Key result
Vagal blockade via cooling coils significantly decreased tracer-determined glucose production from 2.4 to 1.9 mg/kg/min in 18-h-fasted conscious dogs.
Why the study?
Does vagal blockade reduce basal hepatic glucose production in conscious dogs?
Does vagal blockade reduce basal hepatic glucose production in conscious dogs?
Vagal blockade acutely modulates hepatic glucose production by inhibiting glycogenolysis in conscious dogs.
Vagal modulation of hepatic glucose production in dogs warrants caution before human translation; leaves open autonomic targets in metabolic disease.
We determined if blocking transmission in the fibers of the vagus nerves would affect basal hepatic glucose metabolism in the 18-h-fasted conscious dog. A pancreatic clamp (somatostatin, basal portal insulin, and glucagon) was employed. A 40-min control period was followed by a 90-min test period. In one group, stainless steel cooling coils (Sham, n = 5) were perfused with a 37 degrees C solution, while in the other (Cool, n = 6), the coils were perfused with -20 degrees C solution. Vagal blockade was verified by heart rate change (80 +/- 9 to 84 +/- 14 beats/min in Sham; 98 +/- 12 to 193 +/- 22 beats/min in Cool). The arterial glucose level was kept euglycemic by glucose infusion. No change in tracer-determined glucose production occurred in Sham, whereas in Cool it dropped significantly (2.4 +/- 0.4 to 1.9 +/- 0.4 mg. kg(-1). min(-1)). Net hepatic glucose output did not change in Sham but decreased from 1.9 +/- 0.3 to 1.3 +/- 0.3 mg. kg(-1). min(-1) in the Cool group. Hepatic gluconeogenesis did not change in either group. These data suggest that vagal blockade acutely modulates hepatic glucose production by inhibiting glycogenolysis.
No takes yet. Share an insight, caveat, or question.
Cardin et al. (2002) studied this question. Vagal blockade via cooling coils vs. Sham (37 degrees C solution) was evaluated on Tracer-determined glucose production. Vagal blockade via cooling coils significantly decreased tracer-determined glucose production from 2.4 to 1.9 mg/kg/min in 18-h-fasted conscious dogs.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: