Harney Julie A, Rodgers Robert L
Department of Biomedical and Pharmaceutical Sciences, College of Pharmacy, Univ. of Rhode Island, 345 Fogarty Hall, Kingston, RI 02881, USA.
Am J Physiol Endocrinol Metab. 2008 Jul;295(1):E155-61. doi: 10.1152/ajpendo.90228.2008. Epub 2008 May 20.
At concentrations around 10(-9) M or higher, glucagon increases cardiac contractility by activating adenylate cyclase/cyclic adenosine monophosphate (AC/cAMP). However, blood levels in vivo, in rats or humans, rarely exceed 10(-10) M. We investigated whether physiological concentrations of glucagon, not sufficient to increase contractility or ventricular cAMP levels, can influence fuel metabolism in perfused working rat hearts. Two distinct glucagon dose-response curves emerged. One was an expected increase in left ventricular pressure (LVP) occurring between 10(-9.5) and 10(-8) M. The elevations in both LVP and ventricular cAMP levels produced by the maximal concentration (10(-8) M) were blocked by the AC inhibitor NKY80 (20 microM). The other curve, generated at much lower glucagon concentrations and overlapping normal blood levels (10(-11) to 10(-10) M), consisted of a dose-dependent and marked stimulation of glycolysis with no change in LVP. In addition to stimulating glycolysis, glucagon (10(-10) M) also increased glucose oxidation and suppressed palmitate oxidation, mimicking known effects of insulin, without altering ventricular cAMP levels. Elevations in glycolytic flux produced by either glucagon (10(-10) M) or insulin (4 x 10(-10) M) were abolished by the phosphoinositide 3-kinase (PI3K) inhibitor LY-294002 (10 microM) but not significantly affected by NKY80. Glucagon also, like insulin, enhanced the phosphorylation of Akt/PKB, a downstream target of PI3K, and these effects were also abolished by LY-294002. The results are consistent with the hypothesis that physiological levels of glucagon produce insulin-like increases in cardiac glucose utilization in vivo through activation of PI3K and not AC/cAMP.
在浓度约为10⁻⁹ M或更高时,胰高血糖素通过激活腺苷酸环化酶/环磷酸腺苷(AC/cAMP)来增强心脏收缩力。然而,在大鼠或人类体内,其血液水平很少超过10⁻¹⁰ M。我们研究了生理浓度的胰高血糖素(不足以增强收缩力或心室cAMP水平)是否能影响灌注工作的大鼠心脏中的燃料代谢。出现了两条不同的胰高血糖素剂量反应曲线。一条是预期的左心室压力(LVP)在10⁻⁹·⁵至10⁻⁸ M之间升高。最大浓度(10⁻⁸ M)所产生的LVP和心室cAMP水平的升高被AC抑制剂NKY80(20 μM)阻断。另一条曲线是在低得多的胰高血糖素浓度下产生的,与正常血液水平(10⁻¹¹至10⁻¹⁰ M)重叠,表现为糖酵解的剂量依赖性显著刺激,而LVP无变化。除了刺激糖酵解外,胰高血糖素(10⁻¹⁰ M)还增加了葡萄糖氧化并抑制了棕榈酸氧化,模拟了胰岛素的已知作用,而不改变心室cAMP水平。胰高血糖素(10⁻¹⁰ M)或胰岛素(4×10⁻¹⁰ M)所产生的糖酵解通量升高被磷酸肌醇3激酶(PI3K)抑制剂LY - 294002(10 μM)消除,但未受到NKY80的显著影响。胰高血糖素也像胰岛素一样增强了PI3K的下游靶点Akt/PKB的磷酸化,并且这些作用也被LY - 294002消除。这些结果与以下假设一致,即生理水平的胰高血糖素通过激活PI3K而非AC/cAMP在体内产生类似胰岛素的心脏葡萄糖利用增加。