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Division of Diabetes, Endocrinology, & Metabolism, Vanderbilt University Medical Center School of Medicine, Nashville, Tennessee, USA
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, liver and skeletal muscle when glucose is sparse and glucagon secretion is elevated ( Felig et al. 1969 a , b , Ahlborg et al. 1974 , Mourtzakis et al. 2006 ). In the postprandial phase, sensing of these nutrients also appears important. In
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-cells in the islets of the pancreas. In the liver, glucagon antagonizes the effects of insulin by stimulating glycogenolysis and gluconeogenesis, thereby increasing hepatic glucose output. Figure 3 Posttranslational products of proglucagon
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infused into the portal vein which delivers them to the liver sinusoids. Here, they have normal glucagon responses to amino acids but only partial responses to hypoglycemia ( Paty et al. 2002 , Rickels et al. 2015 ). In the case of autoislet
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). Section 3: α cells have inherent proliferative potential Expanded α cell mass has been well documented in rodent models that have a breakdown of glucagon-liver signaling and in individuals with diabetes. Morphometric analyses of islets from humans with
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Department of Medicine, Université de Montréal, Montréal, QC, Canada
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Department of Medicine, University of Washington, Seattle, Washington, USA
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liver and fat and in thermogenesis. This review also focuses on translational aspects of glucagon, along with current and potential future therapeutic applications. These include closed-loop bihormonal pumps for diabetes treatment and review of work
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normoglycemia during fasting is achieved through its actions on the liver (reviewed extensively by Jiang & Zhang (2003 )). Briefly, activation of hepatic glucagon receptors (GcgRs) initiates a cAMP-dependent cascade that leads to simultaneous activation of