Abstract
Glucose is a metabolite which is subject to a high degree of control. It is a principal substrate for the metabolic activity of the central nervous system, but its availability from exogenous sources is sporadic. This has led to the development of hormone systems which titrate the distribution of energy-rich substrates among different tissues in a very precise manner. That these hormone systems are efficient is manifest in the minimal perturbations seen, for example, in plasma glucose concentrations after the ingestion of a carbohydrate containing meal.
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References
D.H. Kipnis, Insulin secretion in diabetes mellitus, Ann. Intern. Med. 69: 891–901 (1969).
J.M. Olefsky, G.H. Reaven, Insulin binding in diabetes: relationships with plasma insulin levels and insulin sensitivity, Diabetes 26: 680–688 (1977).
C.R. Kahn, Role of insulin receptors in insulin-resistant states, Metabolism 29: 455–466 (1980)
H. Beck-Nielsen, The pathogenetic role of an insulin-receptor defect in diabetes mellitus of the obese, Diabetes 27: 1175–1181 (1978).
O.G. Kolterman, R.S. Gray, J. Griffin, P. Burstein, J. Insel, J.A. Scarlett, and J.M. Olefsky, Receptor and post-receptor defects contribute to the insulin resistance in non-insulin dependent diabetes mellitus, J. Clin. Invest. 68: 957–969 (1981).
O. Faber, K. Christensen, H. Kehlet, S. Madsbad, and C. Binder, Decreased insulin removal contributes to hyperinsulinemia in obesity, J. Clin. Endocrinol Metab. 53: 618–621 (1981).
I. Mandelbaum, C.R. Morgan, Pancreatic blood flow and its relationship to insulin during extracorporeal circulation, Am. J. Surg. 170: 755–758 (1969).
Y. Kanazawa, T. Kuzuya, T. Ide, Insul in output via the pancreatic vein and plasma insulin response to glucose in dogs, Am. J. Physiol. 215: 620–626 (1968).
A.M. Rappaport, J.K. Davidson, T. Kawamura, B.J. Lin, S. Zelin, J. Henderson, and R.E. Haist, Quantitative determination of insulin output following an intravenous glucose tolerance test in the dog, Can. J. Physiol. Pharm. 46: 373–381 (1968).
J.B. Field, Insulin extraction by the liver, in: “Endocrinology,” vol. 1, Endocrine Pancreas, R.O Grey, E. B. Astwood, eds., Am Physiol Society, Washington, 505(1972).
L.L. Madison, and N. Kaplan, The hepatic binding of 1131 labeled insulin in human subjects during a simple transhepatic circulation, J. Lab. Clin. Med. 52: 927–932 (1958).
J.B. Field, Extraction of insulin by the liver, Ann. Rev. Med. 309–314 (1973).
C.E. Mondon, J.M. Olefsky, C.B. Doldas, and G.H. Reaven, Removal of insulin by perfused rat liver: effect of concentrations, Metal Clin. Exp. 51: 912–921 (1975).
A.N. Rubenstein, A.H. Pottenger, M.E. Maki:), G.S. Getz, and D.F. Steiner, The metabolism of proinsulin and insulin by the liver, J. Clin. Invest. 51: 912–921 (1972).
A. Ooms, Y. Arnould, U. Rosa, G.F. Pennisi, and J.R.M. Franckson, Clearances metaboliques globales de l’insuline cristalline et d’insulines substituees au radioiode, Path Biol. 16: 241–245 (1968).
P.H. Sonksen, C.V. Tompkin, C. Srivastava, and J.D.N. Nabarro, A comparative study on the metabolism of human insulin and porcine proinsulin in man, Clin. Sci. Mol. Med. 45: 633–654 (1973).
J.R.M. Franckson, and H.A. Ooms, The catabolism of insulin in the dog: evidence for the existence of two pathways, Postgrad. Med. J. 49: 931–939 (1973).
M. Kaden, P. Harding, and J.B. Field, Effect of intraduodenal glucose adminsitration on hepatic extraction of insulin in the anaesthetized dog, J. Clin. Invest. 52: 2016–2028 (1973).
P.S. Harding, G. Bloom, and J.B. Field, Effect of infusion of insulin into portal vein on hepatic extraction of insulin in anaesthetized dogs, Am. J. Physiol. 228: 1580–1588 (1975).
J. Jaspan, and K. Polonsky, Glucose ingestion in dogs alters the hepatic extraction of insulin: in vivo evidence for a relationship between biologic action and extraction of insulin, J. Clin. Invest. 69: 516–525 (1982).
W. Waldhausl, P. Bratusch-Marrain, S. Gasic, A. Korn, and P. Nowotny, Insulin production rate, hepatic insulin retention and splanchnic carbohydrate metabolism after oral glucose ingestion in hyperinsulinemia Type 2 (non-insulin-dependent) diabetes mellitus, Diabetologia 23: 6–15 (1982).
T. Ishida, Z. Chap, J. Chou, R. Lewis, C. Hartley, M. Entman, and J.B. Field, Differential effects of oral, peripheral intravenous, and intraportal glucose on hepatic glucose uptake and insulin and glucose extraction in conscious dogs, J. Clin. Invest. 72: 590–601 (1983).
K. Polonsky, J. Jaspan, D. Emmanuouel, K. Holmes, and A.R. Moossa, Differences in hepatic and renal extraction of insulin and glucagon in the dog; evidence of saturability of insulin metabolism, Acta Endocrinol 102: 420–427 (1983).
A.N. Rubenstein, J.L. Clark, F. Melani, and D.F. Steiner, Secretion of proinsulin C-peptide by pancreatic beta cells and its circulation in blood, Nature 224: 697–699 (1969).
D.L. Horwitz, J.I. Starr, H.E. Mako, W.G. Blackard, and A.H. Rubenstein, Proinsulin, insulin, C-peptide concentrations in human portal and peripheral blood, J. Clin. Invest. 55: 1278–1283 (1975).
K. Polonsky, J.B. Jaspan, W. Pugh, D. Cohen, M. A. Schneider, T. Schwartz, A.R. Moossa, H. Tager, and A.H. Rubenstein, Metabolism of C-peptide in the dog: in vivo demonstration of the absence of hepatic extraction, J. Clin. Invest. 72: 1114–1123 (1983)
R.W. Stoll, J.L. Touber, L.A. Menahan, R.H. Williams, Clearance of porcine insulin, proinsulin and connecting peptide by the isolated rat liver, Proc. Soc. Exp. Biol. Med. 133: 894–896 (1970).
C. Kulh, O.K. Faber, P. Hornes, and S.L. Jensen, C-peptide metabolism and the liver, Diabetes 27: 197–200 (1978).
D.L. Horwitz, H. Kuzuya, and A.H. Rubenstein, Circulating serum C-peptide. A brief review of diagnostic implications, New Engl. J. Med. 295: 207–209 (1976).
L.H. Heding, Insulin, C-peptide and proinsulin in nondiabetics and insulin treated diabetics. Characterization of the pro- insulin in insulin-treated diabetics, Diabetes 27, Suppl. 1: 178–183 (1978).
K.S. Polonsky, and A.H. Rubenstein, C-peptide as a measure of the secretion and hepatic extraction of insulin. Pitfalls and limitations. Diabetes 33: 486–494 (1984).
W. Waldausl, P. Bratusch-Marrain, S. Gasic, A. Korn, and P. Nowotry, Insulin production rate following glucose ingestion estimated by splanchnic C-peptide output in normal man, Diabetologia 17: 221–227 (1979).
P.R. Bratusch-Marrain, N.K. Waldhausl, S. Gasic, A. Hofer, Hepatic disposal of biosynthetic human insulin and porcine C-peptide in humans, Metabolism 33: 151–157 (1984).
O.K. Faber, C. Hagen, C. Binder, J. Markussen, V.K. Naithani, P.M. Blix, H. Kuzuya, D.L. Horwitz, A.H. Rubenstein, and N. Rossing, Kinetics of human connecting peptide in normal and diabetic subjects, J. Clin. Invest. 62: 197–203 (1978).
R.P. Eaton, R.C. Allen, D.S. Schade, K.H. Erickson, and J. Standefer, Prehepatic insulin production in man; kinetic analysis using peripheral connecting peptide behaviour, J. Clin. Endoc. Metab. 51: 520–528 (1980).
J. Radziuk, The numerical solution from measurement data of linear integral equations of the first kind, Int. J. Num. Meth. Engng. 11: 729–735 (1977).
T. Morishima, K. Polonsky, H. Tager, and J. Radziuk, The measurement and validation of nonsteady C-peptide secretion rate in dogs, Diabetologia (1985).
T. Kuzuya, and A. Matsuda, Disappearance rate of endogenous human C-peptide from blood, Diabetolgia 12: 519–521 (1976).
O.K. Faber, S. Hadsbad, H. Kehlet, and C. Binder, Pancreatic beta cell secretion during oral and intravenous glucose administration, Acta. Medica. Scand. Suppl. 624: 61–64 (1979).
M.T. Meistas, M. Rendell, S. Margolis, and A.A. Kowarski, Estimation of the secretion rate of insulin from the urinary excretion rate of C-peptide: study in obese and diabetic subjects, Diabetes 31: 449–453 (1982).
C.W. Sheppard, “Basic principles of the tracer method,” John Wiley and Sons, Inc., New York (1962).
J. Radziuk, An integral equation approach to meaning turnover in nonsteady compartmental and distributed systems, Bull. Math. Biol. 38: 679–693 (1976).
S.H. Genuth, Metabolic clearance of insulin in man, Diabetes 21: 1003–10102 (1972).
M.P. Stern, J.W. Farquhar, A. Silvers, and G.M. Reaven, Insulin delivery rate into plasma in normal and diabetic subjects, J. Clin Invest. 47: 1947–1957 (1968).
S.W.D. Shen, G.W. Reaven, J.W. Farquhar, Comparison of impedance to insulin-mediated glucose uptake in normal subjects and in subjects with latent diabetes, J. Clin. Invest. 49: 2151–2160 (1970).
J.L. Izzo, A. Roncone, H.J. Izzo, and W.F. Bale, Relationship between degree of iodination of insulin and its biological, electrophorectic and immunochemical properties, J. Biol. Chem. 239: 3749–3754 (1964).
H.A. Ooms, Y. Arnould, U. Rosa, G.F. Pennisi, J.R.H. Franckson, Clearance metabolique globale de l’insuline cristalline et d’insulines substitutees au radioiode, Path. Biol. 16: 241–245 (1968).
E.R. Arquilla, H. Ooms, and K. Mercola, Immunological and biological properties of iodoinsulin labelled with one or less atoms of iodine per molecule, J. Clin. Invest. 47: 474–487 (1968).
R.H. Jones, D.I. Doon, M.J. Ellis, Sonksen, and D. Brandenberg, Biological properties of chemically modifed insulin, 1. Biological activity of proinsulin and insulin modified at A1-glycine and B29-lysine. Diabetologia 12: 601–608 (1976).
T. Blundell, G.G. Dodson, D. Hodgkin, and D. Mercola, Insulin: the structure in the crystal and its reflection in chemistry and biology, Adv. Protein Chem. 26: 279–402 (1972).
R. Geiger, and D. Langner, Insulin-Analoga mit N-terminal verkurzter B-Kette, Selektiner Edmann-Abbau an der B-Kette des Insulins, Hoppe Selyer’s Z, Physiol Chem. 354: 1285–1290 (1973).
M.J. Ellis, R.H. Jones, J.H. Thomas, R. Geizer, V. Teetz, and P.H. Sonksen, B1–3, 5-diiodotyrosine insulin: a valid tracer for insulin, Diabetologia 13: 257–261 (1977).
J.L. Hamlin, E.R. Arquilla, Monoiodoinsulin, preparation, purification and characterization of a biologically active derivative substituted predominantly on tyrosine A14, J. Biol. Chem. 249: 21–32 (1974).
S. Linde, B. Hansen, O. Sonne, J.J. Holst, and J. Gliemann, Tyrosine A14(1251] monoiodoinsulin. Preparation, biologic properties and long term stability, Diabetes 30: 1–8 (1981).
R. Navalesi, A. Pilo, and E. Ferranini, Kinetic analysis of plasma insulin disappearance in nonketotic diabetic patients and in normal subjects. A tracer study with 125I-insulin, J. Clin. Invest. 61: 197–208 (1978).
P. Halban, R.E. Offord, The preparation of a semisynthetic tritiated insulin with a specific radioactivity of up to 2 Curies per millimole, Biochem. J. 151: 219–225 (1975).
P.A. Halban, C. Karakash, J.G. Davies, and R.E. Offord, The degradation of semisynthetic tritiated insulin by perfused mouse livers, Biochem J. 160: 409–412 (1976).
R. Navalesi, A. Pilo, and E. Ferrannini, Kinetic analysis of plasma insulin disappearance in nonketotic diabetic patients and in normal subjects, J. Clin. Invest. 61: 197–208 (1978).
T. Morishima, C. Bradshaw, and J. Radziuk, Measurement and validation of steady state turnover of insulin using tritiated insulin as tracer in dogs-relationship of insulin clearance to concentration, Am. J. Physiol. (in press).
S. Terris, and D.F. Steiner, Binding and degradation of 1251-insulin by rat hepatocytes, J. Biol. Chem. 250: 83–89 (1975).
J. Gliemann, and V. Sonne, Binding and receptor-mediated degradation of insulin in adipocytes, J. Biol. Chem. 253: 7857 (1978).
M. Berger, P.A. Halban, W.A. Muller, R.E. Offord, A.E. Renold, M. Vranic, Mobilization of subcutaneously injected tritiated insulin in rats: effects of muscular excercise, Diabetologia 15: 133–140 (1978).
W.C. Duckworth, Insulin degradation of liver cell membranes, Endocrinology 140: 1758 (1979).
B.I. Posner, B. Patel, A.K. Verma and J.J.M. Bergeron, Uptake of insulin by plasmalemma and Golgi subcellular fractions of rat liver, J. Biol. Chem. 255: 735 (1980).
C.R. Kahn, and K. Baird, The fate of insulin bound to adipocytes. Evidence for compartmentalization and processing, J. Biol. Chem 253: 4900 (1978).
T.R.I. Misbin, J.G. Davies, R.E. Offord, P.A. Halban, and R.D. Mehl, Binding and degradation of semisynthetic tritiated insulin by IM-9 cultured human lymphocytes, Diabetes 29: 730 (1980).
U. Damgaard, and J. Markussen, Analysis of insulins and related compounds by HPLC, Horm. Metab. Res. 11: 580–581 (1979).
A. Dinner, and L. Lorenz, High perforamance liquid chromatographic determination of bovine insulin, Anal. Chem. 51: 1872–1873 (1979).
F.B. Stentz, H.L. Harris, A.E. Kitabchi, Early detection of degraded 125I-insulin in human fibroblasts by the use of high performance liquid chromatography, Diabetes 32: 474–477 (1983).
H.P.J. Bennett, C.A. Browne, P.I. Brubaker, and S. Solomon, A comprehensive approach to the isolation and purification of peptide hormones using only reverse-phase liquid chromatography, in: “Biological/Biomedical Applications of Liquid Chromatography III,” G.L. Hawk, ed., Marcel Dekker, Inc., New York and Basel p. 197–209 (1981).
J. Radziuk, T. Morishima, H.P.J. Bennett, P.A. Halban, and R.E. Offord, The presence of partially-degraded insulin in plasma of dogs. A method of measuring the plasma concentrations of tritiated insulin, Metabolism (in press).
J. Radziuk, and G. Hetenyi, Jr., Modelling and the use of tracers in the analysis and exogenous control of glucose homeostasis, in: “Modelling in Metabolism with Clinical Applications,” D. Cramp, ed., J. Wiley and Sons, London, 1981, p.p. 73–142.
K.G. Tranberg, and H. Dencker, Modelling of fractional disappearance of unlabelled insulin in man, Am. J. Physiol. 235: E577–E585 (1978).
P.A. Insel, J.E. Liljenquist, J.D. Tobin, R.S. Sherwin, P. Watkins, R. Andres, and M. Berman, Insulin control of glucose metabolism in man. A new kinetic analysis, J. Clin. Invest. 55: 1057–1066 (1975).
E.A. McGuire, J.D. Tobin, M. Berman, and T.R. Andres, Kinetic of native insulin in diabetic, obese and aged man, Diabetes 28: 110–120 (1979).
M. Berman, R.A. McGuire, J. Roth, and A.H.J. Zeleznik, Kinetic modelling of insulin binding to receptors and degradation in vivo in the rabbit, Diabetes 29: 50–59 (1980).
K.G. Tranberg, Hepatic uptake of insulin in man, Am. J. Physiol. 237: E509–E518 (1979).
C. Cobelli, G. Felderspil, G. Pacini, W.A. Salvan, and C. Scandellari, Modelling and stimulation of the blood glucose regulation system, in: “Stimulation of Systems,” L. Dekker, G. Savastano and G.C. Vansteenkisto, eds., North Holland, Amsterdam, pp. 675–687 (1979).
P.H. Sonksen, K.N. Jones, C.V. Tompkins, M.C. Srivastara, and J.D.N. Nabarro, The metabolism of insulin in vivo. Excerpta Medica. Int. Congress Series #413, 204–213 (1976)
C.S. Cockram, S. Bahrami, M.A. Bordujerdi, R.N. Jones, and D. Brandenburg, Bl-monoiodoninsulin: a comparison with other tracers, Diabetologia 21: 260 (1981).
R. Navalesi, A. Pilo, and E. Ferrannini, Insulin kinetics after portal and peripheral injection of 125I insulin. II experi- ments in the intact dog, Am. J. Physiol. 230: 1630–1636 (1976).
R.S. Sherwin, K.J. Kramer, J.F.D. Tobin, P.A. Insel, J.E. Liljenquist, M. Berman and R. Andres, A model of the kinetics of insulin in man, J. Clin. Invest. 53: 1481–1492 (1974).
S. Fugleberg, K. Kolendorf, B. Thorsteinsson, H. Bliddal, B. Lund, and F. Bojsen, The relationship between plasma concentrations and plasma disappearance rate of immunoreactive insulin in normal subjects, Diabetologia 22: 437–440 (1982).
J.S. Striffler, and D.L. Curry, Kinetics of insulin clearance by the liver in perfused liver-pancreas, Endoc. Res. Comm. 7: 231–239 (1980).
S.S. Solomon, L.F. Fenster, J.W. Ensinck, and R.H. Williams, Clearance studies of insulin and non-suppressible insulin-like activity in the rat liver, Proc. Soc. Exp. Biol. Med. 126: 116 (1967).
R.I. Misbin, T.J. Merimee, and J.H. Lowenstein, Insulin removal by isolated perfused rat liver, Am. J. Physiol. 230: 171–177 (1976).
T. Morishima, R.E. Offord, and J. Radziuk,x_Time-course of the development of plasma partially-degraded insulin fragments in dog in vivo. Diabetologia (in press).
W.C. Duckworth, K.R. Runyan, R.K. Wright, P.A. Halban, and S.S. Solomon, Insulin degradation by hepatocytes in primary culture, Endocrinology 108: 1142–1147 (1981).
W.C. Duckworth, and A.E. Kitabchi, Insulin metabolism and degradation, Endocrine Reviews 2: 210–233 (1981).
R.I. Misbin, and E.C. Almira, The fate of insulin in rat hepatocytes. Evidence for the release of an immunologically active fragment, Diabetes 33: 355–361 (1984).
R.K. Assoian, H.S. Tager, [(125I) lodotyrosyll] insulin. Semisynthesis, receptor binding, and cell-mediated degradation of a B chain-labelled insulin, J. Biol. Chem. 256: 4042–4049 (1981).
W.C. Duckworth, F. Stentz, M. Heinemann, and A.E. Kitabchi, Initial site of cleavage of insulin by insulin protease, Proc. Natl. Acad. Sci. USA 76: 635 (1979).
P.T. Varandani, and M.A. Nafz, Insulin degradation. XVI. Evidence for the sequential degradative pathway in isolated liver cells, Diabetes 25: 173–179 (1976).
G. Weitzel, K. Eisele, V. Schulz, and W. Stock, Structure and activity of insulin. XII. Further studies on biologically active synthetic fragments of the B chain, Hoppe-Selyer Z., Physiol Chem. 354: 321 (1973).
K. Kikuchi, J. Larner, R.J. Freer, A.R. Day, H. Morris, and A. Dell, Studies on the biological activity of degraded insulins and insulin fragments, J. Biol. Chem. 255: 9281–9288 (1980).
K. Kikuchi, J. Larner, R.J. Freer, and A.R. Day, Effect of insulin fragments in biological activity of insulin and desoctapeptide insulin. 1. Potentiation of biological activities, J. Biol. Chem. 256: 9445–9449 (1981).
J. Larner, G. Galasko, K. Cheng, A.A. DePaoli-Roach, L. Huang, P. Daggy, and J. Kellogg, Generation by insulin of a chemical mediator that controls protein phosphorylation and dephosphorylation, Science 205: 1408 (1979).
J.R. Seals, and L. Jarett, Pyruvate dehydrogenase activation in adipocyte mitochondria by an insulin-generated mediator from muscle, Science 206: 1407–1408 (1979).
R.C. Turner, J.A. Grayburn, G.B. Newman, and J.D.N. Nabarro, Measurement of insulin delivery rate in man, J. Clin. Endocrinol 33: 279–286 (1971).
T. Morishima, C. Bradshaw, and J. Radziuk, Measurement and validation of the post-hepatic rate of insulin appearance under nonsteady state conditions, Am. J. Physiol. (in press).
D.G. Johnston, K.G. H.H. Alberti, O.K. Faber, C. Binder, and R. Wright, Hyperinsulinism of hepatic cirrhosis diminished degradation or hypersecretion? Lancet 1: 10–12 (1977).
R. Rossell, R. Yomis, Casamitjana, R. Segura, E. Vilardell, and F. Rivers, Reduced hepatic insulin extraction in obesity: relationship with plasma insulin levels, J. Clin. Endocrinol. Metab 56: 608–611 (1983).
H.T. Meistas, S. Margolis, and A.A. Kowarski, Hyperinsulinemia of obesity is due to decreased clearance of insulin, Am. J. Physiol. 245: E155–E159 (1983).
D.P. Frost, M.C. Srivastava, R.H. Jones, J.D.N. Nabarro, and P.H. Sonksen, The kinetic of insulin metabolism in diabetes mellitus, Postgrad. Med. J. 49: 949–954 (1973).
E. Bonora, I. Zavaroni, C. Coscelli, and U. Butturini, Decreased hepatic insulin extraction in subjects with mild glucose intolerence, Metabolism 32: 438–446 (1983).
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Radziuk, J., Morishima, T. (1985). New Methods for the Analysis of Insulin Kinetics in Vivo: Insulin Secretion, Degradation, Systemic Dynamics and Hepatic Extraction. In: Vranic, M., Hollenberg, C.H., Steiner, G. (eds) Comparison of Type I and Type II Diabetes. Advances in Experimental Medicine and Biology, vol 189. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1850-8_14
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