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These studies reveal that islet-derived proglucagon products are the predominant ligand for beta-cell glucagon-like peptide 1 receptor (GLP-1R) activation and are necessary for the glucoregulatory improvements of DPP-IV inhibitors (DPP-IVi) and vertical sleeve gastrectomy (VSG) ( In further characterizing this paracrine effect, the field has employed several different models of selective inhibition of proglucagon expression to more directly investigate the relative contributions of gut- versus islet-derived proglucagon products to glucose homeostasis ( Figure 2 )

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Combination treatment with bortezomib and co-stimulation blockade preserved renal function, minimized antibody-mediated rejection (AMR), and extended graft kidney survival after kidney transplantation in a sensitized nonhuman monkey kidney transplant model[74]

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