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Am J Physiol Endocrinol Metab (August 17, 2004). doi:10.1152/ajpendo.00313.2004
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Submitted on July 15, 2004
Accepted on August 10, 2004

Portal Infusion of a Selective Serotonin Reuptake Inhibitor Enhances Hepatic Glucose Disposal in Conscious Dogs

Mary Courtney Moore1*, Catherine A. DiCostanzo2, Dominique Dardevet2, Margaret Lautz2, Ben Farmer2, Doss W. Neal2, and Alan D. Cherrington1

1 Department of Molecular Physiology & Biophysics, Vanderbilt University School of Medicine, Nashville, TN, USA; Diabetes Research and Training Center, Vanderbilt University School of Medicine, Nashville, TN, USA
2 Department of Molecular Physiology & Biophysics, Vanderbilt University School of Medicine, Nashville, TN, USA

* To whom correspondence should be addressed. E-mail: genie.moore{at}vanderbilt.edu.

Intraportal delivery of serotonin enhanced net hepatic glucose uptake (NHGU) during a hyperinsulinemic hyperglycemic clamp, but serotonin elevated catecholamines and can cause gastrointestinal distress. We hypothesized that the selective serotonin reuptake inhibitor (SSRI) fluvoxamine would enhance NHGU without side effects. Arteriovenous difference and tracer ([3-3H]glucose) techniques were used in conscious 42-h-fasted dogs. Experiments consisted of equilibration (-120 to -30 min), basal (-30 to 0 min), and experimental (EXP; 0-270 min) periods. During EXP, somatostatin, 4-fold basal intraportal insulin, basal intraportal glucagon, and peripheral glucose (to double the hepatic glucose load) were infused. Saline was infused intraportally from 0-90 min (P1), and fluvoxamine was infused intraportally at 0.5, 1, and 2 µg.kg-1 .min-1 from 90-150 (P2), 150-210 (P3), and 210-270 (P4) min, respectively, in the FLUV group (n=8). The SAL group (n=9) received intraportal saline from 0-270 min.NHGU in SAL was 13.9±1.7 and 17.0±2.0 µmol.kg-1 .min-1 in P3-P4, respectively, while NHGU in FLUV averaged 19.7±2.8, and 26.6±3.0 µmol.kg-1 .min-1 (P<0.05 vs SAL). Net hepatic carbon retention was greater (P<0.05) in FLUV than SAL (17.6±2.6 vs 13.9±2.7and 23.8±3.0 vs 14.4±3.3 µmol.kg-1 .min-1 in P3-P4, respectively), and final hepatic glycogen concentrations were 50% greater in FLUV (P<0.005). Nonhepatic glucose uptake was greater in SAL vs FLUV at 270 min (P<0.05). Catecholamine concentrations remained basal, and the animals evidenced no distress. Thus, fluvoxamine enhanced NHGU and hepatic carbon storage without raising circulating serotonin concentrations or causing stress, suggesting that hepatic-targeted SSRIs might be effective in reducing postprandial hyperglycemia in individuals with diabetes or impaired glucose tolerance.




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