J. Lindfeldt et al., GLUCOSE-HOMEOSTASIS AFTER PERI-ARTERIAL HEPATIC DENERVATION IN PARTIALLY HEPATECTOMIZED RATS, Research in experimental medicine, 193(6), 1993, pp. 397-405
Peri-arterial hepatic denervation did not change the lour basal plasma
glucose levels on the 1st post-operative day in partially hepatectomi
zed animals. On the 2nd post-operative day, the denervated animals had
significantly higher basal plasma glucose levels than innervated anim
als. Basal plasma insulin levels were similar in both resected groups,
suggesting a relative hyperinsulinemia in the innervated group. Basal
plasma glucagon levels were similar in all groups on the 1st post-ope
rative day, but were significantly raised on the 2nd post-operative da
y in the two resected groups. After i.v. glucose (0.5 g/kg b.w.) on th
e 1st post-operative day, or glucagon (10 mu g/kg b.w.) on the 2nd pos
t-operative day, the absolute increments and eliminations of glucose a
nd insulin were similar in all groups. We conclude that the hypoglycem
ia observed after partial hepatectomy is not only due to the evident l
oss of glycogen stores, but is also mediated by mechanisms dependent o
n the peri-arterial hepatic nerves, possibly through an effect on basa
l plasma insulin levels.