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Departments of Physiology and Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8
Glucose
utilization increases markedly in the normal dog during stress induced
by the intracerebroventricular (ICV) injection of carbachol. To
determine the extent to which insulin, glucagon, and selective
(
/
)-adrenergic activation mediate the increment in glucose
metabolic clearance rate (MCR) and glucose production (Ra), we used five groups of
normal mongrel dogs: 1) pancreatic clamp (PC; n = 7) with peripheral
somatostatin (0.8 µg · kg
1 · min
1)
and intraportal replacement of insulin (1,482 ± 84 pmol · kg
1 · min
1)
and glucagon (0.65 ng · kg
1 · min
1)
infusions; 2) PC plus combined
(phentolamine)- and
(propranolol)-blockade (7 and 5 µg · kg
1 · min
1,
respectively;
+
; n = 5);
3) PC plus
-blockade (
;
n = 6); 4) PC plus
-blockade (
;
n = 5); and
5) a carbachol control group without
PC (Con; n = 10). During ICV carbachol
stress (0-120 min), catecholamines, ACTH, and cortisol increased
in all groups. Baseline insulin and glucagon levels were maintained in
all groups except Con, where glucagon rose 33%, and
, where insulin
increased slightly but significantly. Stress increased
(P < 0.05) plasma glucose in Con,
PC, and
but decreased it in
and
+
. The MCR increment was
greater (P < 0.05) in
and
+
than in Con, PC, and
.
Ra increased
(P < 0.05) in all groups but was
attenuated in
+
. Stress-induced lipolysis was abolished in
(P < 0.05). The marked rise in
lactate in Con, PC, and
was abolished in
+
and
. We
conclude that the stress-induced increase in MCR is largely independent
of changes in insulin, markedly augmented by
-blockade, and related,
at least in part, to inhibition of lipolysis and glycogenolysis, and
that Ra is augmented by glucagon
and
- and
-catecholamine effects.
stress;
-adrenergic blockade;
-adrenergic blockade; glucose
clearance; glucose production; pancreatic clamp
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