Hepatic glucagon action : beyond glucose mobilization

Glucagon's ability to promote hepatic glucose production has been known for over a century, with initial observations touting this hormone as a diabetogenic agent. However, glucagon receptor agonism [when balanced with an incretin, including glucagon-like peptide 1 (GLP-1) to dampen glucose excursions] is now being developed as a promising therapeutic target in the treatment of metabolic diseases, like metabolic dysfunction-associated steatotic disease/metabolic dysfunction-associated steatohepatitis (MASLD/MASH), and may also have benefit for obesity and chronic kidney disease. Conventionally regarded as the opposing tag-team partner of the anabolic mediator insulin, glucagon is gradually emerging as more than just a "catabolic hormone." Glucagon action on glucose homeostasis within the liver has been well characterized. However, growing evidence, in part thanks to new and sensitive "omics" technologies, has implicated glucagon as more than just a "glucose liberator." Elucidation of glucagon's capacity to increase fatty acid oxidation while attenuating endogenous lipid synthesis speaks to the dichotomous nature of the hormone. Furthermore, glucagon action is not limited to just glucose homeostasis and lipid metabolism, as traditionally reported. Glucagon plays key regulatory roles in hepatic amino acid and ketone body metabolism, as well as mitochondrial turnover and function, indicating broader glucagon signaling consequences for metabolic homeostasis mediated by the liver. Here we examine the broadening role of glucagon signaling within the hepatocyte and question the current dogma, to appreciate glucagon as more than just that "catabolic hormone.".

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:104

Enthalten in:

Physiological reviews - 104(2024), 3 vom: 01. Apr., Seite 1021-1060

Sprache:

Englisch

Beteiligte Personen:

Kajani, Sarina [VerfasserIn]
Laker, Rhianna C [VerfasserIn]
Ratkova, Ekaterina [VerfasserIn]
Will, Sarah [VerfasserIn]
Rhodes, Christopher J [VerfasserIn]

Links:

Volltext

Themen:

9007-92-5
Glucagon
Glucose
Glucose production
IY9XDZ35W2
Journal Article
Lipogenesis
Liver
Metabolism
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 25.04.2024

Date Revised 25.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1152/physrev.00028.2023

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36789825X