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Updated: May 19, 2026

Characterization of Metabolic Status in Nonhuman Primates with the Intravenous Glucose Tolerance Test
Published on: November 13, 2016
Metabolic manifestations of insulin deficiency do not occur without glucagon action
Young Lee1, Eric D Berglund, May-yun Wang
1University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Abstract:
To determine unambiguously if suppression of glucagon action will eliminate manifestations of diabetes, we expressed glucagon receptors in livers of glucagon receptor-null (GcgR(-/-)) mice before and after β-cell destruction by high-dose streptozotocin. Wild type (WT) mice developed fatal diabetic ketoacidosis after streptozotocin, whereas GcgR(-/-) mice with similar β-cell destruction remained clinically normal without hyperglycemia, impaired glucose tolerance, or hepatic glycogen depletion. Restoration of receptor expression using adenovirus containing the GcgR cDNA restored hepatic GcgR, phospho-cAMP response element binding protein (P-CREB), and phosphoenol pyruvate carboxykinase, markers of glucagon action, rose dramatically and severe hyperglycemia appeared. When GcgR mRNA spontaneously disappeared 7 d later, P-CREB declined and hyperglycemia disappeared. In conclusion, the metabolic manifestations of diabetes cannot occur without glucagon action and, once present, disappear promptly when glucagon action is abolished. Glucagon suppression should be a major therapeutic goal in diabetes.
Insights
Suppression of glucagon action prevents diabetes manifestations. Abolishing glucagon action in diabetic mice eliminated hyperglycemia and other symptoms, highlighting glucagon
Area of Science:
- Endocrinology
- Metabolic Diseases
- Molecular Biology
Background:
- Glucagon is a key hormone in glucose homeostasis.
- Its role in diabetes pathogenesis requires further elucidation.
- Understanding glucagon action is crucial for diabetes therapy.
Purpose of the Study:
- To investigate the necessity of glucagon action for diabetes development and manifestation.
- To determine if blocking glucagon signaling can reverse diabetic symptoms.
Main Methods:
- Utilized glucagon receptor-null (GcgR(-/-)) mice and wild-type (WT) mice.
- Induced diabetes via streptozotocin to destroy pancreatic beta cells.
- Restored glucagon receptor expression using adenovirus vectors.
Main Results:
- GcgR(-/-) mice with beta-cell destruction did not develop hyperglycemia or diabetic ketoacidosis.
- Restoration of glucagon receptors in GcgR(-/-) mice led to hyperglycemia and increased markers of glucagon action.
- Reversal of receptor expression resulted in the disappearance of hyperglycemia.
Conclusions:
- Metabolic manifestations of diabetes are critically dependent on glucagon action.
- Eliminating glucagon action effectively reverses diabetes symptoms.
- Glucagon suppression represents a promising therapeutic strategy for diabetes management.
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