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Down regulation of NO signaling in Trypanosoma cruzi upon parasite-extracellular matrix interaction: changes in protein modification by nitrosylation and nitration

Key functional outcomes include: Enhanced glucose-dependent insulin secretion through increased intracellular cAMP levels Stimulation of both first- and second-phase insulin release in response to elevated blood glucose Improved beta-cell function markers in clinical studies Glucose-lowering effects that avoid hypoglycemia risk due to glucose-dependent mechanism Studies using receptor occupancy modeling revealed that GLP2 achieves greater engagement of GIP receptors than GLP-1 receptors at clinically efficacious doses, establishing an imbalanced dual-agonist profile