The effects of PACAP on hepatic glucose metabolism were examined using
the flow-through perfusion method for fed rat livers, because some of
the glucagon superfamily peptides stimulate hepatic glucose output. G
lucose output was significantly stimulated in a dose-dependent manner
by more than 1 nM PACAP-27. The potency of its stimulation was equal t
o that of PACAP-38, greater than that of VIP, and clearly lower than t
hat of glucagon. The cAMP output was also increased significantly by m
ore than 1 nM PACAP-27; however, the degree and profile of cAMP output
were not in parallel with those of glucose. Theophylline did not affe
ct these stimulatory effects. On the other hand, in the perfusion expe
riment with Ca2+ free perfusate, the degrees of increase in glucose ou
tput induced by 15 and 40 nM PACAP-27 were significantly reduced. In c
onclusion, PACAP stimulates glucose output from the perfused rat liver
, and Ca2+ rather than cAMP plays an important role in this action as
a second messenger.