The interaction of equal increments in arterial and portal vein insulin on hepatic glucose production in the dog. Sindelar, Dana K., Chang A. Chu, Doss W. Neal, and Alan D. Cherrington. Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232-0615
APStracts 4:0176E, 1997.
We have previously shown that a selective increase of 84 pmol/L in either arterial or portal vein insulin (independent of a change in insulin in the other vessel) can suppress tracer-determined glucose production (TDGP) and net hepatic glucose output (NHGO) by 50%. In the present study we investigated the interaction between equal increments in arterial and portal vein insulin in the suppression of TDGP and NHGO. Isotopic (3-3H-Glucose) and A-V difference methods were used in conscious overnight fasted dogs. A pancreatic clamp was used to control the endocrine pancreas. A 40 min basal period was followed by a 180 min test period during which arterial and portal vein insulin levels were simultaneously and equally increased 102 pmol/L. Hepatic sinusoidal glucagon levels remained unchanged and euglycemia was maintained by peripheral glucose infusion. TDGP was suppressed 60% by the last 30 min of experimental period. In contrast, NHGO was suppressed 100% by that time. Coincidentally, hepatic glucose uptake (net hepatic 3H-glucose balance) increased significantly (4 [mu]mol.kg-1.min-1). The effects of simultaneous equal increases in peripheral and portal venous insulin were not additive in the suppression of TDGP. However, they were additive in decreasing NHGO as a result of an increase in the uptake of glucose by the liver.

Received 4 April 1997; accepted in final form 5 August 1997.
APS Manuscript Number E154-7.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1997 The American Physiological Society.
Published in APStracts on 27 August 1997