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1 Department of Medicine, Lund University, SE-221 84 Lund, Sweden; and 2 Department of Animal Physiology, University of Groningen, 9750 AA Haren, The Netherlands
A gender difference in the glucagon response to
insulin-induced hypoglycemia was previously demonstrated in humans.
Whether this reflects a gender difference in autonomic activation or in pancreatic
-cell regulation is not known. We investigated the glucagon, epinephrine, and norepinephrine responses to neuroglycopenic stress induced by 2-deoxy-D-glucose (2-DG) or insulin in
female and male mice. 2-DG increased plasma glucagon levels by 559 ± 68% in females versus 281 ± 46% in males (P < 0.01). Plasma levels of epinephrine or norepinephrine after 2-DG
administration did not differ between genders. During insulin-induced
hypoglycemia, the glucagon response was similarly higher in females
(P < 0.001), whereas the plasma catecholamine response
was higher in males (P < 0.05). In vivo, the glucagon
response to carbachol or clonidine was higher in females
(P < 0.05). In isolated islets, the glucagon response
to carbachol (100 µM; P = 0.003) but not to clonidine (1 µM) was larger in females. We conclude that in addition to a
larger
-cell mass (previously described in female mice), an increased sensitivity of the glucagon-producing
-cell to cholinergic activation contributes to the larger glucagon response to glucopenic stress in female mice.
hypoglycemia; autonomic nervous system; epinephrine; norepinephrine; males; females
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