title: Thermic effect of epinephrine: a role for endogenous insulin.
abstract: The contribution of the basal insulin concentration to the metabolic response to epinephrine was measured in eight, postabsorptive, healthy volunteers before and during epinephrine (0.05 micrograms/kg fat-free mass [FFM] x min) and somatostatin (500 micrograms/h) infusion with and without insulin (0.1 mU/kg body weight [BW] x min) replacement. At basal plasma insulin concentrations, epinephrine increased oxygen consumption, heart rate, heart work, hepatic glucose production, glycogen breakdown in liver and muscle, and glucose oxidation, and the arterial plasma concentrations of glucose, lactate, and free fatty acids. Similar effects were observed during hypoinsulinemia, but epinephrine's actions on oxygen consumption and plasma concentrations of free fatty acids were disproportionally enhanced. We conclude that epinephrine-induced thermogenesis is partially inhibited by basal plasma insulin concentrations.
authors.affiliation: Medizinische Hochschule Hannover, Germany.
authors.forename: M J
authors.initials: MJ
authors.lastname: Müller
authors.forename: K J
authors.initials: KJ
authors.lastname: Acheson
authors.forename: V
authors.initials: V
authors.lastname: Piolino
authors.forename: N
authors.initials: N
authors.lastname: Jeanpretre
authors.forename: A G
authors.initials: AG
authors.lastname: Burger
authors.forename: E
authors.initials: E
authors.lastname: Jequier
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000187:drug effects; D004734:Energy Metabolism / Q000187:drug effects*; D004837:Epinephrine / Q000494:pharmacology*; D005934:Glucagon / Q000097:blood; D005947:Glucose / Q000378:metabolism; D006801:Humans; D007328:Insulin / Q000097:blood / Q000502:physiology*; D008297:Male
chemical_list: D007328:Insulin; D005934:Glucagon; D005947:Glucose; D004837:Epinephrine