Medical Journals

Metabolic Sensors Mediate Hypoglycemic Detection at the Portal Vein.

Authors:
  • Matveyenko Aleksey V
  • Donovan Casey M

From: Departments of Kinesiology and Integrative Biology, University of Southern California, 3560 Watt Way, PED 107, Los Angeles, CA 90089-0652, USA. donovan@usc.edu

Diabetes

  • Publish Date: May 2006
  • ISSN: 0012-1797
  • Volume: 55
  • Issue: 5
  • Pages: 1276-82
  • Medium: Print
  • Language: English
  • Citation (JAMA): Matveyenko Aleksey V, Donovan Casey M, et al. Metabolic Sensors Mediate Hypoglycemic Detection at the Portal Vein.. Diabetes May 2006;55:1276-82

Abstract

The current study sought to ascertain whether portal vein glucose sensing is mediated by a metabolic fuel sensor analogous to other metabolic sensors presumed to mediate hypoglycemic detection (e.g., hypothalamic metabosensors). We examined the impact of selectively elevating portal vein concentrations of lactate, pyruvate, or beta-hydroxybutyrate (BHB) on the sympathoadrenal response to insulin-induced hypoglycemia. Male Wistar rats (n = 36), chronically cannulated in the carotid artery (sampling), jugular vein (infusion), and portal vein (infusion), underwent hyperinsulinemic-hypoglycemic ( approximately 2.5 mmol/l) clamps with either portal or jugular vein infusions of lactate, pyruvate, or BHB. By design, arterial concentrations of glucose and the selected metabolite were matched between portal and jugular (NS). Portal vein concentrations were significantly elevated in portal versus jugular (P < 0.0001) for lactate (5.03 +/- 0.2 vs. 0.84 +/- 0.08 mmol/l), pyruvate (1.81 +/- 0.21 vs. 0.42 +/- 0.03 mmol/l), or BHB (2.02 +/- 0.1 vs. 0.16 +/- 0.03 mmol/l). Elevating portal lactate or pyruvate suppressed both the epinephrine (64% decrease; P < 0.01) and norepinephrine (75% decrease; P < 0.05) responses to hypoglycemia. In contrast, elevating portal BHB levels failed to impact epinephrine (P = 0.51) or norepinephrine (P = 0.47) levels during hypoglycemia. These findings indicate that hypoglycemic detection at the portal vein is mediated by a sensor responding to some metabolic event(s) subsequent to the uptake and oxidation of glucose.

Mesh Headings (Keywords): Animals, Biosensing Techniques, Blood Glucose, Glucose Clamp Technique, Hypoglycemia, Kinetics, Lactates, Male, Portal Vein, Rats, Rats, Wistar


Check for Full Text / PubMed Unique Identifier (PMID): 16644683


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