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Am J Physiol Endocrinol Metab (May 20, 2008). doi:10.1152/ajpendo.90228.2008
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Submitted on February 11, 2008
Revised on April 18, 2008
Accepted on May 14, 2008

Insulin-like Stimulation of Cardiac Fuel Metabolism by Physiologic Levels of Glucagon: Involvement of PI3-Kinase but not Cyclic AMP

Julie A Harney1* and Robert L. Rodgers1

1 University of Rhode Island

* To whom correspondence should be addressed. E-mail: julieharney{at}gmail.com.

At concentrations around 10-9 M or higher, glucagon increases cardiac contractility by activating adenylate cyclase/cyclic adenosine monophosphate (AC/cAMP). However, blood levels in vivo, in rats or humans, rarely exceed 10-10 M. We investigated whether physiologic concentrations of glucagon, not sufficient to increase contractility or ventricular cAMP levels, can influence fuel metabolism in perfused working rat hearts. Two distinct glucagon dose-response curves emerged. One was an expected increase in left ventricular pressure (LVP), occurring between 10-9.5 and 10-8 M. The elevations in both LVP and ventricular cAMP levels produced by the maximal concentration (10-8 M) were blocked by the AC inhibitor NKY 80 (20 µM). The other curve, generated at much lower glucagon concentrations and overlapping normal blood levels (10-11 - 10-10 M), consisted of a dose-dependent and marked stimulation of glycolysis with no change in LVP. In addition to stimulating glycolysis, glucagon (10-10 M) also increased glucose oxidation and suppressed palmitate oxidation - mimicking known effects of insulin - without increasing ventricular cAMP levels. Elevations in glycolytic flux produced by either glucagon (10-10 M) or insulin (4 X 10-10 M) were abolished by the phosphoinositide 3-kinase (PI3-K) inhibitor LY294002 (10 µM) but not significantly affected by NKY 80. Glucagon also, like insulin, enhanced the phosphorylation of Akt/PKB, a downstream target of PI3-K, and these effects were also abolished by LY294002. The results are consistent with the hypothesis that physiologic levels of glucagon produce insulin-like increases in cardiac glucose utilization in vivo through activation of PI3-K and not AC/cAMP.







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