Differential effects of vagus nerve stimulation strategies on glycemia and pancreatic secretions
PHYSIOLOGICAL REPORTS
Authors: Payne, Sophie C.; Ward, Glenn; MacIsaac, Richard J.; Hyakumura, Tomoko; Fallon, James B.; Villalobos, Joel
Abstract
Despite advancements in pharmacotherapies, glycemia is poorly controlled in type 2 diabetic patients. As the vagus nerve regulates energy metabolism, here we evaluated the effect various electrical vagus nerve stimulation strategies have on glycemia and glucose-regulating hormones, as a first step to developing a novel therapy of type 2 diabetes. Sprague-Dawley rats were anesthetized, the abdominal (anterior) vagus nerve implanted, and various stimulation strategies applied to the nerve: (a) 15 Hz; (b) 4 kHz, or 40 kHz and; (c) a combination of 15 Hz and 40 kHz to directionally activate afferent or efferent vagal fibers. Following a glucose bolus (500 mg/kg, I.V.), stimulation strategies were applied (60 min) and serial blood samples taken. No stimulation was used as a crossover control sequence. Applying 15 Hz stimulation significantly increased glucose (+2.9 +/- 0.2 mMhr, p = .015) and glucagon (+17.1 +/- 8.0 pghr/ml, p = .022), compared to no stimulation. Application of 4 kHz stimulation also significantly increased glucose levels (+1.5 +/- 0.5 mMhr, p = .049), while 40 kHz frequency stimulation resulted in no changes to glucose levels but did significantly lower glucagon (-12.3 +/- 1.1 pghr/ml, p = .0009). Directional afferent stimulation increased glucose (+2.4 +/- 1.5 mMhr) and glucagon levels (+39.5 +/- 15.0 pghr/ml). Despite hyperglycemia resulting when VNS, aVNS, and 4 kHz stimulation strategies were applied, the changes in insulin levels were not significant (p >= .05). In summary, vagus nerve stimulation modulates glycemia by effecting glucagon and insulin secretions, and high-frequency 40 kHz stimulation may have potential application for the treatment of type 2 diabetes.
Quantitative Analysis of Somatostatin and Dopamine Receptors Gene Expression Levels in Non-functioning Pituitary Tumors and Association with Clinical and Molecular Aggressiveness Features
JOURNAL OF CLINICAL MEDICINE
Authors: Flores-Martinez, Alvaro; Venegas-Moreno, Eva; Dios, Elena; Remon-Ruiz, Pablo; Gros-Herguido, Noelia; Vazquez-Borrego, M. Carmen; Madrazo-Atutxa, Ainara; Japon, Miguel A.; Kaen, Ariel; Cardenas-Valdepenas, Eugenio; Roldan, Florinda; Castano, Justo P.; Luque, Raul M.; Cano, David A.; Soto-Moreno, Alfonso
Abstract
The primary treatment for non-functioning pituitary tumors (NFPTs) is surgery, but it is often unsuccessful. Previous studies have reported that NFPTs express receptors for somatostatin (SST1-5) and dopamine (DRDs) providing a rationale for the use of dopamine agonists and somatostatin analogues. Here, we systematically assessed SST1-5 and DRDs expression by real-time quantitative PCR (RT-qPCR) in a large group of patients with NFPTs (n = 113) and analyzed their potential association with clinical and molecular aggressiveness features. SST1-5 expression was also evaluated by immunohistochemistry. SST3 was the predominant SST subtype detected, followed by SST2, SST5, and SST1. DRD2 was the dominant DRD subtype, followed by DRD4, DRD5, and DRD1. A substantial proportion of NFPTs displayed marked expression of SST2 and SST5. No major association between SSTs and DRDs expression and clinical and molecular aggressiveness features was observed in NFPTs.