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Free access | 10.1172/JCI107654

Spontaneous and Amino Acid-Stimulated Glucagon Secretion in the Immediate Postnatal Period: RELATION TO GLUCOSE AND INSULIN

Mark A. Sperling, Paul V. Delamater, Dale Phelps, Robert H. Fiser, William Oh, and Delbert A. Fisher

Department of Pediatrics, University of California, Los Angeles

Division of Endocrinology, University of California, Los Angeles

Division of Neonatology, University of California, Los Angeles

School of Medicine, Harbor General Hospital Campus, Torrance, California, 90509

Find articles by Sperling, M. in: PubMed | Google Scholar

Department of Pediatrics, University of California, Los Angeles

Division of Endocrinology, University of California, Los Angeles

Division of Neonatology, University of California, Los Angeles

School of Medicine, Harbor General Hospital Campus, Torrance, California, 90509

Find articles by Delamater, P. in: PubMed | Google Scholar

Department of Pediatrics, University of California, Los Angeles

Division of Endocrinology, University of California, Los Angeles

Division of Neonatology, University of California, Los Angeles

School of Medicine, Harbor General Hospital Campus, Torrance, California, 90509

Find articles by Phelps, D. in: PubMed | Google Scholar

Department of Pediatrics, University of California, Los Angeles

Division of Endocrinology, University of California, Los Angeles

Division of Neonatology, University of California, Los Angeles

School of Medicine, Harbor General Hospital Campus, Torrance, California, 90509

Find articles by Fiser, R. in: PubMed | Google Scholar

Department of Pediatrics, University of California, Los Angeles

Division of Endocrinology, University of California, Los Angeles

Division of Neonatology, University of California, Los Angeles

School of Medicine, Harbor General Hospital Campus, Torrance, California, 90509

Find articles by Oh, W. in: PubMed | Google Scholar

Department of Pediatrics, University of California, Los Angeles

Division of Endocrinology, University of California, Los Angeles

Division of Neonatology, University of California, Los Angeles

School of Medicine, Harbor General Hospital Campus, Torrance, California, 90509

Find articles by Fisher, D. in: PubMed | Google Scholar

Published April 1, 1974 - More info

Published in Volume 53, Issue 4 on April 1, 1974
J Clin Invest. 1974;53(4):1159–1166. https://doi.org/10.1172/JCI107654.
© 1974 The American Society for Clinical Investigation
Published April 1, 1974 - Version history
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Abstract

The extent and significance of spontaneous glucagon secretion in the immediate postnatal period were investigated in groups of normal infants studied cross-sectionally and longitudinally. Arginine-and alanine-stimulated glucagon secretion was also studied. Plasma glucagon concentrations were correlated with prevailing glucose and insulin concentrations.

The characteristic fall in blood glucose, reaching a nadir within hours of birth, was associated with a significant increase in glucagon concentration. Despite persistence of relative glucopenia, glucagon did not change appreciably between 2 and 24 h of life. A further significant elevation in glucagon concentration occurred from day 1 to day 3 of life associated with a return of glucose to euglycemic levels. In contrast to the sluggishness of pancreatic glucagon release, glucagon-like immunoreactivity rose markedly to mean levels of approximately 2,000 pg/ml after introduction of formula feeding. No significant changes in insulin levels were observed in these studies.

Arginine infusion via an umbilical vein catheter into six infants within 6 h of birth elicited a brisk, almost threefold increment in glucagon concentration (from 339±85 to 940±254 pg/ml) in blood obtained from, or close to, the portal circulation. Bolus injection of alanine (1 mmol/kg) into a peripheral vein to six infants resulted in significant increments in glucagon (mean maximal, 128 pg/ml) as well as glucose and insulin.

The observations suggest that spontaneous glucagon secretion may be an important factor in neonatal glucose homeostasis. Secretion seems more brisk in response to amino acid stimulation than to a falling glucose concentration.

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