1998
DOI: 10.1007/s001250050992
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Neonatal de-afferentation of capsaicin-sensitive sensory nerves increases in vivo insulin sensitivity in conscious adult rats

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Cited by 44 publications
(35 citation statements)
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“…While the reduced glucose-mediated insulin response in CAP rats might be the result of absence of tonic activation of vagal afferents by gut hormones [17,18], one implication of these findings is that CAP rats are more insulin-sensitive than VEH controls. This idea is in agreement with the findings of Koopmans et al [11], who observed increased whole body insulin action in CAP rats under euglycemic hyperinsulinemic clamp conditions.…”
Section: Discussionsupporting
confidence: 94%
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“…While the reduced glucose-mediated insulin response in CAP rats might be the result of absence of tonic activation of vagal afferents by gut hormones [17,18], one implication of these findings is that CAP rats are more insulin-sensitive than VEH controls. This idea is in agreement with the findings of Koopmans et al [11], who observed increased whole body insulin action in CAP rats under euglycemic hyperinsulinemic clamp conditions.…”
Section: Discussionsupporting
confidence: 94%
“…Although we have not performed a full analysis of plasma corticosterone levels over the course of the IVGTT, it might be possible that this reduced plasma corticosterone level underlies the increased insulin sensitivity in CAP rats. A lower corticosterone response in CAP rats was previously observed by Koopmans et al [11], and, together with the data in the present study, this suggests a role for vagal afferents and/or sensory nerves in the activation of the HPA axis during hyperglycemia. It seems likely that vagal afferents normally convey stimulatory actions of gut hormones, such as CCK, on HPA axis activity [24].…”
Section: Discussionsupporting
confidence: 91%
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“…This could be explained as a consequence of the potentiated insulin secretion but also by an increased insulin action because a similar increased elimination was found in streptozotocin diabetic rats [109]. The glucose disposal during recent euglycaemic, hyperinsulinaemic clamp studies was also increased in capsaicin-treated rats [110]. These results imply that the peripheral action of insulin is likewise dependent on intact sensory nerves, which is supported by in vitro studies showing that CGRP reduces the action of insulin [111].…”
Section: Sensory Nervesmentioning
confidence: 61%
“…Animal studies suggest that capsaicin-sensitive sensory neurons play a role in the regulation of glucose tolerance and insulin sensitivity (66). These findings suggest that defective neurogenic vasodilation, in addition to its pathophysiological role in causing complications, could be responsible for as much as 25% of impaired insulin sensitivity (67,68). Avogaro et al (69) and others question its significance.…”
Section: Vinik and Associatesmentioning
confidence: 99%