Another focus of the working group is the elucidation of the function of the ectopeptidase membrane alanyl aminopeptidase (EC3.4.11.2, CD13, APN) for the pathogenesis of cardiovascular, autoimmune and inflammatory diseases, diabetes and tumors. The priority objective of current projects is the elucidation of the molecular mechanisms underlying the effects resulting from the “knock-out” or the pharmacological inhibition of APN / CD13. These effects include:
The Renin Angiotensin System (RAS) is associated with glucose homeostasis in a number of ways. The activation of the RAS and the resulting increased plasma concentrations of AngII cause insulin resistance in muscle and adipose tissue. In addition to the induction of insulin resistance, the effect of increased AngII levels is also associated with the impairment of the β-cell function and thus the adequate production / secretion of insulin.
Beneficial effects of the alternative RAS axis ACE2 / Ang- (1-7) / Mas with regard to glucose homeostasis are described, but mainly relate to the improvement of insulin sensitivity and thus glucose uptake in peripheral tissue (muscle, adipose tissue). We have already been able to show that Ang-(1-7) also increases glucose-stimulated insulin secretion (GSIS) (Sahr et al.).
As part of a project funded by the DFG (Le/13-1), the responsible receptors (Mas and / or MrgD) are now to be identified and, in addition, the extent to which Ang- (1-7) and / or related agonists represent a new and very promising strategy for the treatment of diabetes mellitus, in that, in addition to improving the peripheral insulin resistance, they also restore the-cell-associated function, namely the adequate GSIS by stimulating the regeneration of functional β cells.
no news in this list.