1989
DOI: 10.1111/j.1365-2362.1989.tb00206.x
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Effect of hyperosmolality on basal and hormone‐stimulated hepatic glucose metabolism in vitro

Abstract: To understand better impairment of glucose utilization in diabetics during a hyperosmolal state, in vitro models were established to evaluate the effects of hyperosmolality on basal glucose uptake as well as glucagon dependent glucose release by isolated hepatocytes. In these studies simulating a hyperglycaemic (40 mmol glucose) and hyperosmolal (up to 500 mosm kg-1, NaCl as added solute) state basal hepatic glucose uptake was reversibly suppressed by 19% when osmolality was increased by as little as 10 mosm k… Show more

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Cited by 25 publications
(18 citation statements)
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“…This was recently supported using 3T3-L1 adipocytes: insulinstimulated glucose uptake and GLUT4 translocation were completely abolished in presence of hyperosmolarity [29]. Interestingly, GLUT4-independent glucose uptake of rat hepatocytes is suppressed by increases in osmolarity as little as 10 mosmol/l [30]. Hyperosmolarity during insulin infusion in rat liver reverses proteolysis inhibition by insulin in a dominant fashion [10].…”
Section: Cell Hydration and Insulin Resistancementioning
confidence: 65%
“…This was recently supported using 3T3-L1 adipocytes: insulinstimulated glucose uptake and GLUT4 translocation were completely abolished in presence of hyperosmolarity [29]. Interestingly, GLUT4-independent glucose uptake of rat hepatocytes is suppressed by increases in osmolarity as little as 10 mosmol/l [30]. Hyperosmolarity during insulin infusion in rat liver reverses proteolysis inhibition by insulin in a dominant fashion [10].…”
Section: Cell Hydration and Insulin Resistancementioning
confidence: 65%
“…Th ese changes were also seen with only mild deviations of serum sodium from the normal range. By contrast, complications of hypernatraemia and consequent hyperosmolality are manifold, and include decrease in cardiac contractility, decreased glucose utilization, insulin resistance, cognitive impairment and cerebral shrinkage leading to vascular rupture [7][8][9][10][11][12].…”
Section: Introductionmentioning
confidence: 89%
“…This effect involves insulin-induced NKCC1 activation with subsequent hepatocyte swelling, which in turn activates osmosensing and osmosignaling cascades towards proteolysis [9]. Prevention of insulin-induced hepatocyte swelling by loop diuretics or hyperosmolarity abolishes the antiproteolytic effect, indicating that the disturbances of insulin-induced hepatocyte swelling can produce insulin resistance, as it is observed in clinical settings [12][13][14][15][16].…”
Section: Liver Cell Hydration and Liver Functionmentioning
confidence: 87%