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Circulating Blood Glucose and Hypothalamic-Pituitary Secretion

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Circulating Regulatory Factors and Neuroendocrine Function

Abstract

Normally glucose accounts for more than 90% of the metabolic fuel of the brain (1). A constant supply and utilization of glucose is essential for normal cerebral metabolism since brain carbohydrate stores are very small. Hypoglycemia as well as diabetes mellitus result in a variety of neuroendocrine alterations probably through changes in the rate of glucose uptake and metabolism in the hypothalamus. At the hypothalamic-pituitary level, two metabolic conditions can be realized: either increased glucose disposal after administration of exogenous glucose, or glucopenia due to hypoglycemia or diabetes. In the latter condition, blood glucose increased, but cannot be utilized in brain cells because of the lack of insulin secretion. Changes in pituitary hormone release under these acute or chronic alterations in blood glucose levels have been well characterized. However, the role of the hypothalamus in driving these variations in pituitary function is still controversial due to difficulties in measuring the secretion of the hypophysiotropic factors. Therefore, the mechanisms by which hyper-or hypoglycemia exerts an influence on hypothalamic neurons remain to be determined. In this report, we will briefly review this tropic including some results from our laboratory, keeping in mind the potential clinical applications of animal studies.

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References

  1. Pardridge, W.B., Brain metabolism. A perspective from the blood-brain barrier,Physiol Rev63: 1481–1535, 1983.

    PubMed  CAS  Google Scholar 

  2. Vierhapper, H., B. Grubeck-Loebenstein, P. Bratush-Marrain, S. Panzer, and W. Waldhausl, The impact of euglycemia and hyperglycemia on stimulated pituitary hormone release in insulin-dependent diabetics, JClin Endocrinol Metab52: 1230–1234, 1981.

    Article  PubMed  CAS  Google Scholar 

  3. Shibasaki, T., A. Masuda, M. Hotta, N. Yamauchi, N. Hizuka, K. Takano, H. Demura, and K. Shizume, Effects of ingestion of glucose on GH and TSH secretion: evidence for stimulation of somatostatin release from the hypothalamus by acute hyperglycemia in normal man and its impairment in acromegalic patients,Life Sci44: 431–438, 1989.

    Article  PubMed  CAS  Google Scholar 

  4. Ježová-Repβekovác, D., M. Vigaš, and I. Klimeš, Decreased plasma Cortisol response to pharmacological stimuli after glucose load in man,Endocrinol Exp14: 113–120, 1980

    Google Scholar 

  5. Bestetti, G.E., M.J. Reymond, I.V. Perrin, P.C. Kniel, T. Lemarchand-Beraud, and G.L. Rossi, Thyroid and pituitary secretory disorders in streptozotocin-diabetic rats are associated with severe structural changes of these glands,Virchows Arch B Cell Pathol53: 69–78, 1987.

    Article  CAS  Google Scholar 

  6. Bestetti, G.E., H.P. Jacob, C.E. Boujon, M.J. Reymond, and G.L. Rossi, Le diabète induit par la streptozotocine altère le fonctionnement et la morphologie de 1’hypothalamus médiobasal du rat mâle: étude des axones à TRH dans 1’ éminence médiane à 1’ aide d’ un modèlein vitro, Congrès de la Société de Neuroendocrinologie Exp é rimentale, Anales d’ Endocrinologie,Rennes, September, 1988, p. 15 N.

    Google Scholar 

  7. Wilber, J.F., A. Banergi, C. Prasa, and M. Mori, Alterations in hypothalamic pituitary-thyroid regulation produced by diabetes mellitus,Life Sci28: 1757–1763, 1981.

    Article  PubMed  CAS  Google Scholar 

  8. Tesone, M., R.G. Ladenheim, and E.H. Charreau, Alterations in the prolactin secretion in strep-tozotocin-induced diabetic rats. Correlation with pituitary and hypothalamus estradiol receptors,Mol Cell Endocrinol43: 135–140, 1985.

    Article  PubMed  CAS  Google Scholar 

  9. Reymond, M.J., and T. Lemarchand-Beraud, Hyperactivity of the hypothalamic dopaminergic neurons and hyposecretion of prolactin in diabetic rats: influence of the thyroid status,8th International Congress of Endocrinology,July 17–23, Kyoto, Japan, Abstract 08-19-045, 1988.

    Google Scholar 

  10. Reymond, M.J., and T. Lemarchand-Beraud, Effects of thyroid hormones on the hypothalamic dopaminergic neurons, In J.C. Porter and D. Ježová (eds)Circulating Regulatory Factors and Neuroendocrine Function,Plenum Press, New York, pp.257–270, 1990.

    Google Scholar 

  11. Mooradian, A.D., J.E. Morlay, C.J. Billington, M.F. Slag, M.K. Elson, and R.R. Shafer, Hyperprolac-tinoemia in male diabetics,Postgraduate Med J61: 11–14, 1985.

    Article  CAS  Google Scholar 

  12. Mooradian, A.D., Diabetic complications of the central nervous system,Endocrine Rev9: 346–356,1988.

    Article  CAS  Google Scholar 

  13. L’Age, M., J. Langholz, W. Fechner, and H. Salzman, Disturbances of the hypothalamo-hypophysial-adrenocortical system in the alloxan diabetic rat,Endocrinology95: 760–765,, 1974.

    Article  PubMed  Google Scholar 

  14. De Nicola, A.F., O. Fridman, E.J. Del Castillo, and V.G. Foglia, The influence of streptozotocin diabetes on adrenal function in male rats,Horm Metab Res8: 388–392, 1976.

    Article  PubMed  Google Scholar 

  15. De Nicola, A.F., O. Fridman, E.J. Del Castillo, and V.G. Foglia, Abnormal regulation of adrenal function in rats with streptozotocin diabetes,Horm Metab Res9: 469–473, 1977.

    Article  PubMed  Google Scholar 

  16. Locatelli, V., F. Petraglia, N. Tirloni, and E.E. Müller, Beta-endorphin concentrations in the hypothalamus, pituitary and plasma of streptozotocin-diabetic rats with and without insulin substitution therapy,Life Sci38: 379–386, 1986.

    Article  PubMed  CAS  Google Scholar 

  17. Brooks, D.P., D.F. Nutting, J.T. Crofton, and L. Share, Vasopressin in rats with genetic and strep-tozotocin-induced diabetes,Diabetes38: 54–57, 1989.

    Article  PubMed  CAS  Google Scholar 

  18. Thompson, C.J., J. Thow, I.R. Jones, and P.H. Baylis, Vasopressin secretion during insulin-induced hypoglycemia: exaggerated response in people with type 1 diabetes,Diabetic Med6: 158–163, 1989.

    Article  PubMed  CAS  Google Scholar 

  19. Bestetti, G.E., V. Locatelli, F. Tirone, G.L. Rossi, and E.E. Müller, One month of streptozotocin-diabetes induces different neuroendocrine and morphological alterations in the hypothalamo-pituitary axis of male and female rats,Endocrinology117: 208–216, 1985.

    Article  PubMed  CAS  Google Scholar 

  20. Bestetti, G.E., C.E. Boujon, M.J. Reymond, and G.L. Rossi, Functional and morphological changes in mediobasal hypothalamus of streptozotocin-induced diabetic rats:in vitrostudy of LHRH release,Diabetes38: 471–476, 1989.

    Article  PubMed  CAS  Google Scholar 

  21. Conte-Devolx, B., C. Oliver, and J.L. Codaccioni, Diabete et function Leydigienne,Progrès en Andrologie2: 39–45, 1989.

    Google Scholar 

  22. Djursing H., C. Hagen, H.C. Hyholm, L. Carstensen, and A.N. Andersen, Gonadotropin responses to gonadotropin-releasing hormone and prolactin responses to thyrotropin-releasing hormone and metoclopramide in women and amenorrhea and insulin-treated diabetes mellitus, JClin Endocrinol Metab56: 1016–1021, 1983.

    Article  PubMed  CAS  Google Scholar 

  23. Tannenbaum, G.S., Growth hormone secretion dynamics in streptozotocin diabetes: evidence of a role for endogenous-circulating somatostatin,Endocrinology108: 76–82, 1981.

    Article  PubMed  CAS  Google Scholar 

  24. Tannenbaum, G.S., E. Colle, W. Gurd, and L. Wanamaker, Dynamic time-course studies of the spontaneously diabetic BB Wistar rat. I. Longitudinal profiles of plasma growth hormone, insulin, and glucose,Endocrinology109: 1872–1879, 1981.

    Article  PubMed  CAS  Google Scholar 

  25. Joanny, P., G. Peyre, J. Steinberg, B. Conte-Devolx, and C. Oliver, Secretion hypothalamique de somatostatine chez les rats diabétiques,Diab è te et Métabolisme(Abstract 76) 14: 168, 1988.

    Google Scholar 

  26. Jones, P.M., J.M. Burrin, Y. Yiangou, and S.R. Bloom, Altered synthesis of hypothalamic somatostatin and growth hormone releasing factor may explain growth hormone abnormalities in the streptozotocin diabetic rat,Diabetic Med 5 [Suppl P20],1988.

    Google Scholar 

  27. Welsh, J.B., and M. Szabo, Impaired suppression of growth hormone release by somatostatin in cultured adenohypophyseal cells of spontaneously diabetic BB/W rats,Endocrinology123: 2230–2234, 1988.

    Article  PubMed  CAS  Google Scholar 

  28. Locatelli, V., S. Rovati, H. Miyoshi, and E.E. Müller, Growth hormone hyperresponsiveness to human pancreatic growth hormone releasing hormone in streptozotocin-diabetic rats,Horm Metab Res16: 507, 1984.

    Article  PubMed  CAS  Google Scholar 

  29. Serri, O., and P. Brazeau, Growth hormone responsivenessin vivoandin vitroto growth hormone releasing factor in the spontaneously diabetic BB Wistar rat,Neuroendocrinology46: 162–166, 1987.

    Article  PubMed  CAS  Google Scholar 

  30. Müller, E.E., Neural control of somatotropic function,PhysiologRev67: 962–1053, 1987.

    Google Scholar 

  31. Hansen, A.P., and K. Johansen, Diurnal pattern of blood glucose, serum free fatty acids, insulin, glucagon and growth hormone in normals and juvenile diabetics,Diabetologia6: 27–33, 1970.

    Article  PubMed  CAS  Google Scholar 

  32. Press, M., Tamborlane, W.V., and R.S. Sherwin, Importance of raised growth hormone levels in mediating the metabolic derangements of diabetes,N Engl J Med310: 810–815, 1984.

    Article  PubMed  CAS  Google Scholar 

  33. Holly, J.M.P., S.A. Amiel, R. Sandhu, L.H. Rees, and J.A.H. Wass, The role of growth hormone in diabetes mellitus, JEndocrinology118: 353–364, 1988.

    Article  CAS  Google Scholar 

  34. Affolter, V., P. Boujon, G. Bestetti, and G.L. Rossi, Hypothalamic and cortical neurons of normotensive and spontaneously hypertensive rats are differently affected by streptozotocin diabetes,Acta Neuropathol70: 135–141, 1986.

    Article  PubMed  CAS  Google Scholar 

  35. Finegold, D., S.A. Lattimer, S. Nolle, M. Berstein, and DA. Green, Polyol pathway activity and myo-inositol metabolism. A suggested relationship in the pathogenesis of diabetic neuropathy,Diabetes32: 988–992, 1983.

    Article  PubMed  CAS  Google Scholar 

  36. Cumming, D.C., M.E. Quigley, and S.S.C. Yen, Acute suppression of circulating testosterone levels by Cortisol in men, JClin Endocrinol Metab57: 671–673, 1983.

    Article  PubMed  CAS  Google Scholar 

  37. Whitaker, M.D., B. Corenblum, P.J. Taylor, and P.H. Harasym, Control of the hypoglycemia release of prolactin, In M. L’Hermite and S.J. Judd (eds)Progress in Reproductive Biology: Advances in Prolactin,Volume 6, Karger, Basel, pp. 77–82, 1980.

    Google Scholar 

  38. Cryer, P.E., Glucose counterregulation in man,Diabetes30: 261–264, 1981.

    PubMed  CAS  Google Scholar 

  39. Santeusanio, F., G. Bolli, M. Massi-Benedetti, P. Defeo, G. Angeletti, P. Compagnucci, G. Calabrese, and P. Brunetti, Counterregulatory hormones during moderate, insulin-induced, blood glucose decrements in man, JClin Endocrinol Metab52: 477–482, 1981.

    Article  PubMed  CAS  Google Scholar 

  40. Sacca, L., R. Sherwin, R. Hendler, and P. Felig, Influence of continuous physiologic hyperinsulinemia on glucose kinetics and counterregulatory hormones in normal and diabetic man, /Clin Invest63: 849–857, 1979.

    Article  CAS  Google Scholar 

  41. Schwartz, N.S., W.E. Clutter, S.D. Shah, and P.E. Cryer, Glycemic thresholds for activation of glucose counterregulatory systems are higher than the threshold for symptoms, JClin Invest79: 777–781, 1987.

    Article  PubMed  CAS  Google Scholar 

  42. Watabe, T., K. Tanaka, M. Kumagae, S. Itoh, F. Takeda, K. Morio, M. Hasegawa, T. Horiuchi, S. Miyabe, and N. Shimizu, Hormonal responses to insulin-induced hypoglycemia in man, JClin Endocrinol Metab65: 1187–1191, 1987.

    Article  PubMed  CAS  Google Scholar 

  43. Keller-Wood, M.E., C.E. Wade, J. Shinsako, L.C. Keil, G.R. Van Loon, and M.F. Dallman, Insulin-induced hypoglycemia in conscious dogs: effect of maintaining carotid arterial glucose levels on the adrencorticotropin, epinephrine and vasopressin responses,Endocrinology112: 624–632, 1982.

    Article  Google Scholar 

  44. Karteszi, M., M.F. Dallman, G.B. Markara, and E. Stark, Regulation of the adenocortical response to insulin-induced hypoglycemia,Endocrinology111: 535–541, 1982.

    Article  PubMed  CAS  Google Scholar 

  45. Mezey, E., T.D. Reisine, M.J. Brownstein, M. Palkovits, and J. Axelrod, β-adrenergic mechanism of insulin-induced adrenocorticotropin release from the anterior pituitary,Science226: 1085–1087, 1984.

    Article  PubMed  CAS  Google Scholar 

  46. Ježová, D., R. Kvetanský, K. Kovács, Z. Opršalová, M. Vigaš, and G.B. Makara, Insulin-induced hypoglycemia activates the release of adrenocorticotropin predominantly via central and propranolol insensitive mechanisms,Endocrinology120: 409–415, 1987.

    Article  PubMed  Google Scholar 

  47. Plotsky, P.M., T.O. Bruhn, and W. Vale, Hypophysiotropic regulation of adrenocorticotropin secretion in response to insulin-induced hypoglycemia,Endocrinology117: 323–329,1985.

    Article  PubMed  CAS  Google Scholar 

  48. Guillaume, V., M. Grino, B. Conte-Devolx, F. Boudouresque, and C. Oliver, Corticotropin-releasing factor secretion increases in rat hypophysial portal blood during insulin-induced hypoglycemia,Neuroendocrinology49: 676–679, 1989.

    Article  PubMed  CAS  Google Scholar 

  49. Caraty, A., M. Grino, A. Locatelli, and C. Oliver, Secretion of corticotropin releasing factor (CRF) and vasopressin (AVP) into hypophysial portal blood of conscious, unrestrained rams,Biochem Biophys Res Comm155: 841–849, 1988.

    Article  PubMed  CAS  Google Scholar 

  50. Caraty, A., M. Grino, A. Locatelli, V. Guillaume, F. Boudouresque, B. Conte-Devolx, and C. Oliver, Effect of insulin-induced hypoglycemia on corticotropin-releasing factor (CRF) and arginine vasopressin (AVP) secretion into hypophysial portal blood of conscious, unrestrained rams, JClin InvestSubmitted.

    Google Scholar 

  51. Oomura, Y., Glucose as a regulator of neuronal activity,Adv Metab Disorders10: 31–65, 1983.

    CAS  Google Scholar 

  52. Guillaume, V., B. Conte-Devolx, A. Szafarczyk, F. Malaval, N. Pares-Herbute, M. Grino, G. Alonso, I. Assenmacher, and C. Oliver, The corticotropin-releasing factor release in rat hypophysial portal blood is mediated by brain catecholamines,Neuroendocrinology46: 143–146, 1987.

    Article  PubMed  CAS  Google Scholar 

  53. Szafarczyk, A., F. Malaval, A. Laurent, R. Gibaud, and I. Assenmacher, Further evidence for a central stimulatory action of catecholamines on adrenocorticotropin release in the rat,Endocrinology121: 883–892, 1987.

    Article  PubMed  CAS  Google Scholar 

  54. Plotsky, P.M., Facilitation of immunoreactive corticotropin-releasing factor secretion into the hypophysial portal circulation after activation of catecholaminergic pathways or central norepinephrine injection,Endocrinology121: 924–930, 1987.

    Article  PubMed  CAS  Google Scholar 

  55. Smythe, G.A, J.E. Bradshaw, M.V. Nicholson, H.S. Grunstein, and L.H. Storelien, Rapid bidirectional effects of insulin on hypothalamic noradrenergic and serotoninergic neuronal activity in the rat: role of glucose homeostasis,Endocrinology117: 1590–1597, 1985.

    Article  PubMed  CAS  Google Scholar 

  56. Takahashi, K., W.H. Daughaday, and D.M. Kipnis, Regulation of immunoreactive growth hormone secretion in male rats,Endocrinology88: 909–917, 1971.

    Article  PubMed  CAS  Google Scholar 

  57. Berelowitz, M., D. Dudlak, and LA. Frohman, Release of somatostatin-like immunoreactivity from incubated rat hypothalamus and cerebral cortex, JClin Invest69: 1293–1301, 1982.

    Article  PubMed  CAS  Google Scholar 

  58. Berelowitz, M., N.C. Ting, and L. Murray, Glucopenia-mediated release of somatostatin from incubated rat hypothalamus: monosaccharide specificity and role of glycolytic intermediates,Endocrinology124: 826–830, 1989.

    Article  PubMed  CAS  Google Scholar 

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Grino, M. et al. (1990). Circulating Blood Glucose and Hypothalamic-Pituitary Secretion. In: Porter, J.C., Ježová, D. (eds) Circulating Regulatory Factors and Neuroendocrine Function. Advances in Experimental Medicine and Biology, vol 274. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5799-5_25

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  • DOI: https://doi.org/10.1007/978-1-4684-5799-5_25

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