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Kisspeptin and Glucose Homeostasis

Review · human · Seminars in reproductive medicine · 2019 · DOI 10.1055/s-0039-3400242 · PMID 31869842

Plain-language summary

Paraphrased from the published abstract below — not a verdict on whether anything works.

This is a review examining evidence for a role of kisspeptin, beyond its established roles in reproduction and fertility, in glucose homeostasis (species not specified; review of animal and human data). The abstract describes conflicting reports on kisspeptin's effects on insulin secretion in animal models, associations between circulating kisspeptin levels and measures of insulin secretion and insulin resistance in human studies, and a published interventional study reporting that kisspeptin enhances glucose-stimulated insulin secretion in humans. The authors call for further study of kisspeptin's effects on the pancreatic β-cell and its potential as a kisspeptin receptor agonist target for glucose homeostasis disorders.

Abstract

Kisspeptin has well-established critical roles in the control of reproduction and fertility. Recently, evidence has emerged that suggests kisspeptin may have additional roles in the regulation of glucose homeostasis. Conflicting reports on the effects of kisspeptin on insulin secretion in animal models have been published, which cannot be fully accounted for by the different kisspeptin isoforms and range of kisspeptin doses used in these studies. Human studies have demonstrated associations between circulating kisspeptin levels and measures of insulin secretion and insulin resistance; and the only published interventional study has confirmed kisspeptin enhances glucose-stimulated insulin secretion in humans. Further studies are required to elucidate the mechanisms underlying the effects of kisspeptin on the pancreatic β-cell and to determine the therapeutic potential of kisspeptin receptor agonist in the treatment of disorders of glucose homeostasis.

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