M. Ahloulay et al., INFLUENCE OF GLUCAGON ON GFR AND ON UREA AND ELECTROLYTE EXCRETION - DIRECT AND INDIRECT EFFECTS, American journal of physiology. Renal, fluid and electrolyte physiology, 38(2), 1995, pp. 225-235
Clearance experiments were performed in anesthetized male Wistar rats
to determine the level of peripheral glucagon concentration required t
o elicit changes in glomerular filtration rate (GFR) and in solute exc
retion. Glucagon was intravenously infused at a rate of 1.25 (group G-
1, n = 8), 3.75 (group G-3, n = 7), or 12.5 (group G-10, n = 7) ng . m
in(-1) . 100 g body wt(-1) for 100 min. Measurements were performed be
fore, during, and after this infusion. Group G-10 resulted in a plasma
concentration of glucagon severalfold higher than usually observed in
peripheral blood after a protein meal but normal for the hepatic circ
ulation. Group G-10 simultaneously increased GFR, plasma adenosine 3',
5'-cyclic monophosphate (cAMP) concentration, and the excretion of wat
er (i.e., urinary flow rate), Na, Cl, PO4, K, and urea. Some of the ef
fects of glucagon on electrolyte excretion were also observed with gro
up G(-1) and/or G-3 and were fully reversible, suggesting a direct ren
al action of glucagon. The significant and reversible increase in K ex
cretion in group G-3 suggests that glucagon exerts a direct stimulator
y influence on K secretion in the distal nephron. Increases in urinary
flow rate, PO4, Na, and urea fractional excretions were seen with gro
up G-10 only and were not reversible, suggesting an indirect action of
glucagon on the proximal tubule. Because glucagon stimulates cAMP for
mation in hepatocytes and because this cAMP is released in the blood a
nd secreted by proximal tubule cells, cAMP of hepatic origin could ind
uce a parathyroid hormone-like effect in this nephron segment. In summ
ary, these experiments suggest that glucagon influences different aspe
cts of renal function by a combination of direct and indirect (probabl
y liver-dependent) effects.