Skip to main content
Log in

Anomalous plasma cyclic AMP responses to glucagon in patients with liver disease

  • Original Articles
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

The purpose of the present study is to show anomalies of the plasma cAMP response of patients with hepatic disorders to a single injection of a low dose of glucagon (1 μg/kg body wt). The response was markedly blunted in patients with liver cirrhosis and potentiated in patients with acute or chronic hepatitis. This glucagon test is, therefore, promising for development as a simple diagnostic means without undertaking liver biopsy to distinguish cirrhosis from chronic hepatitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Broadus AE, Hardman JG, Kaminsky NI, Ball JH, Sutherland EW, Liddle GW: Extracellular cyclic nucleotides. Ann NY Acad Sci 185:50–66, 1971

    Google Scholar 

  2. Broadus AE, Kaminsky NI, Northcutt RC, Hardman JG, Sutherland EW, Liddle GW: Effect of glucagon on adenosine 3′,5′-monophosphate and guanosine 3′,5′-monophophate in human plasma and urine. J Clin Invest 49:2237–2245, 1970

    Google Scholar 

  3. Liljenquist JE, Bomboy JD, Lewis SB, Sinclair-Smith BC, Felts PW, Lacy WW, Crofford OB, Liddle GW: Effect of glucagon on net splanchnic cyclic AMP production in normal and diabetic men. J Clin Invest 53:198–204, 1974

    Google Scholar 

  4. Hendy GN, Tomlinson S, O'Riordan JLH: Impaired responsiveness to the effect of glucagon on plasma adenosine 3′∶5′-cyclic monophosphate in normal man. Eur J Clin Invest 7:155–160, 1977

    Google Scholar 

  5. Madsen SN: Thyroid function and plasma cyclic AMP response to intravenous glucagon. Acta Endocrinol 85:760–768, 1977

    Google Scholar 

  6. Adler M, Robberecht P, Poitevin MG, Christophe J: Plasma cyclic AMP levels during a secretin-caerulein pancreatic function test in liver and pancreatic disease. Gut 19:214–219, 1978

    Google Scholar 

  7. Strange RC, Mjøs OD: The sources of plasma cyclic AMP: Studies in the rat using isoprenaline, nicotinic acid and glucagon. Eur J Clin Invest 5:147–152, 1975

    Google Scholar 

  8. Jerums G, Hardy KJ, Eisman JA: The cyclic AMP response to glucagon. Comparison of tissue and plasma cyclic AMP levels in the rabbit. Diabetes 26:81–88, 1977

    Google Scholar 

  9. Honma M, Satoh T, Takezawa J, Ui M: An ultrasensitive method for the simultaneous determination of cyclic AMP and cyclic GMP in small-volume samples from blood and tissue. Biochem Med. 18:257–273, 1977

    Google Scholar 

  10. Kunitada S, Honma M, Ui M: Increases in plasma cyclic AMP dependent on endogenous catecholamines. Eur J Pharmacol 48:159–169, 1978

    Google Scholar 

  11. Honma M, Ui M: In press

  12. Davies TF, Prudhoe K, Douglas AP: Plasma cyclic adenosine-3′,5′-monophosphate response to glucagon in patients with liver disease. Br Med J 1:931–933, 1976

    Google Scholar 

  13. Francavilla A, Pansini F, Sansone F, Albano O, Martellotta G: Effect of glucagon infusion on plasma cyclic AMP in patients with cholestatic hepatitis and obstructive jaundice. New test of hepatic cholestasis. Clin Chim Acta 75:351–357, 1977

    Google Scholar 

  14. Marco J, Diego J, Villanueva ML, Díaz-Fierros M, Valverde I, Segovia JM: Elevated plasma glucagon levels in cirrhosis of the liver. N Engl J Med 289:1107–1111, 1973

    Google Scholar 

  15. Sherwin R, Joshi P, Hendler R, Felig P, Conn HO: Hyperglucagonemia in Laennec's cirrhosis. N Engl J Med 290:239–242, 1974

    Google Scholar 

  16. Craven PA, DeRubertis FR: Hyperglucagonemia and altered responsiveness of hepatic adenylate cyclase-adenosine 3′,5′-monophosphate system to hormonal stimulation during chronic ingestion ofdl-ethionine. Biochim Biophys Acta 497:415–427, 1977

    Google Scholar 

  17. Francavilla A, Jones AF, Starzl TE: Cyclic AMP metabolism and adenylate cyclase concentration in patients with advanced hepatic cirrhosis. Gastroenterology 75:1026–1032, 1978

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Maekubo, H., Matsushima, T., Okada, F. et al. Anomalous plasma cyclic AMP responses to glucagon in patients with liver disease. Digest Dis Sci 25, 700–704 (1980). https://doi.org/10.1007/BF01308330

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01308330

Keywords

Navigation