Physiologic action of glucagon on liver glucose metabolism
Open accessAbstract
Glucagon is a primary regulator of hepatic glucose production (HGP) in vivo during fasting, exercise and hypoglycaemia. Glucagon also plays a role in limiting hepatic glucose uptake and producing the hyperglycaemic phenotype associated with insulin deficiency and insulin resistance. In response to a physiological rise in glucagon, HGP is rapidly stimulated. This increase in HGP is entirely attributable to an enhancement of glycogenolysis, with little to no acute effect on gluconeogenesis. This dramatic rise in glycogenolysis in response to hyperglucagonemia wanes with time. A component of this waning effect is known to be independent of hyperglycemia, though the molecular basis for this tachyphylaxis is not fully understood. In the overnight fasted state, the presence of basal glucagon secretion is essential in countering the suppressive effects of basal insulin, resulting in the maintenance of appropriate levels of glycogenolysis, fasting HGP and blood glucose. The enhancement of glycogenolysis in response to elevated glucagon is critical in the life-preserving counterregulatory response to hypoglycaemia, as well as a key factor in providing adequate circulating glucose for working muscle during exercise. Finally, glucagon has a key role in promoting the catabolic consequences associated with states of deficient insulin action, which supports the therapeutic potential in developing glucagon receptor antagonists or inhibitors of glucagon secretion.
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Glucagon stimulates hepatic glycogenolysis and ketogenesis, and decreased insulin suppresses hepatocyte malonyl-CoA synthesis and lipogenesis, with concomitant activation of fatty acid oxidation.
“Glucagon stimulates hepatic glycogenolysis and ketogenesis, and the decrease in insulin suppresses hepatocyte malonyl-coenzyme A (CoA) synthesis and lipogenesis, with concomitant activation of FAO (21, 22).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [21]
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- Authors
- Ramnanan, C. J., Edgerton, D. S., Kraft, G., & Cherrington, A. D.
- Affiliations
- Vanderbilt University (US)
- Corresponding author
- Cherrington, A. D.
- Venue
- Diabetes Obesity and Metabolism
- Publisher
- Wiley
- Published
- 2011-08-08
- Volume
- 13
- Issue
- s1
- Pages
- 118-125
- ISSN
- 1462-8902 (ISSN-L)
- 1463-1326
- PMC
- PMC5371022
- OpenAlex
- W2013438463
- Cited by
- 293
- References
- 38
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 15 · 2023: 34 · 2022: 16 · 2021: 32 · 2020: 16 · 2019: 21 · 2018: 15 · 2017: 21 · 2016: 14 · 2015: 25 · 2014: 16 · 2013: 19 · 2012: 11
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Obesity and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Diabetes Association
- Vanderbilt University
- National Institutes of Health
- School of Medicine, Vanderbilt University
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK018243, P30DK020593)
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- glucagon, hepatic glucose production, glycogenolysis, gluconeogenesis, tachyphylaxis, fasting, hypoglycemia, counterregulatory response, physical activity, insulin resistance, insulin deficiency, hepatic glucose uptake, glucagon receptor antagonists, glucagon secretion
- MeSH terms
- Animals, Blood Glucose, Dogs, Fasting, Glucagon, Gluconeogenesis, Insulin, Liver, Physical Conditioning, Animal
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