The aim of the experiments is to continue our studies into the hormonal and neural regulation of glucose production (glycogenolysis and gluconeogenesis) in the overnight fasted conscious dog. Specifically we will focus on 1) the way in which glycogenolysis and gluconeogenesis affect one another in vivo, 2) the way in which certain of the counterregulatory hormones (glucagon and epinephrine; cortisol and epinephrine) interact to control glycogenolysis and gluconeogenesis, 3) the extent to which insulin can alter gluconeogenesis in vivo and the time it takes to do so, 4) the impact of hepatic denervation on muscle glucose disposal and the mechanism by which such an effect comes about, the 5) the control of glucagon secretion and action during hypoglycemia. We will carry out studies using 18h fasted conscious dogs fitted with a variety of sampling and infusion catheters and prepared surgically (i.e. adrenalectomy, hepatic and pancreatic denervation) as required by the protocol. Glucose metabolism will be assessed using A-V difference (gut, liver, kidney, hindlimb, pancreas) and tracer (3H-glucose) techniques. Gluconeogenesis will also be assessed using A-V difference and tracer (14C alanine) techniques. The rates of renal and hepatic uptake of gluconeogenic precursors will be measured over time. In addition at the end of the study liver biopsies will be taken and the techniques of Giaccari and Rossetti will be used to assess the steady state hepatic gluconeogenic rate. We will also determine gluconeogenic enzyme and G-6-P levels in the terminal liver biopsies. Once the gluconeogenic rate is known we can estimate net glycogenolysis since we will also know the rates of net hepatic glucose output, net hepatic lactate production, and hepatic glucose oxidation. The hormonal conditions will be controlled in most studies using somatostatin, adrenalectomy or substrate clamps so that we can modify the variable of concern in isolation. In other studies substrate levels will be controlled and the hormone levels will be allowed to change. The answers obtained by the proposed studies should enhance our understanding of the control of glucose production and pancreatic function in vivo.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Method to Extend Research in Time (MERIT) Award (R37)
Project #
3R37DK018243-28S1
Application #
6667072
Study Section
Metabolism Study Section (MET)
Program Officer
Laughlin, Maren R
Project Start
1978-06-01
Project End
2003-06-30
Budget Start
2002-07-01
Budget End
2003-06-30
Support Year
28
Fiscal Year
2002
Total Cost
$43,009
Indirect Cost
Name
Vanderbilt University Medical Center
Department
Physiology
Type
Schools of Medicine
DUNS #
004413456
City
Nashville
State
TN
Country
United States
Zip Code
37212
Yu, Erin Nz; Winnick, Jason J; Edgerton, Dale S et al. (2016) Hepatic and Whole-Body Insulin Metabolism during Proestrus and Estrus in Mongrel Dogs. Comp Med 66:235-40
Rivera, Noelia; Ramnanan, Christopher J; An, Zhibo et al. (2010) Insulin-induced hypoglycemia increases hepatic sensitivity to glucagon in dogs. J Clin Invest 120:4425-35
Edgerton, Dale S; Basu, Rita; Ramnanan, Christopher J et al. (2010) Effect of 11 beta-hydroxysteroid dehydrogenase-1 inhibition on hepatic glucose metabolism in the conscious dog. Am J Physiol Endocrinol Metab 298:E1019-26
Ramnanan, Christopher J; Edgerton, Dale S; Rivera, Noelia et al. (2010) Molecular characterization of insulin-mediated suppression of hepatic glucose production in vivo. Diabetes 59:1302-11
Ramnanan, Christopher J; Edgerton, Dale S; Cherrington, Alan D (2009) The role of CCK8 in the inhibition of glucose production. Cellscience 6:92-97
Edgerton, Dale S; Ramnanan, Christopher J; Grueter, Carrie A et al. (2009) Effects of insulin on the metabolic control of hepatic gluconeogenesis in vivo. Diabetes 58:2766-75
Cherrington, A D; Moore, M C; Sindelar, D K et al. (2007) Insulin action on the liver in vivo. Biochem Soc Trans 35:1171-4
Nelson, Robert H; Edgerton, Dale S; Basu, Rita et al. (2007) Triglyceride uptake and lipoprotein lipase-generated fatty acid spillover in the splanchnic bed of dogs. Diabetes 56:1850-5
Edgerton, Dale S; Lautz, Margaret; Scott, Melanie et al. (2006) Insulin's direct effects on the liver dominate the control of hepatic glucose production. J Clin Invest 116:521-7
Everett-Grueter, Carrie; Edgerton, Dale S; Donahue, E Patrick et al. (2006) The effect of an acute elevation of NEFA concentrations on glucagon-stimulated hepatic glucose output. Am J Physiol Endocrinol Metab 291:E449-59

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