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Regulation of hepatic glucose metabolism in health and disease

Open access
Petersen, Max C., Vatner, Daniel F., Shulman, Gerald I.·2017·Nature Reviews Endocrinology

Abstract

The liver is crucial for the maintenance of normal glucose homeostasis — it produces glucose during fasting and stores glucose postprandially. However, these hepatic processes are dysregulated in type 1 and type 2 diabetes mellitus, and this imbalance contributes to hyperglycaemia in the fasted and postprandial states. Net hepatic glucose production is the summation of glucose fluxes from gluconeogenesis, glycogenolysis, glycogen synthesis, glycolysis and other pathways. In this Review, we discuss the in vivo regulation of these hepatic glucose fluxes. In particular, we highlight the importance of indirect (extrahepatic) control of hepatic gluconeogenesis and direct (hepatic) control of hepatic glycogen metabolism. We also propose a mechanism for the progression of subclinical hepatic insulin resistance to overt fasting hyperglycaemia in type 2 diabetes mellitus. Insights into the control of hepatic gluconeogenesis by metformin and insulin and into the role of lipid-induced hepatic insulin resistance in modifying gluconeogenic and net hepatic glycogen synthetic flux are also discussed. Finally, we consider the therapeutic potential of strategies that target hepatosteatosis, hyperglucagonaemia and adipose lipolysis.

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Metadata

Authors
Petersen, M. C., Vatner, D. F., & Shulman, G. I.
Venue
Nature Reviews Endocrinology
Published
2017-07-21
Volume
13
Issue
10
Pages
572-587
ISSN
  • 1759-5029 (ISSN-L)
  • 1759-5037
OpenAlex
W2736390409
Cited by
1,133
References
47
FWCI
5.81
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Regulation of hepatic glucose metabolism in health and disease. https://app.cochat.ai/papers/10.1038/nrendo.2017.80
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Petersen, M. C., Vatner, D. F., & Shulman, G. I. (2017). Regulation of hepatic glucose metabolism in health and disease. Nature Reviews Endocrinology. https://doi.org/10.1038/nrendo.2017.80

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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