The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.
Regulation of gluconeogenesis by glucocorticoids.
Abstract
1. Regulation of gluconeogenic substrate supply and modulation of the gluconeogenic pathway in the liver are both important in the control of gluconeogenesis by glucocorticoids. 2. Adrenal deficiency decreases the release of gluconeogenic and other amino acids from skeletal muscle during starvation. The effect is reversed by glucocorticoid replacement. The changes in amino acid release are accompanied by similar alterations in tissue amino acid levels and are not explained by alterations in net protein breakdown. Glucocorticoids do not alter protein catabolism and cause a small inhibition of protein synthesis. The biochemical alterations underlying the changes in amino acid metabolism induced by these steroids remain to be elucidated. Glucocorticoids may also regulate the supply of gluconeogenic substrates through permissive effects on the lipolytic action of catecholamines and other hormones in adipose tissue and on the glycogenolytic action of catecholamines on skeletal muscle. 3. Glucocorticoids are required for the increases in gluconeogenesis in starvation and diabetes. Part of their action is exerted directly on the liver and appears to involve modulation of P-enlopyruvate carboxykinase levels. Glucocorticoids increase the synthesis of this enzyme apparently through effects at the level of transcription. 4. Glucocorticoids exert permissive effects on the stimulation of gluconeogenesis in the liver by glucagon and epinephrine. The steroids are not required for cAMP generation or protein kinase activation by these hormones, but appear to act by maintaining the responsiveness of certain enzymes to the effects of the cAMP and alpha-adrenergic systems. It is proposed that this involves the maintenance of a normal intracellular ionic environment.
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“Glucocorticoids can exacerbate hyperglycemia by increasing hepatic gluconeogenesis (by inducing expression of G6Pase and Pepck) (46)”
From Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia (2011) · cites this paper as [46]
Citations
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“Cortisol is a potent insulin antagonist that inhibits insulin secretion, stimulates glucagon secretion, and disrupts insulin signaling [20].”
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Løtvedt, P. K. (2017) · Linköping University Electronic Press eBooks · doi:10.3384/lic.diva-143053 · Cited by 1
“Some of the important functions of glucocorticoids are increased glycogen breakdown and gluconeogenesis (Coderre et al., 1991; Exton, 1979; Munck et al., 1984; Myers et al., 2014).”
BackgroundJensen, V. F. H., Mølck, A., Bøgh, I. B., Nowak, J., Viuff, B. M., Rasmussen, C. L. M., Pedersen, L., Fels, J. J., Madsen, S. H., McGuigan, F. E., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-62554-2 · Cited by 1
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“Because deficient cortisol activity inhibits gluconeogenesis [13,14], his alcohol-induced hypoglycemic coma likely occurred in combination with a developing cortisol deficiency, followed by asthenia and anorexia.”
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Modelling the glucocorticoid receptor dimerisation cycle
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Mobilisation of Structural Proteins During Exercise
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The role of Hedgehog signalling in pituitary homeostasis in vitro and in vivo
Botermann, D. S. (2020) · doi:10.53846/goediss-8285
Emotional Distress and Cardiovascular Health in Young Adults with Type 1 Diabetes
Armentrout, B. L., Ahmed, B. H., Waraphok, S., Huynh, J., & Griggs, S. A. (2024) · Journal of Cardiovascular Development and Disease · doi:10.3390/jcdd11120391
The role of cortisol in etiology and treatment of bruxism – a literature review
Galińska, W., Burliga, I., Moskała, M., & Baron, S. (2025) · Annales Academiae Medicae Silesiensis · doi:10.18794/aams/196260
Corticosteroid treatment dysregulates perirhinal circadian rhythms and synaptic function in rats
Claydon, M. D. B., Troy, O. R., Birnie, M. T., Kershaw, Y. M., Barker, G. R., Heesom, K. J., Warburton, E. C., Bortolotto, Z. A., Lightman, S. L., & Conway-Campbell, B. L. (2026) · Communications Biology · doi:10.1101/2025.06.06.658287
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“Indeed, by enhancing hepatic gluconeogenesis and limiting glucose uptake in peripheral tissues, GCs can induce hyperglycaemia [22].”
Hormonal plasticity to food restriction is heritable in the house sparrow, Passer domesticus
Ouyang, J. Q., & Lendvai, Á. Z. (2026) · Journal of Animal Ecology · doi:10.1111/1365-2656.70222
Schull, Q. (2016) · theses.fr (ABES) · doi:10.70675/f11daddaz073dz46eaz9c87z12c76d09537b
“At short time scales, CORT release induces a rapid mobilisation of energy resources preparing the organism to cope with challenging situations (Exton et al. 1972; Exton 1979; Xu et al. 2009; Peckett et al. 2011).”
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Wang, C., Kanaley, J. A., Chen, J., & Tan, J. (2026) · Frontiers in Physiology · doi:10.3389/fphys.2026.1907805
“Since GSK-3 inactivates glycogen synthase (GS) by phosphorylation, its inhibition promotes the dephosphorylated, active form of GS (Exton, 1979).”
Pharmakodynamische Wechselwirkungen der systemischen Glukokortikoidtherapie
Barth, J., Möllmann, H., Derendorf, H., & Hochhaus, G. (1989) · Springer eBooks · doi:10.1007/978-3-642-74770-0_80
Metadata
- Authors
- Exton, J. H.
- Corresponding author
- Exton, J. H.
- Venue
- Monographs on endocrinology
- Publisher
- Springer Berlin Heidelberg
- Published
- 1979
- Volume
- 12
- Pages
- 535-546
- ISSN
- 0077-1015 (ISSN-L)
- OpenAlex
- W2407810808
- Cited by
- 130
- References
- 46
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 8 · 2021: 3 · 2020: 10 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 1 · 2013: 3 · 2012: 4
- FWCI
- 2.39
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Monographs on endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- gluconeogenesis, glucocorticoids, starvation, adrenal insufficiency, glucocorticoid replacement therapy, protein synthesis, lipolysis, catecholamines, glycogenolysis, transcriptional regulation, glucagon, epinephrine, cAMP signaling, alpha-adrenergic receptors, diabetes mellitus
- MeSH terms
- Adrenalectomy, Animals, Diabetes Mellitus, Experimental, Epinephrine, Glucagon, Glucocorticoids, Gluconeogenesis, Hydrocortisone, Liver, Rats
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