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Am J Physiol Regul Integr Comp Physiol (March 23, 2006). doi:10.1152/ajpregu.00125.2006
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Submitted on February 21, 2006
Accepted on March 22, 2006

Glucagon Secretion and Autonomic Signaling during Hypoglycemia in Late Pregnancy

Kathryn A Canniff1, Marta S Smith2, D Brooks Lacy1, Phillip E Williams3, and Mary Courtney Moore2*

1 Diabetes Research & Training Center, Vanderbilt University School of Medicine, Nashville, Tennessee, United States
2 Molecular Physiology & Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee, United States
3 Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, United States; Diabetes Research & Training Center, Vanderbilt University School of Medicine, Nashville, Tennessee, United States

* To whom correspondence should be addressed. E-mail: genie.moore{at}vanderbilt.edu.

We examined net pancreatic norepinephrine (NE) spillover, pancreatic polypeptide (PP) release, and the decrement in C-peptide to identify factors involved in the blunted counterregulatory glucagon response in pregnancy. Conscious pregnant (Ph; 3rd trimester; n = 8) and nonpregnant (NPh; n = 6) dogs were studied during insulin-induced (~12-fold basal insulin concentrations) hypoglycemia (plasma glucose 3.1 mM). Additional dogs were studied during hyperinsulinemic euglycemia (NPe, n = 4; Pe, n = 5; plasma glucose 6 mM). Arterial glucagon concentrations declined similarly in NPe and Pe. AUCs of the changes in glucagon and epinephrine were 7- and 3-fold greater in NPh than Ph (P < 0.05 between groups for both). Glucagon secretion fell below basal in NPe, Pe, and Ph but rose significantly in NPh. C-peptide declined 0.25 ± 0.06, 0.12 ± 0.11, 0.28 ± 0.05, and 0.13 ± 0.02 ng/ml in NPe, Pe, NPh, and Ph, respectively (P < 0.05, NPh vs Ph). AUCs of NE spillover were 516 ± 274, 265 ± 303, 506 ± 94, and -63 ± 79 ng, respectively ((P < 0.05, NPh vs Ph). The AUC of PP release was ~3-fold greater in NPh than Ph ((P < 0.05) but not different between euglycemic groups. The current evidence strongly suggests that the blunting of glucagon secretion during insulin-induced hypoglycemia in pregnancy is related to generalized impairment of a number of different signals, including parasympathetic and sympathoadrenal stimuli, and altered sensing of circulating and/or intraislet insulin.




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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. C. Connolly, T. Papa, M. S. Smith, D. B. Lacy, P. E. Williams, and M. C. Moore
Hepatic and muscle insulin action during late pregnancy in the dog
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2007; 292(1): R447 - R452.
[Abstract] [Full Text] [PDF]




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