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Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, Tennessee 37232-0615
The role of epinephrine and norepinephrine in
contributing to the alterations in hepatic glucose metabolism during a
70-h stress hormone infusion (SHI) was investigated in four groups of
chronically catheterized (20-h-fasted) conscious dogs. SHI increased
glucagon (~5-fold), epinephrine (~10-fold), norepinephrine (~10-fold), and cortisol (~6-fold) levels. Dogs received either all
the hormones (SHI; n = 5), all the
hormones except epinephrine (SHI
Epi;
n = 6), or all the hormones except
norepinephrine (SHI
NE; n = 6).
In addition, six dogs received saline only (Sal). Glucose production
(Ra) and gluconeogenesis were
assessed after a 70-h hormone or saline infusion with the use of tracer
([3-3H]glucose and
[U-14C]alanine) and
arteriovenous difference techniques. SHI increased glucose levels
(108 ± 2 vs. 189 ± 10 mg/dl) and
Ra (2.6 ± 0.2 vs. 4.1 ± 0.3 mg · kg
1 · min
1)
compared with Sal. The absence of an increase in epinephrine markedly
attenuated these changes (glucose and
Ra were 140 ± 6 mg/dl and 2.7 ± 0.4 mg · kg
1 · min
1,
respectively). Only 25% of the blunted rise in
Ra could be accounted for by an
attenuation of the rise in net hepatic gluconeogenic precursor uptake
(0.9 ± 0.1, 1.5 ± 0.1, and 1.1 ± 0.2 mg · kg
1 · min
1
for Sal, SHI, and SHI
Epi, respectively). The absence of an
increase in norepinephrine did not blunt the rise in arterial glucose
levels, Ra, or net hepatic
gluconeogenic precursor uptake (they rose to 195 ± 21 mg/dl, 3.7 ± 0.5 mg · kg
1 · min
1,
and 1.7 ± 0.2 mg · kg
1 · min
1,
respectively). In summary, during chronic SHI, the rise in epinephrine exerts potent stimulatory effects on glucose production principally by
enhancing hepatic glycogenolysis, although the rise in circulating norepinephrine has minimal effects.
gluconeogenesis; cortisol; glycogenolysis
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