胰高血糖素
内科学
内分泌学
秘书
胰岛素
胰高血糖素样肽-1
胰高血糖素样肽1受体
刺激
生理盐水
内生
胰高血糖素受体
丸(消化)
化学
受体
生物
糖尿病
医学
2型糖尿病
兴奋剂
作者
RAHELE A. FARAHANI,Aoife M Egan,Andrew Welch,Marcello C. Laurenti,Claudio Cobelli,Chiara Dalla Man,Adrian Vella
出处
期刊:Diabetes
[American Diabetes Association]
日期:2022-12-23
卷期号:72 (4): 449-454
摘要
Data from transgenic rodent models suggest that glucagon acts as an insulin secretagogue by signaling through the glucagon-like peptide 1 receptor (GLP-1R) present on β-cells. However, its net contribution to physiologic insulin secretion in humans is unknown. To address this question, we studied individuals without diabetes in two separate experiments. Each subject was studied on two occasions in random order. In the first experiment, during a hyperglycemic clamp, glucagon was infused at 0.4 ng/kg/min, increasing by 0.2 ng/kg/min every hour for 5 h. On one day, exendin-9,39 (300 pmol/kg/min) was infused to block GLP-1R, while on the other, saline was infused. The insulin secretion rate (ISR) was calculated by nonparametric deconvolution from plasma concentrations of C-peptide. Endogenous glucose production and glucose disappearance were measured using the tracer-dilution technique. Glucagon concentrations, by design, did not differ between study days. Integrated ISR was lower during exendin-9,39 infusion (213 ± 26 vs. 191 ± 22 nmol/5 h, saline vs. exendin-9,39, respectively; P = 0.02). In the separate experiment, exendin-9,39 infusion, compared with saline infusion, also decreased the β-cell secretory response to a 1-mg glucagon bolus. These data show that, in humans without diabetes, glucagon partially stimulates the β-cell through GLP-1R.
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