Journal of Applied Physiology AJP: Cell Physiology
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J Appl Physiol 87: 722-731, 1999;
8750-7587/99 $5.00
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Vol. 87, Issue 2, 722-731, August 1999

Glucose uptake during centrally induced stress is insulin independent and enhanced by adrenergic blockade

Michael C. Lekas, Simon J. Fisher, Ban El-Bahrani, Mayliza van Delangeryt, Mladen Vranic, and Z. Qing Shi

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 (alpha /beta )-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 alpha  (phentolamine)- and beta  (propranolol)-blockade (7 and 5 µg · kg-1 · min-1, respectively; alpha +beta ; n = 5); 3) PC plus alpha -blockade (alpha ; n = 6); 4) PC plus beta -blockade (beta ; 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 alpha , where insulin increased slightly but significantly. Stress increased (P < 0.05) plasma glucose in Con, PC, and alpha  but decreased it in beta  and alpha +beta . The MCR increment was greater (P < 0.05) in beta  and alpha +beta than in Con, PC, and alpha . Ra increased (P < 0.05) in all groups but was attenuated in alpha +beta . Stress-induced lipolysis was abolished in beta  (P < 0.05). The marked rise in lactate in Con, PC, and alpha  was abolished in alpha +beta and beta . We conclude that the stress-induced increase in MCR is largely independent of changes in insulin, markedly augmented by beta -blockade, and related, at least in part, to inhibition of lipolysis and glycogenolysis, and that Ra is augmented by glucagon and alpha - and beta -catecholamine effects.

stress; alpha -adrenergic blockade; beta -adrenergic blockade; glucose clearance; glucose production; pancreatic clamp


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