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1 Department of Molecular Physiology and Biophysics, and 2 The Diabetes Research and Training Center, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-0615
The purpose of
this study was to define the relationship between arterial
immunoreactive glucagon (IRG) and IRG that perfuses the liver via the
portal vein during exercise in the diabetic state. Dogs underwent
surgery >16 days before the experiment, at which time flow probes
were implanted in the portal vein and the hepatic artery, and Silastic
catheters were inserted in the carotid artery, portal vein, and hepatic
vein for sampling. Dogs were made diabetic with alloxan injected
intravenously ~3 wk before study (AD) or were studied in the
nondiabetic state (ND). Each study consisted of a 30-min basal period
and a 150-min moderate-exercise period on a treadmill. The findings
from these studies indicate that the exercise-induced increment in
portal vein IRG can be substantially greater in AD compared with ND,
even when arterial and hepatic vein increments are not different. The
larger IRG gradient from the portal vein to the systemic circulation in
AD dogs is a function of a twofold greater increase in nonhepatic splanchnic IRG release and a fivefold greater hepatic fractional IRG
extraction during exercise. In conclusion, during exercise, arterial
IRG concentrations greatly underestimate the IRG levels to which the
liver is exposed in ND, and this underestimation is considerably
greater in dogs with poorly controlled diabetes.
diabetes; portal vein; glucose; liver
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