دورية أكاديمية

Glucagon-like peptide 1 increases insulin sensitivity in depancreatized dogs.

التفاصيل البيبلوغرافية
العنوان: Glucagon-like peptide 1 increases insulin sensitivity in depancreatized dogs.
المؤلفون: Sandhu, Harmanjit, Wiesenthal, Stephanie R., MacDonald, Patrick E., McCall, Richard H., Tchipashvili, Vaja, Rashid, Shirya, Satkunarajah, Malathy, Irwin, David M., Z. Qing Shi, Brubaker, Patricia L., Wheeler, Michael B., Vranic, Mladen, Efendic, Suad, Giacca, Adria, Sandhu, H, Wiesenthal, S R, MacDonald, P E, McCall, R H, Tchipashvili, V, Rashid, S
المصدر: Diabetes; May99, Vol. 48 Issue 5, p1045-1053, 9p, 1 Diagram, 2 Charts, 5 Graphs
مصطلحات موضوعية: GLUCAGON-like peptide 1, PHYSIOLOGICAL transport of insulin, GLUCOSE
مستخلص: To determine whether glucagon-like peptide (GLP)-1 increases insulin sensitivity in addition to stimulating insulin secretion, we studied totally depancreatized dogs to eliminate GLP-1's incretin effect. Somatostatin was infused (0.8 microg x kg(-1) x min(-1)) to inhibit extrapancreatic glucagon in dogs, and basal glucagon was restored by intraportal infusion (0.65 ng x kg(-1) x min(-1)). To simulate the residual intraportal insulin secretion in type 2 diabetes, basal intraportal insulin infusion was given to obtain plasma glucose concentrations of approximately 10 mmol/l. Glucose was clamped at this level for the remainder of the experiment, which included peripheral insulin infusion (high dose, 5.4 pmol x kg(-1) x min(-1), or low dose, 0.75 pmol x kg(-1) x min(-1)) with or without GLP-1(7-36) amide (1.5 pmol x kg(-1) x min(-1)). Glucose production and utilization were measured with 3-[3H]glucose, using radiolabeled glucose infusates. In 12 paired experiments with six dogs at the high insulin dose, GLP-1 infusion resulted in higher glucose requirements than saline (60.9+/-11.0 vs. 43.6+/-8.3 micromol x kg(-1) x min(-1), P< 0.001), because of greater glucose utilization (72.6+/-11.0 vs. 56.8+/-9.7 micromol x kg(-1) x min(-1), P<0.001), whereas the suppression of glucose production was not affected by GLP-1. Free fatty acids (FFAs) were significantly lower with GLP-1 than saline (375.3+/-103.0 vs. 524.4+/-101.1 micromol/l, P<0.01), as was glycerol (77.9+/-17.5 vs. 125.6+/-51.8 micromol/l, P<0.05). GLP-1 receptor gene expression was found using reverse transcriptase-polymerase chain reaction of poly(A)-selected RNA in muscle and adipose tissue, but not in liver. Low levels of GLP-1 receptor gene expression were also found in adipose tissue using Northern blotting. In 10 paired experiments with five dogs at the low insulin dose, GLP-1 infusion did not affect glucose utilization or FFA and glycerol suppression when compared with saline, suggesting that GLP-1's effect on insulin action was dependent on the insulin dose. In conclusion, in depancreatized dogs, GLP-1 potentiates insulin-stimulated glucose utilization, an effect that might be contributed in part by GLP-1 potentiation of insulin's antilipolytic action. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:00121797
DOI:10.2337/diabetes.48.5.1045