Abstract
Dipeptidyl peptidase-4 (DPP-4), a 110 kDa exopeptidase, selectively cleaves N-terminal dipeptides from a vast array of substrates. DPP-4 is expressed on the surface of many cell types and plays various important roles in diseases like cancer, inflammation, diabetes, obesity. In type 2 diabetes mellitus (T2DM), incretin hormones, glucagon-like peptide-1 (GLP-1), and glucose-dependent insulinotropic polypeptide (GIP) play major roles in the regulation of insulin secretion. Both GLP-1 and GIP are the substrates of DPP-4. That is why DPP-4 inhibitors have gained significantly increasing interest in treating T2DM recently. In addition to some general information on DPP-4, this chapter mainly describes its effects on relevant organs associated with T2DM and recent clinical trials. Besides, roles of some other proteases in diabetes mellitus have also been briefly discussed.
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Ghosh, S., Pandey, B., Sil, P.C. (2017). Role of Proteases in Diabetes Mellitus. In: Chakraborti, S., Dhalla, N. (eds) Pathophysiological Aspects of Proteases. Springer, Singapore. https://doi.org/10.1007/978-981-10-6141-7_20
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