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Published on: November 16, 2011
Glucagon receptor knockout prevents insulin-deficient type 1 diabetes in mice
Young Lee1, May-Yun Wang, Xiu Quan Du
1Touchstone Center for Diabetes Research, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Objective:
To determine the role of glucagon action in the metabolic phenotype of untreated insulin deficiency.
Research Design And Methods:
We compared pertinent clinical and metabolic parameters in glucagon receptor-null (Gcgr(-/-)) mice and wild-type (Gcgr(+/+)) controls after equivalent destruction of β-cells. We used a double dose of streptozotocin to maximize β-cell destruction.
Results:
Gcgr(+/+) mice became hyperglycemic (>500 mg/dL), hyperketonemic, polyuric, and cachectic and had to be killed after 6 weeks. Despite comparable β-cell destruction in Gcgr(-/-) mice, none of the foregoing clinical or laboratory manifestations of diabetes appeared. There was marked α-cell hyperplasia and hyperglucagonemia (~1,200 pg/mL), but hepatic phosphorylated cAMP response element binding protein and phosphoenolpyruvate carboxykinase mRNA were profoundly reduced compared with Gcgr(+/+) mice with diabetes--evidence that glucagon action had been effectively blocked. Fasting glucose levels and oral and intraperitoneal glucose tolerance tests were normal. Both fasting and nonfasting free fatty acid levels and nonfasting β-hydroxy butyrate levels were lower.
Conclusions:
We conclude that blocking glucagon action prevents the deadly metabolic and clinical derangements of type 1 diabetic mice.
Insights
Blocking glucagon action prevents deadly diabetes complications in mice with insulin deficiency. This research highlights glucagon
Area of Science:
- Endocrinology
- Metabolic Research
- Diabetes Pathophysiology
Background:
- Insulin deficiency characterizes type 1 diabetes, leading to severe metabolic dysregulation.
- The precise role of glucagon in the diabetic metabolic phenotype remains incompletely understood.
- Glucagon's action is mediated through the glucagon receptor (Gcgr).
Purpose of the Study:
- To elucidate the specific contribution of glucagon action to the metabolic phenotype observed in untreated insulin deficiency.
- To investigate whether blocking glucagon signaling can ameliorate diabetic complications.
Main Methods:
- Utilized glucagon receptor-null (Gcgr(-/-)) mice and wild-type (Gcgr(+/+)) controls.
- Induced equivalent beta-cell destruction in both groups using streptozotocin.
- Compared key clinical and metabolic parameters between Gcgr(-/-) and Gcgr(+/+) mice.
Main Results:
- Wild-type mice with induced diabetes exhibited hyperglycemia, hyperketonemia, polyuria, and cachexia.
- Gcgr(-/-) mice, despite comparable beta-cell loss, did not develop these diabetic manifestations.
- Blocked glucagon action in Gcgr(-/-) mice normalized glucose levels and reduced free fatty acid and beta-hydroxy butyrate levels.
Conclusions:
- Blocking glucagon action effectively prevents the lethal metabolic and clinical derangements associated with type 1 diabetes in mice.
- Glucagon signaling is a critical driver of the severe phenotype in insulin-deficient states.
- Targeting the glucagon receptor represents a potential therapeutic strategy for type 1 diabetes.
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