvaerd,
Denmark and colleagues, found that mice lacking a protein named CD26 (also
known as dipeptidyl peptidase) produce enzymes that enhance insulin
secretion. Therefore, the researchers speculate that blocking CD26 may
indirectly lead to improved insulin secretion, and thus may be a new way of
controlling blood sugar in people with type 2 diabetes.

According to Wagtmann, it has been known for some time that pharmacological
inhibition of CD26 can lower blood glucose levels, but this study confirms
the essential role of the protein in the control of glucose levels in the
blood.

Any agent that will inhibit CD26 is heralded as an attractive
"drug-candidate," according to Wagtmann, who noted that such a drug could
reduce blood sugar without causing hypoglycemia.

SOURCE: Proceedings of the National Academy of Sciences 2000;97:6874-6879.


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