Activation of K(ATP) channels suppresses glucose production in humans. Academic Article uri icon

Overview

abstract

  • Increased endogenous glucose production (EGP) is a hallmark of type 2 diabetes mellitus. While there is evidence for central regulation of EGP by activation of hypothalamic ATP-sensitive potassium (K(ATP)) channels in rodents, whether these central pathways contribute to regulation of EGP in humans remains to be determined. Here we present evidence for central nervous system regulation of EGP in humans that is consistent with complementary rodent studies. Oral administration of the K(ATP) channel activator diazoxide under fixed hormonal conditions substantially decreased EGP in nondiabetic humans and Sprague Dawley rats. In rats, comparable doses of oral diazoxide attained appreciable concentrations in the cerebrospinal fluid, and the effects of oral diazoxide were abolished by i.c.v. administration of the K(ATP) channel blocker glibenclamide. These results suggest that activation of hypothalamic K(ATP) channels may be an important regulator of EGP in humans and that this pathway could be a target for treatment of hyperglycemia in type 2 diabetes mellitus.

authors

  • Kishore, Preeti
  • Boucai, Laura
  • Zhang, Kehao
  • Li, Weijie
  • Koppaka, Sudha
  • Kehlenbrink, Sylvia
  • Schiwek, Anna
  • Esterson, Yonah B
  • Mehta, Deeksha
  • Bursheh, Samar
  • Su, Ya
  • Gutierrez-Juarez, Roger
  • Muzumdar, Radhika
  • Schwartz, Gary J
  • Hawkins, Meredith

publication date

  • November 7, 2011

Research

keywords

  • Diazoxide
  • Gluconeogenesis
  • Hypothalamus
  • Potassium Channels

Identity

PubMed Central ID

  • PMC3225998

Scopus Document Identifier

  • 84055184949

Digital Object Identifier (DOI)

  • 10.1172/JCI58035

PubMed ID

  • 22056385

Additional Document Info

volume

  • 121

issue

  • 12