Metabolic effects of graded glucagon infusions in man: inhibition of glucagon, insulin, and somatostatin response to arginine

Metabolism. 1993 Oct;42(10):1242-8. doi: 10.1016/0026-0495(93)90120-d.

Abstract

Insulin inhibits its own release (autofeedback), and growth hormone (GH) inhibits the GH response to a variety of stimuli. The aim of this study was to evaluate whether glucagon (G) can modify pancreatic G (IRG) release in humans. Seven healthy men received intravenous (i.v.) arginine (30 g in 30 minutes) 240 minutes after the beginning of a 0.9% NaCI saline infusion and a 2.5-, 4.0-, and 8.0-ng/kg.min-1 porcine G infusion, with each infusion lasting 360 minutes. All G infusions yielded stable and dose-related plasma IRG levels, and the 4.0- and 8.0-ng/kg.min-1 G infusions decreased plasma free fatty acids (FFA) and blood glycerol and beta-OH-butyrate levels and elicited insulin (IRI) release, and the 8.0-ng/kg.min-1 G infusion elicited GH release and increased blood glucose (BG) levels; somatostatin (SRIF) levels were not affected by G infusions. At 240 minutes, plasma IRG levels were higher during G infusion than during saline infusion, whereas serum IRI and BG levels had returned to preinfusion levels. At this point, G infusions decreased the integrated (240 to 300 minutes) IRG, IRI, BG, and SRIF responses, but not the GH response to arginine. These data indicate that prolonged G infusions decrease the IRG response to arginine; in addition, G decreases plasma FFA levels, and higher G doses stimulate IRI release and exert a self-limited hyperglycemic effect. The fact that the IRI response to arginine was decreased by G could be due to a refractoriness of beta cells to subsequent stimuli; the decreased SRIF response to arginine is likely due to G itself or to a decrease of plasma FFA levels.

MeSH terms

  • 3-Hydroxybutyric Acid
  • Adult
  • Arginine / administration & dosage
  • Arginine / pharmacology*
  • Blood Glucose / analysis
  • Blood Glucose / metabolism
  • Dose-Response Relationship, Drug
  • Fatty Acids, Nonesterified / blood
  • Fatty Acids, Nonesterified / metabolism
  • Feedback / physiology
  • Glucagon / administration & dosage
  • Glucagon / blood*
  • Glucagon / pharmacology*
  • Glycerol / blood
  • Glycerol / metabolism
  • Growth Hormone / blood
  • Growth Hormone / metabolism
  • Humans
  • Hydroxybutyrates / blood
  • Infusions, Intravenous
  • Insulin / blood*
  • Insulin / metabolism
  • Male
  • Radioimmunoassay
  • Somatostatin / blood*
  • Somatostatin / metabolism
  • Time Factors

Substances

  • Blood Glucose
  • Fatty Acids, Nonesterified
  • Hydroxybutyrates
  • Insulin
  • Somatostatin
  • Growth Hormone
  • Glucagon
  • Arginine
  • Glycerol
  • 3-Hydroxybutyric Acid