Glucagon resistance and decreased susceptibility to diabetes in a model of chronic hyperglucagonemia

Nadejda Bozadjieva Kramer, Camila Lubaczeuski, Manuel Blandino-Rosano, Grant Barker, George K. Gittes, Alejandro Caicedo, Ernesto Bernal-Mizrachi

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Elevation of glucagon levels and increase in a-cell mass are associated with states of hyperglycemia in diabetes. Our previous studies have highlighted the role of nutrient signaling via mTOR complex 1 (mTORC1) regulation that controls glucagon secretion and a-cell mass. In the current studies we investigated the effects of activation of nutrient signaling by conditional deletion of the mTORC1 inhibitor, TSC2, in a-cells (aTSC2KO). We showed that activation of mTORC1 signaling is sufficient to induce chronic hyperglucagonemia as a result of a-cell proliferation, cell size, and mass expansion. Hyperglucagonemia in aTSC2KO was associated with an increase in glucagon content and enhanced glucagon secretion. This model allowed us to identify the effects of chronic hyperglucagonemia on glucose homeostasis by inducing insulin secretion and resistance to glucagon in the liver. Liver glucagon resistance in aTSC2KO mice was characterized by reduced expression of the glucagon receptor (GCGR), PEPCK, and genes involved in amino acid metabolism and urea production. Glucagon resistance in aTSC2KO mice was associated with improved glucose levels in streptozotocin-induced b-cell destruction and high-fat diet–induced glucose intolerance. These studies demonstrate that chronic hyperglucago-nemia can improve glucose homeostasis by inducing glucagon resistance in the liver.

Original languageEnglish (US)
Pages (from-to)477-491
Number of pages15
Issue number2
StatePublished - 2021

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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