GLUCAGON: Its Role in Physiology and Clinical Medicine GLUCAGON: Its Role in Physiology and Clinical Medicine Edited by Piero P. Foa • Jasbir S. 8ajaj • Naomi L. Foa Editorial Assistant Lillie Bivens Springer-Verlag New York Heidelberg Berlin Piero P. Foa Jasbir S. Bajaj Department of Physiology Department of Medicine Wayne State University School of Medicine All-India Institute of Medical Sciences Detroit, Michigan 48201/USA New Delhi 11 0016/lndia Naomi L. Foa Department of Research Sinai Hospital of Detroit Detroit, Michigan 48235/USA Library of Congress Cataloging in Publication Data Main entry under title: Glucagon • its role in physiology and clinical medicine. Includes index. 1. Glucagon-Congresses. I. Foa, Piero P. II. Bajaj, Jasbir S. III. Foa, Naomi L. QP572.G5G59 616.4'62'07 77-13657 All rights reserved. No part of this book may be translated or reproduced in any form without written permission from Springer-Verlag. © 1977 by Springer-Verlag New York Inc. Softcover reprint of the hardcover 1s t edition 1977 9 876 5 4 3 2 1 ISBN-13: 978-1-4612-6368-5 e-ISBN-13: 978-1-4612-6366-1 DOl: 10.1007/978-1-4612-6366-1 PREFACE The growing interest in glucagon. almost universal among diabetologists. made the decision to hold a satellite symposium immediately after the IX Congress of the International Diabetes Federation easy. indeed almost unavoidable. The climate. the beauty of its uniquely picturesque canals and houseboats. of its lakes and its mountains and above all. the friendliness of its people made the choice of Sri nagar equally easy. Problems of transportation and housing which appeared of Himalayan proportions from thousands of miles away were resolved with deceptive ease: as if the late autumn sun of New Delhi and Sri nagar had melted the snow that already covered many areas of the United States. For this. we thank the Executive Council and the Scientific Program Advisory Committee of the Congress. the Chairman and Co-Chairman of the local committee, Drs. Ali Mohammed Jan and S. N. Ahmed Shah; the Organizing Secretary, Dr. Syed Zahoor Ahmed; the joint Secretary, Dr. M. Y. Alvi; the Secretary of the Scientific Session. S. N. Dhar and the other committee members, Drs. G. Q. Allaqband, Wm. Riberio, Girja Dhar, J. A. Naqashbandi and Messrs. D. P. Zutshi, K. Amla and Ajit Singh. We are deeply grateful to His Excellency Sheikh Abdullah, Chief Minister of Jammu and Kashmir for his interest in the symposium and for the unforgettable hospitality offered in the name of his people. The suggestions, criticism and understanding of many colleagues helped us select topics and speakers for a representative rather than a comprehensive program. Yet, contri butions from authors who could not attend the symposium or who could attend only the glucagon workshop held during the main congress in New Delhi, provided additional material which converted this book from a volume of proceedings to a monograph. Our financial burdens were lightened by the National Science Foundation, Washington; the Secretariat of the Congress, New Delhi; the Sinai Hospital Guild, Detroit; the U.S.V. Pharmaceutical Corporation, Tuckahoe, New York and Wyeth Laboratories, Philadelphia. The Editors Detroit and New Delhi CONTENTS PREFACE v CONTRIBUTORS xiii INTRODUCTION xix I. ONTOGENY OF THE A CELL AND THE MORPHOLOGY OF GLUCAGON RELEASE Ontogeny of the Entero-Pancreatic A Cells and of Glucagon Production T. A. I. Grillo and D. L. Baxter-Grillo Morphologic Study of Glucagon Release J.-L. CarpentierJ F. Malaisse-LagaeJ W. Muller and L. Orci 23 II. BIOSYNTHESIS, NATURE AND SITES OF ORIGIN OF PANCREATIC GLUCAGON AND OF GLUCAGON-LIKE IMMUNOREACTIVE MATERIALS Glucagon Biosynthesis in Anglerfish Islets: Identification of a 4,900 Dalton Metabolic Conversion Intermediate B. D. Noe 31 High Molecular Weight Glucagons from Avian Islets and Fetal Bovine Pancreas A. K. Tung 51 Assessment of Glucagon Immunoreactivity in Plasma G. C. Weir 65 Quantification of Plasma Glucagon Immunoreactive Components in Normal and Hyperglucagonemic States I. Valverde 77 Circulating Glucagon Components: Significance in Health and Disease J. B. JaspanJ A. H-J. HuenJ B. Gonen and A. H. Rubenstein 93 Plasma Immunoreactive Glucagon in Depancreatized Animals T. MatsuyamaJ R. TanakaJ ~. ShimaJ K. NonakaJ S. TaruiJ M. Nishikawa and P. P. Foa 113 Heterogeneity of Gut Glucagon-Like Immunoreactivity (GLI) A. J. MoodYJ H. JacobsenJ F. SundbYJ E. K. FrandsenJ D. Baetens and L. Orci 129 Glucagon-Like Materials in Porcine and Rat Intestinal Mucosa J. M. ConlonJ K. D. Buchanan and R. F. Murphy 137 Immunoreactive Glucagon in the Salivary Glands of Man and Anima 1 S. HojvatJ L. KirsteinsJ J. KislaJ V. Paloyan and 143 A. M. La:wrence viii Role of the Submax111ary Gland and of the K1dney 1n the Hyperg1ucagonem1a of Ev1scerated Rats J. C. Dunbaro, H. Sitverm:zn, E. Ki1'T7lO.n and P. P. Faa 157 Glucagon and the Kidney P. J. Le{ebvl'e and A. S. Luyak:J: 167 III. SECRETION OF PANCREATIC GLUCAGON The Role of Ca1c1um 1n Glucagon Secret10n J. P. Ashby and R. N. Speake 177 The Versatile Role of Calc1um 1n Glucagon Release V. LeaZel'aq-Meyel', J. Maroahand and W. J. MaZaisse 185 Interrelationsh1p of Ca1c1um and Somatostat1n 1n the Secretion of Insulin and Glucagon G. M. Grodsky, I. Lundquist, R. Fanska and R. Piatet 215 Dynamics and Interrelationships of In Vitro Secret10n of Glucagon and Insu11n S. Pek and T.-Y. Tai 231 Effects of Insu11n on the Glucagon Release. Glucose Ut11izat10n and ATP Content of the Pancreat1c A Cells of the Gu1nea Pig C.-G. Ostenson, A. Andel'sson, S. E. BroZin, B. Petel'sson and C. HeZZel'stl'Om 243 Effect of Vasoact1ve Intestinal Pept1de (VIP) and Gastr1c Inh1b1tory Pept1de (GIP) on Insulin and Glucagon Release by Perf-fused Newborn Rat Pancreas D. BataitZe, C. Jarol'ousse, N. VauaUn, C. Gespaah and G. RosseZin 255 The Role of the Autonom1c Nervous System in Glucagon Secret10n A. Kaneto 271 IV. MODE OF ACTION OF GLUCAGON Interact10ns of Hepatocyte Membrane Receptors with Pancreatic and Gut Glucagon J. J. HoZst 287 Glucagon. Insu11n and the1r Hepat1c Receptors: An Endocr1ne Pattern Characterizing Hepatopro11ferative Transit10ns 1n the Rat H. L. Leffel't 305 Reexam1nat10n of the Second Messenger Hypothes1s of Glucagon and Catecho1am1ne Act10n in L1ver J. H. Exton, A. D. Chemngton, N. J. Hutson and F. D. AssimaaopouZos-Jeannet 321 ix Guanyl Nucleotide Regulation of the Liver Glucagon-Sensitive Adenylyl Cyclase System L. Bipnbaumep and T. L. SWaPtz 349 A Peptide Inhibitor of Glucagon-Responsive Adenylate Cyclase in Liver D. C. LehotaYJ G. S. LeveYJ J. M. CantepbupyJ L. A. Bpiakep and E. Ruiz 373 Modulation of Nuclear Protein Kinase Activity by Glucagon W. K. Palmep and D. A. Walsh 379 Combined Influence of Insulin and Glucagon Upon Hepatocytes in Rats with Liver Loss or Viral Injury N. L. R. Buahep 393 V. METABOLIC EFFECTS AND PHYSIOLOGIC ROLE OF GLUCAGON Insulin and Glucagon (Pancreatic and Extrapancreatic) Interactions and the Regulation of Glucose Turnover in Physiology and in the Diabetic State M. VpaniaJ C. YipJ K. DoiJ L. LiakleYJ S. Mopita and G. Ross 403 Regulation of Hepatic Gluconeogenesis by Glucagon in the Rat M. S. Ayuso-PapPilla and R. PaPpilla 437 Hormonal Regulation of Hepatic Protein Metabolism in the Rat In Vivo. Control of Glucagon R. PappillaJ A. MaPtin-RequepoJ J. Pepez-Diaz and M. S. Ayuso-PapPilla 459 The Role of Glucagon in Amino Acid Homeostasis G. F. CahillJ Jp. and T. T. Aoki 487 The Roles of Glucagon and Cyclic Adenosine 3' ,5'-Mono- phosphate in the of Lipid Biosynthesis Regu1~tion J. J. Volpe and J. C. Mapasa 495 0 Lowering of Plasma Lipids, the Major Effect of Repeated Glucagon Administration in Rats F. GeYJ H. Geopgi and E. Buhlep 517 Glucagon and Lipoprotein Regulation in Man R. P. Eaton 533 Metabolic Fuels in the Embryo and the Newborn E. Blazquez 551 Role of the Insulin/Glucagon Ratio in the Changes of Hepatic Metabolism during Development of the Rat J. R. GipaPdJ P. FeppeJ A. KepvpanJ J. P. PegoPiep and R. Assan 563 x Glucose Homeostasis in the Newborn J. S. Bajaj and K. D. Buchanan 583 VI. ROLE OF GLUCAGON IN DIABETES MELLITUS. IN PREDIABETES AND IN OTHER DISEASE STATES New Concepts in Glucagon Physiology R. ShePWin and P. FeUg 595 The Issues Related to Abnormal A Cell Function in Diabetes Me" i tus K. D. Buchanan and E. R. TrimbZe 607 On the Causes and Consequences of Abnormal Glucagon Secretion in Human Diabetes Mellitus J. E. Gepich 617 The Effects of Exogenously Induced Hyperglucagonemia in Insulin-Treated Diabetics P. Raskin, C. B. Sri kant. H. Nakabayashi, R. E. Dobbs and R. H. Ungep 643 The Nature of the A Cell Abnormality in Human Diabetes Mellitus D. J. ChishoZm and F. P. AZfoPd 651 The Nature of Hyperglucagonemia in Diabetes Mellitus K. Nonaka, H. Toyoshima, T. Yoshida, T. Matsuyama, S. TaPUi and M. Nishikawa 663 Glucagon in Diabetic Coma L. LazaPUs, E. W. XPaegen, H. MeZep, M. Zacharin, L. CampbeZZ and J. H. Casey 679 Glucagon Metabolism in Potential Diabetes Mellitus. Studies of Discordant Twins and Patients After Myocardial Infarction J. L. ~ay 691 Tolbutamide: Stimulator and Suppressor of Glucagon Secretion E. SamoZs and J. HaPpison 699 Effect of Long Term Sulfonylurea Therapy on Glucagon Levels in Maturity Onset Diabetes Mellitus S. PodoZsky and A. M. Lo:w1'enae 711 Effect of Chlorpropamide on Basal and Arginine-Stimulated Plasma Levels of Glucagon and Insulin in Diabetic Patients A. H. TeZnep, C. I. TayZop, S. Pek, R. L. Cpowthep, J. D. FZoyd, Jp. and S. S. Fajans 723 Glucagon and Hypertriglyceridemia A. Tiengo. R. Nosadini. M. C. GaPotti. D. FedeZe. M. Muggeo and G. CpepaZdi 735 xi Glucagonomas and Skin Disease S. R. B~oom 759 Plasma GLI in Gastrectomized Patients K. Shima, T. Mat"fuyama and R. Tanaka 765 Pancreatic A Cell Function in a Patient with Addison's Disease G. Okuno and H. Takenaka 777 INDEX 783 CONTRIBUTORS ALFORD, F. P., Melbourne, Austra11a ANDERSSON, A., Uppsala, Sweden AOKI, T. T., Boston, Massachusetts, U.S.A. ASHBY, J. P., Edinburgh, U.K. ASSAN, R., Paris, France ASSIMACOPOULOS-JEANNET, F. D., Nashville, Tennessee, U.S.A. AYUSO-PARRILLA, M. S., Madr1d, Spain BAETENS, D., Copenhagen, Denmark BAJAJ, J. S., New Delhi. India BATAILLE, D., Paris, France BAXTER-GRILLO, D. L., Ile-Ife, Nigeria BIRNBAUMER, L. • Houston, Texas. U.S.A. BLAZQUEZ, E., Madrid. Spain BLOOM, S. R., London, U.K. BRICKER, L. A., Miami. Florida, U.S.A. BROLIN, S. E., Uppsala. Sweden BUCHANAN, K. D., Belfast, U.K. BUCHER, N. L. R., Boston, Massachusetts, U.S.A. BUHLER, E., Basel, Switzerland CAHILL, G. J., Jr., Boston, Massachusetts. U.S.A. CAMPBELL, L., Sydney, Australia CANTERBURY, J. M., Miami. Florida, U.S.A. CARPENTIER, J.-L., Geneve, Switzerland CASEY, J. H., Sydney. Australia CHERRINGTON, A. D. • Nashville, Tennessee, U.S.A. CHISHOLM, D. J., Melbourne, Australia CONLON, J. M., Belfast, U.K. CREPALDI, G., Padova. Italy