Effects of glucagon in the control of endogenous glucose production in man

Details

Serval ID
serval:BIB_D3C4DC9D9156
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effects of glucagon in the control of endogenous glucose production in man
Journal
Nutrition
Author(s)
Surmely  J. F., Schneiter  P., Henry  S., Paquot  N., Jequier  E., Tappy  L.
ISSN
0899-9007 (Print)
Publication state
Published
Issued date
04/1999
Volume
15
Number
4
Pages
267-73
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Apr
Abstract
Endogenous glucose production has been shown to increase during administration of glucagon + fructose, but not during administration of fructose alone. To determine the mechanisms by which glucagon exerts this action, endogenous glucose production (EGP) and gluconeogenesis from fructose (GNF) were measured in eight healthy subjects infused 1) with graded doses of glucagon (2 and 4 ng.kg-1.min-1 for 3 h each) during constant infusion of 13C-fructose (3 mg.kg-1.min-1), and 2) with graded doses of 13C-fructose (3 and 6 mg.kg-1.min-1) during constant glucagon infusion (2 ng.kg-1.min-1). GNF was estimated from 13C-glucose synthesis. In both protocols, infusion of 3 mg.kg-1.min-1 fructose + 2 ng.kg-1.min-1 glucagon increased EGP by 5-8% (P < 0.05), while GNF represented 43-49% of EGP. Thereafter, increasing the glucagon infusion rate further increased EGP to 118 +/- 3% of basal values (P < 0.01) without altering the proportion due to GNF. In contrast, increasing the fructose infusion rate at constant glucagonemia increased EGP similarly (by 19 +/- 4%, P < 0.05) but enhanced the contribution of GNF to 76 +/- 2% (P < 0.001). Graded infusion of glucagon or fructose alone failed to stimulate EGP. The present findings indicate that hyperglucagonemia stimulates endogenous glucose production during fructose infusion. This effect is not secondary to a stimulation of gluconeogenesis, but to a channelling of glucose-6-phosphate towards systemic release.
Keywords
Adult Blood Glucose/metabolism Female Fructose/administration & dosage/metabolism Glucagon/administration & dosage/blood/*pharmacology Gluconeogenesis/drug effects Glucose/*biosynthesis Humans Kinetics Male
Pubmed
Web of science
Create date
24/01/2008 14:36
Last modification date
20/08/2019 16:53
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