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- and
-adrenergic receptors are not essential
for the increase in Ra during exercise in diabetes
1 Department of Molecular Physiology and Biophysics, 2 Diabetes Research and Training Center, and 3 Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-0615
The purpose of this study was to determine the role of
direct hepatic adrenergic stimulation in the control of endogenous glucose production (Ra) during moderate exercise in poorly
controlled alloxan-diabetic dogs. Chronically catheterized and
instrumented (flow probes on hepatic artery and portal vein) dogs were
made diabetic by administration of alloxan. Each study consisted of a
120-min equilibration, 30-min basal, 150-min moderate exercise, 30-min
recovery, and 30-min blockade test period. Either vehicle (control;
n = 6) or
(phentolamine)- and
(propranolol)-adrenergic blockers (HAB; n = 6) were infused in the portal vein. In both groups, epinephrine (Epi) and norepinephrine (NE) were infused in the
portal vein during the blockade test period to create
suprapharmacological levels at the liver. Isotopic
([3-3H]glucose,
[U-14C]alanine) and arteriovenous difference
methods were used to assess hepatic function. Arterial plasma glucose
was similar in controls (345 ± 24 mg/dl) and HAB (336 ± 23 mg/dl)
and was unchanged by exercise. Basal arterial insulin was 5 ± 1 mU/ml
in controls and 4 ± 1 mU/ml in HAB and fell by ~50% during
exercise in both groups. Basal arterial glucagon was similar in
controls (56 ± 10 pg/ml) and HAB (55 ± 7 pg/ml) and rose similarly,
by ~1.4-fold, with exercise in both groups. Despite greater arterial
Epi and NE levels in HAB compared with controls during the basal and
exercise periods, exercise-induced increases in catecholamines from
basal were similar in both groups. Gluconeogenic conversion from
alanine and lactate and the intrahepatic efficiency of this process
were increased by twofold during exercise in both groups.
Ra rose similarly by 2.9 ± 0.7 and 2.7 ± 1.0 mg · kg
1 · min
1
at time = 150 min during exercise in controls and HAB. During the
blockade test period, arterial plasma glucose and Ra rose to 454 ± 43 mg/dl and 11.3 mg · kg
1 · min
1
in controls, respectively, but were essentially unchanged in HAB. The
attenuated response to the blockade test in HAB substantiates the
effectiveness of the hepatic adrenergic blockade. In conclusion, these
results demonstrate that direct hepatic adrenergic stimulation does not
play a role in the stimulation of Ra during exercise in
poorly controlled diabetes.
catecholamines; glucagon; insulin; liver; glucose production
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