Sympathetic control of hepatic glycogenolysis during glucopenia in man
Abstract
Liver glycogen stores may be mobilized during hypoglycemia by release of adrenomedullary catecholamines, by release of norepinephrine from sympathetic nerve endings and by release of glucagon. To clarify the nature of peripheral sympathetic control of hepatic glycogenolysis during glucopenia in man, 2-deoxy-d-glucose (2 DG), a competitive inhibitor of glucose metabolism, was infused intravenously (50 mg/kg) to nine normal volunteers and four adrenalectomized patients for 20 min. In normal volunteers, the initial elevation of free fatty acids (FFA) and growth hormone (HGH) correspond with the rise in total catecholamines, with maximal levels attained at 60 min; lactate and cortisol rose at a slower rate, no change in IRI was noted. Plasma glucose levels were 148 percent of preinfusion values by 120 min and remained elevated. In adrenalectomized subjects, despite no change in plasma FFA, lactate, catecholamines and glucagon, glucose rose 20 percent by 150 min; the growth hormone and insulin responses were similar to normals; A significant increase in glucose response from 60 min onward was found in the 2 DG infusion studies when compared to cortisone administration, alone. Thus, during glucopenia, plasma glucose rose in spite of unchanged adrenomedullary catecholamine and glucagon levels. The findings indicate that the sympathetic neurotransmitter, norepinephrine, contributes to counter-regulatory events during 2 DG-induced glucopenia presumably via its release from hepatic sympathetic nerve endings,
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All functions of the sympathetic nervous system are related to allocation of energy-rich fuels and calcium and phosphate to an activated immune system.
“All these functions of the SNS are related to allocation of energy-rich fuels and calcium and phosphate to an activated immune system.”
From Interaction of the endocrine system with inflammation: a function of energy and volume regulation (2014) · cites this paper as [48]
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- Authors
- Brodows, R. G., Pi-Sunyer, F. X., & Campbell, R. G.
- Affiliations
- University of Rochester Medicine (US)
- ORCID
- Campbell, Robert G.
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 1975-05
- Volume
- 24
- Issue
- 5
- Pages
- 617-624
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2032117037
- Cited by
- 45
- References
- 28
- Citations by year
- 2021: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 2
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Rheumatology › Glycogen Storage Diseases and Myoclonus
- Keywords
- hepatic glycogenolysis, glucopenia, sympathetic nervous system, norepinephrine, counterregulation, 2-deoxyglucose, adrenalectomy, catecholamines, glucagon, growth hormone, insulin, cortisol, free fatty acids, lactate, glucose metabolism
- MeSH terms
- Adrenal Glands, Adrenalectomy, Adult, Blood Glucose, Cushing Syndrome, Deoxyglucose, Fatty Acids, Nonesterified, Female, Humans, Hyperaldosteronism, Hypoglycemia, Liver, Liver Glycogen, Male, Middle Aged, Nerve Endings, Norepinephrine, Growth Hormone, Sympathetic Nervous System
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