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Changs findings suggest that EX-4 inhibited LPS-induced iNOS expression at protein level, but not at transcriptional level, of iNOS gene via a cAMP/PKA dependent mechanism ( 4 The role of GLP-1/GLP-R in related disease 4.1 Diabetes Diabetes mellitus is characterized by increased inflammation, reflecting innate immune control disorders, and studies have shown a local intestinal intraepithelial lymphocyte (IEL)-GLP-1 receptor (GLP-1R) signaling network that controls the mucosal immune response ( 4.2 Cardiovascular disease The latest research has found that GLP-1R is widely expressed in the cardiovascular system and is involved in intracellular metabolism and signal transduction

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All these contribute to reduced insulin sensitivity, IR, compensatory hyperinsulinaemia, metabolic abnormalities, and eventually T2D, creating a vicious cycle of feed-forward effect [1922]