title: Pancreatic and pituitary hormonal responses to insulin-induced hypoglycaemia during muscarinic cholinergic blockade in man.
abstract: To investigate the role of muscarinic cholinergic mechanisms in mediating the pancreatic and pituitary hormonal responses to hypoglycaemia, six normal subjects were studied during acute insulin-induced hypoglycaemia under control conditions, and during blockade with intravenous atropine. During atropine blockade the response of pancreatic polypeptide was suppressed while the maximum response of plasma glucagon was significantly higher. The increment in plasma vasopressin was also increased significantly during cholinergic blockade. During blockade with atropine the responses of plasma prolactin was reduced, with a slight but significant reduction in the growth hormone response, and although a similar maximum response of plasma ACTH was achieved, this rise was delayed. These results implicate involvement of a cholinergic muscarinic inhibitory and stimulatory mechanisms in regulating the responses of pancreatic and pituitary hormones to hypoglycaemia.
authors.affiliation: Department of Diabetes, Royal Infirmary, Glasgow, UK.
authors.forename: B M
authors.initials: BM
authors.lastname: Fisher
authors.forename: D A
authors.initials: DA
authors.lastname: Hepburn
authors.forename: B M
authors.initials: BM
authors.lastname: Frier
authors.forename: J J
authors.initials: JJ
authors.lastname: Morton
authors.forename: G H
authors.initials: GH
authors.lastname: Beastall
authors.forename: C E
authors.initials: CE
authors.lastname: Gray
authors.forename: K D
authors.initials: KD
authors.lastname: Buchanan
mesh_terms: D000324:Adrenocorticotropic Hormone / Q000097:blood / Q000378:metabolism; D000328:Adult; D000704:Analysis of Variance; D001127:Arginine Vasopressin / Q000097:blood / Q000378:metabolism; D001285:Atropine / Q000494:pharmacology; D005934:Glucagon / Q000097:blood / Q000378:metabolism*; D013006:Growth Hormone / Q000097:blood / Q000378:metabolism; D006339:Heart Rate; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced / Q000503:physiopathology*; D007328:Insulin; D008297:Male; D010191:Pancreatic Polypeptide / Q000097:blood / Q000378:metabolism*; D010275:Parasympathetic Nervous System / Q000187:drug effects / Q000503:physiopathology*; D010907:Pituitary Hormones / Q000097:blood / Q000378:metabolism*; D011388:Prolactin / Q000097:blood / Q000378:metabolism; D011976:Receptors, Muscarinic / Q000187:drug effects; D013268:Stimulation, Chemical
chemical_list: D007328:Insulin; D010907:Pituitary Hormones; D011976:Receptors, Muscarinic; D001127:Arginine Vasopressin; D010191:Pancreatic Polypeptide; D001285:Atropine; D000324:Adrenocorticotropic Hormone; D011388:Prolactin; D013006:Growth Hormone; D005934:Glucagon