2002
DOI: 10.2337/diabetes.51.2007.s381
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Gliclazide Directly Inhibits Arginine-Induced Glucagon Release

Abstract: Arginine-stimulated insulin and somatostatin release is enhanced by the sulfonylurea gliclazide. In contrast, gliclazide inhibits the glucagon response. The aim of the present study was to investigate whether this inhibition of glucagon release was mediated by a direct suppressive effect of gliclazide or was secondary to the paracrine effect of released somatostatin. To eliminate the paracrine effects of somatostatin, we first perfused isolated rat pancreata with a medium supplemented with 23% of the standard … Show more

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Cited by 17 publications
(10 citation statements)
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“…While it is well established that hyperglycemia suppresses glucagon secretion strongly, the effect of sulfonylurea on glucagon secretion is controversial and reported to be unaffected (17), stimulated (38), inhibited (39), and influenced differently depending on the prevailing glucose and drug concentration and presence of paracrine effectors (38,40,41). We observed that during infusion with tolbutamide alone, glucagon secretion did not rise in the presence of 3 mmol/l glucose.…”
Section: Discussionmentioning
confidence: 50%
“…While it is well established that hyperglycemia suppresses glucagon secretion strongly, the effect of sulfonylurea on glucagon secretion is controversial and reported to be unaffected (17), stimulated (38), inhibited (39), and influenced differently depending on the prevailing glucose and drug concentration and presence of paracrine effectors (38,40,41). We observed that during infusion with tolbutamide alone, glucagon secretion did not rise in the presence of 3 mmol/l glucose.…”
Section: Discussionmentioning
confidence: 50%
“…However, exposure of islets to glucose or sulfonylureas activates both ␤-cells and ␦-cells (1,34), which initiates an insulin secretory response and simultaneously causes the local release of SST to limit that response. Similarly, the stimulation of glucagon secretion by arginine is accompanied by both the activation of ␦-cells (33) and the intraislet release of SST to limit the ␣-cell secretory response. In this way, both in vitro and in vivo results are consistent with ␦-cell SST exerting an inhibitory paracrine influence on islet ␣-and ␤-cells.…”
Section: Diabetes Vol 58 February 2009mentioning
confidence: 99%
“…Current knowledge of the regulation of somatostatin secretion is limited, but the available evidence suggests that delta cells respond similarly to beta cells. Accordingly, some studies have demonstrated that glucose stimulates both insulin and somatostatin release [11,12], as do membrane-depolarising agents such as arginine and sulfonylureas [11,[13][14][15][16], as well as the incretin, glucagon-like peptide 1 (GLP-1) [15][16][17][18][19][20]. These observations may reflect similar stimulus-response coupling mechanisms in beta and delta cells, but they could also suggest that delta cell secretory responses are indirectly regulated in a paracrine manner by insulin released from beta cells.…”
Section: Introductionmentioning
confidence: 99%