Studies of the dysglycemic peptide, pancreastatin, using a human forearm model

PE Cadman, F Rao, SK Mahata… - Annals of the New …, 2002 - Wiley Online Library
PE Cadman, F Rao, SK Mahata, DT O'CONNOR
Annals of the New York Academy of Sciences, 2002Wiley Online Library
The physiologic effects of the chromogranin A peptide fragment, pancreastatin, were studied
in six healthy Caucasian men, ages 25‐46 years. Synthetic pancreastatin (human
chromogranin A273‐301‐amide) was infused into the brachial artery of each subject to
achieve a local concentration of∼ 200 nM over 15 minutes. Forearm blood flow was
measured by strain‐gauge plethysmography while (A‐V) glucose was monitored by arterial
and venous sampling. Pancreastatin infusion significantly reduced forearm glucose uptake …
Abstract: The physiologic effects of the chromogranin A peptide fragment, pancreastatin, were studied in six healthy Caucasian men, ages 25‐46 years. Synthetic pancreastatin (human chromogranin A273‐301‐amide) was infused into the brachial artery of each subject to achieve a local concentration of ∼200 nM over 15 minutes. Forearm blood flow was measured by strain‐gauge plethysmography while (A‐V)glucose was monitored by arterial and venous sampling. Pancreastatin infusion significantly reduced forearm glucose uptake (mean reduction ± 1 SEM, 54 ± 15%; P= 0.028) but did not alter forearm blood flow—indicating a metabolic, rather than hemodynamic, effect. Simultaneous infusion of pancreastatin with insulin (0.1 mU/kg/min) did not diminish insulin‐induced forearm glucose uptake, suggesting pancreastatin is not simply a negative insulin modulator. The results of this study suggest that pancreastatin may contribute to the dysglycemia associated with type 2 diabetes and essential hypertension, two common human disease states in which plasma pancreastatin levels are elevated.
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