Interaction of equal increments in arterial and portal vein insulin on hepatic glucose production in the dog

DK Sindelar, CA Chu, DW Neal… - American Journal of …, 1997 - journals.physiology.org
DK Sindelar, CA Chu, DW Neal, AD Cherrington
American Journal of Physiology-Endocrinology and Metabolism, 1997journals.physiology.org
We have previously shown that a selective increase of 84 pmol/l in either arterial or portal
vein insulin (independent of a change in insulin in the other vessel) can suppress tracer-
determined glucose production (TDGP) and net hepatic glucose output (NHGO) by∼ 50%.
In the present study we investigated the interaction between equal increments in arterial and
portal vein insulin in the suppression of TDGP and NHGO. Isotopic ([3-3H] glucose) and
arteriovenous difference methods were used in conscious overnight fasted dogs. A …
We have previously shown that a selective increase of 84 pmol/l in either arterial or portal vein insulin (independent of a change in insulin in the other vessel) can suppress tracer-determined glucose production (TDGP) and net hepatic glucose output (NHGO) by ∼50%. In the present study we investigated the interaction between equal increments in arterial and portal vein insulin in the suppression of TDGP and NHGO. Isotopic ([3-3H]glucose) and arteriovenous difference methods were used in conscious overnight fasted dogs. A pancreatic clamp was used to control the endocrine pancreas. A 40-min basal period was followed by a 180-min test period, during which arterial and portal vein insulin levels were simultaneously and equally increased 102 pmol/l. Hepatic sinusoidal glucagon levels remained unchanged, and euglycemia was maintained by peripheral glucose infusion. TDGP was suppressed ∼60% by the last 30 min of the experimental period. In contrast, NHGO was suppressed 100% by that time. Coincidentally, hepatic glucose uptake (net hepatic [3H]glucose balance) increased significantly (∼4 μmol ⋅ kg−1 ⋅ min−1). The effects of simultaneous equal increases in peripheral and portal venous insulin were not additive in the suppression of TDGP. However, they were additive in decreasing NHGO as a result of an increase in the uptake of glucose by the liver.
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