The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence

The introduction of incretin hormone-based therapies represents a novel therapeutic strategy, since these drugs not only improve glycemia with minimal risk of hypoglycemia, but also have other extraglycemic beneficial effects. These agents, which are effective in improving glucose control, could als...

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Main Authors: L. Pala, C. M. Rotella
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2013/590456
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author L. Pala
C. M. Rotella
author_facet L. Pala
C. M. Rotella
author_sort L. Pala
collection DOAJ
description The introduction of incretin hormone-based therapies represents a novel therapeutic strategy, since these drugs not only improve glycemia with minimal risk of hypoglycemia, but also have other extraglycemic beneficial effects. These agents, which are effective in improving glucose control, could also have positive effects on the incidence of cardiovascular events. The aim of this review is to summarize the present literature about the role of dipeptidyl peptidase 4 (DPP4) in cardiovascular districts, not only strictly correlated to its effect on glucagon-like peptide-1 (GLP-1) circulating levels, but also to what is known about possible cardiovascular actions. Actually, DPP4 is known to be present in many cells and tissues and its effects go beyond purely metabolic aspects. Almost always the inhibition of DPP4 activity is associated with improved cardiovascular profile, but it has shown to possess antithrombotic properties and these different effects could be connected with a site and/or species specificity of DPP4. Certainly, DPP4 seems to exert many functions, both directly and indirectly, on cardiovascular districts, opening new possibilities of prevention and treatment of complications at this level, not only in patients affected by diabetes mellitus.
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spelling doaj-art-cdeda67b198e4096be107671fab2ff462025-08-20T03:19:39ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/590456590456The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro EvidenceL. Pala0C. M. Rotella1Section of Endocrinology, Department of Biomedical, Experimental and Clinical Sciences, University of Florence, Viale Pieraccini 6, 50134 Florence, ItalySection of Endocrinology, Department of Biomedical, Experimental and Clinical Sciences, University of Florence, Viale Pieraccini 6, 50134 Florence, ItalyThe introduction of incretin hormone-based therapies represents a novel therapeutic strategy, since these drugs not only improve glycemia with minimal risk of hypoglycemia, but also have other extraglycemic beneficial effects. These agents, which are effective in improving glucose control, could also have positive effects on the incidence of cardiovascular events. The aim of this review is to summarize the present literature about the role of dipeptidyl peptidase 4 (DPP4) in cardiovascular districts, not only strictly correlated to its effect on glucagon-like peptide-1 (GLP-1) circulating levels, but also to what is known about possible cardiovascular actions. Actually, DPP4 is known to be present in many cells and tissues and its effects go beyond purely metabolic aspects. Almost always the inhibition of DPP4 activity is associated with improved cardiovascular profile, but it has shown to possess antithrombotic properties and these different effects could be connected with a site and/or species specificity of DPP4. Certainly, DPP4 seems to exert many functions, both directly and indirectly, on cardiovascular districts, opening new possibilities of prevention and treatment of complications at this level, not only in patients affected by diabetes mellitus.http://dx.doi.org/10.1155/2013/590456
spellingShingle L. Pala
C. M. Rotella
The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence
Journal of Diabetes Research
title The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence
title_full The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence
title_fullStr The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence
title_full_unstemmed The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence
title_short The Role of DPP4 Activity in Cardiovascular Districts: In Vivo and In Vitro Evidence
title_sort role of dpp4 activity in cardiovascular districts in vivo and in vitro evidence
url http://dx.doi.org/10.1155/2013/590456
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