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Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232
To determine the effects of an increase in
lipolysis on the glycogenolytic effect of epinephrine (EPI), the
catecholamine was infused portally into 18-h-fasted conscious dogs
maintained on a pancreatic clamp in the presence [portal (Po)-EPI+FFA,
n = 6] and absence (Po-EPI+SAL, n = 6)
of peripheral Intralipid infusion. Control groups with high glucose
(70% increase) and free fatty acid (FFA; 200% increase; HG+FFA,
n = 6) and high glucose alone (HG+SAL,
n = 6) were also included. Hepatic sinusoidal EPI levels were elevated (
568 ± 77 and
527 ± 37 pg/ml,
respectively) in Po-EPI+SAL and EPI+FFA but remained basal in HG+FFA
and HG+SAL. Arterial plasma FFA increased from 613 ± 73 to
1,633 ± 101 and 746 ± 112 to 1,898 ± 237 µmol/l in
Po-EPI+FFA and HG+FFA but did not change in EPI+SAL or HG+SAL. Net
hepatic glycogenolysis increased from 1.5 ± 0.3 to 3.1 ± 0.4 mg · kg
1 · min
1
(P < 0.05) by 30 min in response to portal EPI but did
not rise (1.8 ± 0.2 to 2.1 ± 0.3 mg · kg
1 · min
1)
in response to Po-EPI+FFA. Net hepatic glycogenolysis decreased from
1.7 ± 0.2 to 0.9 ± 0.2 and 1.6 ± 0.2 to 0.7 ± 0.2 mg · kg
1 · min
1
by 30 min in HG+FFA and HG+SAL. Hepatic gluconeogenic flux to glucose
6-phosphate increased from 0.6 ± 0.1 to 1.2 ± 0.1 mg · kg
1 · min
1
(P < 0.05; by 3 h) and 0.7 ± 0.1 to
1.6 ± 0.1 mg · kg
1 · min
1
(P < 0.05; at 90 min) in HG+FFA and Po-EPI+FFA. The
gluconeogenic parameters remained unchanged in the Po-EPI+SAL and
HG+SAL groups. In conclusion, increased FFA markedly changed the
mechanism by which EPI stimulated hepatic glucose production,
suggesting that its overall lipolytic effect may be important in
determining its effect on the liver.
gluconeogenesis; glycogenolysis
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