Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011849 (diabetes)
 277,896 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Neuroglycopenia induced by 2-deoxy-glucose is known to activate the autonomic nervous system and to stimulate glucagon secretion. In this study, the relative contribution of the various branches of the autonomic nervous system on the 2-deoxy-glucose-induced glucagon secretion was investigated in the mouse. An intravenous injection of 2-deoxy-glucose (500 mg/kg) was followed by a 5-fold increase in plasma levels of glucagon (P less than 0.001). This 2-deoxy-glucose-induced glucagon secretion was impaired by pre-treatment with either the muscarinic antagonist methylatropine (by 83%; P less than 0.001) or the nicotinic antagonist hexamethonium (by 90%; P less than 0.001). Further, also the alpha-adrenoceptor antagonist phentolamine inhibited the glucagon response to 2-deoxy-glucose (by 35%; P less than 0.01). In contrast, the beta-adrenoceptor antagonist L-propranolol did not affect the glucagon response to 2-deoxy-glucose. It is concluded that the main mechanism behind the increased plasma levels of glucagon following administration of 2-deoxy-glucose is cholinergic activation. However, intact alpha-adrenoceptors are a pre-requisite for the full effect of 2-deoxy-glucose. In contrast, beta-adrenoceptors seem to be of no importance and there seems to be no room for neuropeptides as mediators of the neuroglycopenia-induced glucagon secretion in the mouse.
Diabetes Res Clin Pract
PMID:Inhibition of 2-deoxy-glucose-induced glucagon secretion by muscarinic and alpha-adrenoceptor blockade in the mouse. 288 9

Hypoglycemia is the most common endocrine medical emergency. Because the brain has an obligatory need for contiunous inflow of glucose, any interruption to that supply puts the individual at risk for neuroglycopenia. The latter impairs brain function and precludes self-administered corrective treatment. Treatment of hypoglycemia, especially in those patients with diabetes mellitus, involves punctilious attention to preventive measures. The acute event, if recognized, requires treatment with oral ingestion of free carbohydrate. Neuroglycopenia can be treated equally effectively with intravenous glucose or parenteral glucagon administration.
 ...
PMID:Hypoglycemia. 780 86