1984
DOI: 10.1172/jci111227
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Increased proteolysis. An effect of increases in plasma cortisol within the physiologic range.

Abstract: As bstract. Prolonged exposure to glucocorticoids in pharmacologic amounts results in muscle wasting, but whether changes in plasma cortisol within the physiologic range affect amino acid and protein metabolism in man has not been determined. To determine whether a physiologic increase in plasma cortisol increases proteolysis and the de novo synthesis ofalanine, seven normal subjects were studied on two occasions during an 8-h infusion ofeither hydrocortisone sodium succinate (2 1g

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Cited by 274 publications
(136 citation statements)
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“…The latephase response to an antigenic challenge has been shown to be more pronounced in the evening, when cortisol levels are at a nadir, than early in the morning (33), and changes in cortisol within the physiological range affect both proteolysis and glucose levels (34,35).…”
Section: Discussionmentioning
confidence: 99%
“…The latephase response to an antigenic challenge has been shown to be more pronounced in the evening, when cortisol levels are at a nadir, than early in the morning (33), and changes in cortisol within the physiological range affect both proteolysis and glucose levels (34,35).…”
Section: Discussionmentioning
confidence: 99%
“…The effect of dexamethasone to decrease the insulin sensitivity of glucose transport, while maintaining a ' normal ' rate of glycolysis, means that the apparent sensitivity of glycolysis to insulin in the muscle was actually increased. Glucocorticoid excess increases the rate of proteolysis [40]. Administration of dexamethasone to rats for 5 days increased muscle concentration of alanine [41] : it is possible that some of these carbons may feed back through pyruvate and contribute to lactate formation.…”
Section: Figure 4 Rates Of Lactate Formation At Various Concentrationmentioning
confidence: 99%
“…Glucocorticoids inhibit glucose uptake by peripheral tissues (10,83,86) and cause increased postabsorptive glucose and insulin (100). Whether glucocorticoids exert specific effects directly on the insulin receptor is controversial (78 range increase proteolysis and de novo synthesis of alanine a gluconeogenic substrate (106). Cortisol may augment the effect of other counterregulatory hormones, such as glucagon and epinephrine, raising blood glucose levels (29).…”
Section: Introductionmentioning
confidence: 99%