Sandbox Reserved 1170: Difference between revisions
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One proposed pathway of insulin secretion by hGPR40 involves the activation of the [https://en.wikipedia.org/wiki/Gq_alpha_subunit G<sub>aq/11</sub>] protein complex. This complex then activates [[phospholipase C]] (PLC) which in turn phosphorylates [https://en.wikipedia.org/wiki/Phosphatidylinositol_4,5-bisphosphate phosphatidylinositol 4,5-bisphosphate] to inositol 1,4,5-triphosphate (IP<sub>3</sub>) and diacylglycerol (DAG). IP<sub>3</sub> can then mediate the [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560308/ influx of Ca<sup>2+</sup>] caused by the binding of free fatty acids to hGPR40 by moving into the cytoplasm, binding to the endoplasmic reticulum, and allowing for the release of Ca<sup>2+</sup> into the cytosol.<ref name="Burant"/> This increase in [Ca<sup>2+</sup>] amplifies the similar increase in [Ca<sup>2+</sup>] that results from high concentrations of glucose. In this way, hGPR40 mimics glucose dependent insulin secretion.<ref name="Itoh">PMID:12629551</ref> | One proposed pathway of insulin secretion by hGPR40 involves the activation of the [https://en.wikipedia.org/wiki/Gq_alpha_subunit G<sub>aq/11</sub>] protein complex. This complex then activates [[phospholipase C]] (PLC) which in turn phosphorylates [https://en.wikipedia.org/wiki/Phosphatidylinositol_4,5-bisphosphate phosphatidylinositol 4,5-bisphosphate] to inositol 1,4,5-triphosphate (IP<sub>3</sub>) and diacylglycerol (DAG). IP<sub>3</sub> can then mediate the [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560308/ influx of Ca<sup>2+</sup>] caused by the binding of free fatty acids to hGPR40 by moving into the cytoplasm, binding to the endoplasmic reticulum, and allowing for the release of Ca<sup>2+</sup> into the cytosol.<ref name="Burant"/> This increase in [Ca<sup>2+</sup>] amplifies the similar increase in [Ca<sup>2+</sup>] that results from high concentrations of glucose. In this way, hGPR40 mimics glucose dependent insulin secretion.<ref name="Itoh">PMID:12629551</ref> | ||
Another pathway through which hGPR40 may induce insulin expression is through phospholipase D1 (PLD1). When free fatty acids bind to hGPR40, it | Another pathway through which hGPR40 may induce insulin expression is through phospholipase D1 (PLD1). When free fatty acids bind to hGPR40, it phosphorylates and activates PLD1. The PLD1 plays a role in controlling the organization of an actin network that plays in role in insulin secretion.<ref name="Burant"/> | ||
== Clinical Relevance == | == Clinical Relevance == | ||
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=== TAK-875 === | === TAK-875 === | ||
[[Image:Tak-875.png |300 px|right|thumb|Figure 4. Structure of TAK-875]] One example of an hGPR40 agonist is <scene name='72/721541/Tak875/2'>TAK-875</scene>. The carboxylate moiety of the agonist enters through | [[Image:Tak-875.png |300 px|right|thumb|Figure 4. Structure of TAK-875]] One example of an hGPR40 agonist is <scene name='72/721541/Tak875/2'>TAK-875</scene>. The carboxylate moiety of the agonist enters through the auxiliary loop of hGPR40, interrupts the charge network, and binds with Arg 183, Arg 258, Tyr 91, and Tyr 240.<ref name="Srivastava"/> TAK-875 has shown efficacy in increasing insulin secretion and lowering blood glucose in rodent models of type 2 diabetes.<ref name="Burant"/> This drug was studied in stage III clinical trials. It significantly reduced [http://www.diabetes.co.uk/what-is-hba1c.html HbA1c] and fasting plasma glucose levels in Japanese patients with type 2 diabetes that was not controlled by diet and exercise. However, clinical trials were stopped shortly after this study because TAK-875 was suspected of causing liver damage.<ref name="Kaku">PMID:25787200</ref> | ||