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Acute Effects of Glucagon on Reproductive Hormone Secretion in Healthy Men

Abstract Context Glucagon increases energy expenditure; consequently, glucagon receptor agonists are in development for the treatment of obesity. Obesity negatively affects the reproductive axis, and hypogonadism itself can exacerbate weight gain. Therefore, knowledge of the effects of glucagon rece...

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Published in:The journal of clinical endocrinology and metabolism 2020-06, Vol.105 (6), p.1899-1905
Main Authors: Izzi-Engbeaya, Chioma, Jones, Sophie, Crustna, Yoshibye, Machenahalli, Pratibha C, Papadopoulou, Deborah, Modi, Manish, Starikova, Jessica, Chan, Derek, Eng, Pei Chia, Phylactou, Maria, Ratnasabapathy, Risheka, Mills, Edouard, Yang, Lisa, Pacuszka, Ewa, Bech, Paul, Minnion, James, Tharakan, George, Tan, Tricia, Veldhuis, Johannes, Abbara, Ali, Comninos, Alexander N, Dhillo, Waljit S
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cited_by cdi_FETCH-LOGICAL-c5624-708c03e2396955996006c790ef39d9308883da45093ca69112963e6e2d9308043
cites cdi_FETCH-LOGICAL-c5624-708c03e2396955996006c790ef39d9308883da45093ca69112963e6e2d9308043
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container_issue 6
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container_title The journal of clinical endocrinology and metabolism
container_volume 105
creator Izzi-Engbeaya, Chioma
Jones, Sophie
Crustna, Yoshibye
Machenahalli, Pratibha C
Papadopoulou, Deborah
Modi, Manish
Starikova, Jessica
Chan, Derek
Eng, Pei Chia
Phylactou, Maria
Ratnasabapathy, Risheka
Mills, Edouard
Yang, Lisa
Pacuszka, Ewa
Bech, Paul
Minnion, James
Tharakan, George
Tan, Tricia
Veldhuis, Johannes
Abbara, Ali
Comninos, Alexander N
Dhillo, Waljit S
description Abstract Context Glucagon increases energy expenditure; consequently, glucagon receptor agonists are in development for the treatment of obesity. Obesity negatively affects the reproductive axis, and hypogonadism itself can exacerbate weight gain. Therefore, knowledge of the effects of glucagon receptor agonism on reproductive hormones is important for developing therapeutics for obesity; but reports in the literature about the effects of glucagon receptor agonism on the reproductive axis are conflicting. Objective The objective of this work is to investigate the effect of glucagon administration on reproductive hormone secretion in healthy young men. Design A single-blinded, randomized, placebo-controlled crossover study was conducted. Setting The setting of this study was the Clinical Research Facility, Imperial College Healthcare NHS Trust. Participants Eighteen healthy eugonadal men (mean ± SEM: age 25.1 ± 1.0 years; body mass index 22.5 ± 0.4 kg/m2; testosterone 21.2 ± 1.2 nmol/L) participated in this study. Intervention An 8-hour intravenous infusion of 2 pmol/kg/min glucagon or rate-matched vehicle infusion was administered. Main Outcome Measures Luteinizing hormone (LH) pulsatility; LH, follicle-stimulating hormone (FSH), and testosterone levels were measured. Results Although glucagon administration induced metabolic effects (insulin area under the curve: vehicle 1065 ± 292 min.µU/mL vs glucagon 2098 ± 358 min.µU/mL, P 
doi_str_mv 10.1210/clinem/dgaa164
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Obesity negatively affects the reproductive axis, and hypogonadism itself can exacerbate weight gain. Therefore, knowledge of the effects of glucagon receptor agonism on reproductive hormones is important for developing therapeutics for obesity; but reports in the literature about the effects of glucagon receptor agonism on the reproductive axis are conflicting. Objective The objective of this work is to investigate the effect of glucagon administration on reproductive hormone secretion in healthy young men. Design A single-blinded, randomized, placebo-controlled crossover study was conducted. Setting The setting of this study was the Clinical Research Facility, Imperial College Healthcare NHS Trust. Participants Eighteen healthy eugonadal men (mean ± SEM: age 25.1 ± 1.0 years; body mass index 22.5 ± 0.4 kg/m2; testosterone 21.2 ± 1.2 nmol/L) participated in this study. Intervention An 8-hour intravenous infusion of 2 pmol/kg/min glucagon or rate-matched vehicle infusion was administered. Main Outcome Measures Luteinizing hormone (LH) pulsatility; LH, follicle-stimulating hormone (FSH), and testosterone levels were measured. Results Although glucagon administration induced metabolic effects (insulin area under the curve: vehicle 1065 ± 292 min.µU/mL vs glucagon 2098 ± 358 min.µU/mL, P &lt; .001), it did not affect LH pulsatility (number of LH pulses/500 min: vehicle 4.7 ± 0.4, glucagon 4.2 ± 0.4, P = .22). Additionally, there were no significant differences in circulating LH, FSH, or testosterone levels during glucagon administration compared with vehicle administration. Conclusions Acute administration of a metabolically active dose of glucagon does not alter reproductive hormone secretion in healthy men. These data are important for the continued development of glucagon-based treatments for obesity.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/clinem/dgaa164</identifier><identifier>PMID: 32232363</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Acute effects ; Adult ; Biological control systems ; Biomarkers - metabolism ; Body mass index ; Body weight gain ; Clinical s ; Cross-Over Studies ; Energy expenditure ; Follicle Stimulating Hormone - metabolism ; Follicle-stimulating hormone ; Gastrointestinal Agents - administration &amp; dosage ; Glucagon ; Glucagon - administration &amp; dosage ; Health aspects ; Hormones ; Humans ; Hypogonadism ; Insulin ; Intravenous administration ; Luteinizing hormone ; Luteinizing Hormone - drug effects ; Luteinizing Hormone - metabolism ; Male ; Obesity ; Prognosis ; Properties ; Reproduction ; Secretion ; Single-Blind Method ; Testosterone ; Testosterone - metabolism</subject><ispartof>The journal of clinical endocrinology and metabolism, 2020-06, Vol.105 (6), p.1899-1905</ispartof><rights>Endocrine Society 2020. 2020</rights><rights>Copyright © Oxford University Press 2015</rights><rights>Endocrine Society 2020.</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5624-708c03e2396955996006c790ef39d9308883da45093ca69112963e6e2d9308043</citedby><cites>FETCH-LOGICAL-c5624-708c03e2396955996006c790ef39d9308883da45093ca69112963e6e2d9308043</cites><orcidid>0000-0003-2795-5256 ; 0000-0001-5950-4316 ; 0000-0001-7599-0166 ; 0000-0001-5873-3432 ; 0000-0002-4987-1224 ; 0000-0002-7104-2297</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32232363$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Izzi-Engbeaya, Chioma</creatorcontrib><creatorcontrib>Jones, Sophie</creatorcontrib><creatorcontrib>Crustna, Yoshibye</creatorcontrib><creatorcontrib>Machenahalli, Pratibha C</creatorcontrib><creatorcontrib>Papadopoulou, Deborah</creatorcontrib><creatorcontrib>Modi, Manish</creatorcontrib><creatorcontrib>Starikova, Jessica</creatorcontrib><creatorcontrib>Chan, Derek</creatorcontrib><creatorcontrib>Eng, Pei Chia</creatorcontrib><creatorcontrib>Phylactou, Maria</creatorcontrib><creatorcontrib>Ratnasabapathy, Risheka</creatorcontrib><creatorcontrib>Mills, Edouard</creatorcontrib><creatorcontrib>Yang, Lisa</creatorcontrib><creatorcontrib>Pacuszka, Ewa</creatorcontrib><creatorcontrib>Bech, Paul</creatorcontrib><creatorcontrib>Minnion, James</creatorcontrib><creatorcontrib>Tharakan, George</creatorcontrib><creatorcontrib>Tan, Tricia</creatorcontrib><creatorcontrib>Veldhuis, Johannes</creatorcontrib><creatorcontrib>Abbara, Ali</creatorcontrib><creatorcontrib>Comninos, Alexander N</creatorcontrib><creatorcontrib>Dhillo, Waljit S</creatorcontrib><title>Acute Effects of Glucagon on Reproductive Hormone Secretion in Healthy Men</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Abstract Context Glucagon increases energy expenditure; consequently, glucagon receptor agonists are in development for the treatment of obesity. Obesity negatively affects the reproductive axis, and hypogonadism itself can exacerbate weight gain. Therefore, knowledge of the effects of glucagon receptor agonism on reproductive hormones is important for developing therapeutics for obesity; but reports in the literature about the effects of glucagon receptor agonism on the reproductive axis are conflicting. Objective The objective of this work is to investigate the effect of glucagon administration on reproductive hormone secretion in healthy young men. Design A single-blinded, randomized, placebo-controlled crossover study was conducted. Setting The setting of this study was the Clinical Research Facility, Imperial College Healthcare NHS Trust. Participants Eighteen healthy eugonadal men (mean ± SEM: age 25.1 ± 1.0 years; body mass index 22.5 ± 0.4 kg/m2; testosterone 21.2 ± 1.2 nmol/L) participated in this study. Intervention An 8-hour intravenous infusion of 2 pmol/kg/min glucagon or rate-matched vehicle infusion was administered. Main Outcome Measures Luteinizing hormone (LH) pulsatility; LH, follicle-stimulating hormone (FSH), and testosterone levels were measured. Results Although glucagon administration induced metabolic effects (insulin area under the curve: vehicle 1065 ± 292 min.µU/mL vs glucagon 2098 ± 358 min.µU/mL, P &lt; .001), it did not affect LH pulsatility (number of LH pulses/500 min: vehicle 4.7 ± 0.4, glucagon 4.2 ± 0.4, P = .22). Additionally, there were no significant differences in circulating LH, FSH, or testosterone levels during glucagon administration compared with vehicle administration. Conclusions Acute administration of a metabolically active dose of glucagon does not alter reproductive hormone secretion in healthy men. These data are important for the continued development of glucagon-based treatments for obesity.</description><subject>Acute effects</subject><subject>Adult</subject><subject>Biological control systems</subject><subject>Biomarkers - metabolism</subject><subject>Body mass index</subject><subject>Body weight gain</subject><subject>Clinical s</subject><subject>Cross-Over Studies</subject><subject>Energy expenditure</subject><subject>Follicle Stimulating Hormone - metabolism</subject><subject>Follicle-stimulating hormone</subject><subject>Gastrointestinal Agents - administration &amp; dosage</subject><subject>Glucagon</subject><subject>Glucagon - administration &amp; dosage</subject><subject>Health aspects</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hypogonadism</subject><subject>Insulin</subject><subject>Intravenous administration</subject><subject>Luteinizing hormone</subject><subject>Luteinizing Hormone - drug effects</subject><subject>Luteinizing Hormone - metabolism</subject><subject>Male</subject><subject>Obesity</subject><subject>Prognosis</subject><subject>Properties</subject><subject>Reproduction</subject><subject>Secretion</subject><subject>Single-Blind Method</subject><subject>Testosterone</subject><subject>Testosterone - metabolism</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFkdtrFDEUxoModq2--igDvujDtieXyUxehKXUrlIRvIBvIWbO7KZmkjWZael_b7a71gsVSSCQ73e-5JyPkKcUjiijcGy9CzgcdytjqBT3yIwqUc8bqpr7ZAbA6Fw17MsBeZTzBQAVouYPyQFnjDMu-Yy8XdhpxOq079GOuYp9deYna1YxVGV_wE2K3WRHd4nVMqYhBqw-ok04uiK7UC3R-HF9Xb3D8Jg86I3P-GR_HpLPr08_nSzn5-_P3pwszue2lkzMG2gtcGRcSVXXSkkAaRsF2HPVKQ5t2_LOiBoUt0YqSpmSHCWyGxEEPySvdr6b6euAncUwJuP1JrnBpGsdjdN_KsGt9Spe6oa2jLKtwYu9QYrfJ8yjHly26L0JGKesGW9r1lBgdUGf_4VexCmF0p5mAmoupGjgF7UyHrULfSzv2q2pXkiuWgVMNIU6uoMqq8PB2TLZ3pX7uwpsijkn7G97pKC36etd-nqffil49vtkbvGfcReA7YCr6EdM-ZufrjDp9U2I_3Z9uSuK0-Z_P_gBwkvJJA</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Izzi-Engbeaya, Chioma</creator><creator>Jones, Sophie</creator><creator>Crustna, Yoshibye</creator><creator>Machenahalli, Pratibha C</creator><creator>Papadopoulou, Deborah</creator><creator>Modi, Manish</creator><creator>Starikova, Jessica</creator><creator>Chan, Derek</creator><creator>Eng, Pei Chia</creator><creator>Phylactou, Maria</creator><creator>Ratnasabapathy, Risheka</creator><creator>Mills, Edouard</creator><creator>Yang, Lisa</creator><creator>Pacuszka, Ewa</creator><creator>Bech, Paul</creator><creator>Minnion, James</creator><creator>Tharakan, George</creator><creator>Tan, Tricia</creator><creator>Veldhuis, Johannes</creator><creator>Abbara, Ali</creator><creator>Comninos, Alexander N</creator><creator>Dhillo, Waljit S</creator><general>Oxford University Press</general><general>Copyright Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2795-5256</orcidid><orcidid>https://orcid.org/0000-0001-5950-4316</orcidid><orcidid>https://orcid.org/0000-0001-7599-0166</orcidid><orcidid>https://orcid.org/0000-0001-5873-3432</orcidid><orcidid>https://orcid.org/0000-0002-4987-1224</orcidid><orcidid>https://orcid.org/0000-0002-7104-2297</orcidid></search><sort><creationdate>20200601</creationdate><title>Acute Effects of Glucagon on Reproductive Hormone Secretion in Healthy Men</title><author>Izzi-Engbeaya, Chioma ; Jones, Sophie ; Crustna, Yoshibye ; Machenahalli, Pratibha C ; Papadopoulou, Deborah ; Modi, Manish ; Starikova, Jessica ; Chan, Derek ; Eng, Pei Chia ; Phylactou, Maria ; Ratnasabapathy, Risheka ; Mills, Edouard ; Yang, Lisa ; Pacuszka, Ewa ; Bech, Paul ; Minnion, James ; Tharakan, George ; Tan, Tricia ; Veldhuis, Johannes ; Abbara, Ali ; Comninos, Alexander N ; Dhillo, Waljit S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5624-708c03e2396955996006c790ef39d9308883da45093ca69112963e6e2d9308043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute effects</topic><topic>Adult</topic><topic>Biological control systems</topic><topic>Biomarkers - metabolism</topic><topic>Body mass index</topic><topic>Body weight gain</topic><topic>Clinical s</topic><topic>Cross-Over Studies</topic><topic>Energy expenditure</topic><topic>Follicle Stimulating Hormone - metabolism</topic><topic>Follicle-stimulating hormone</topic><topic>Gastrointestinal Agents - administration &amp; dosage</topic><topic>Glucagon</topic><topic>Glucagon - administration &amp; dosage</topic><topic>Health aspects</topic><topic>Hormones</topic><topic>Humans</topic><topic>Hypogonadism</topic><topic>Insulin</topic><topic>Intravenous administration</topic><topic>Luteinizing hormone</topic><topic>Luteinizing Hormone - drug effects</topic><topic>Luteinizing Hormone - metabolism</topic><topic>Male</topic><topic>Obesity</topic><topic>Prognosis</topic><topic>Properties</topic><topic>Reproduction</topic><topic>Secretion</topic><topic>Single-Blind Method</topic><topic>Testosterone</topic><topic>Testosterone - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Izzi-Engbeaya, Chioma</creatorcontrib><creatorcontrib>Jones, Sophie</creatorcontrib><creatorcontrib>Crustna, Yoshibye</creatorcontrib><creatorcontrib>Machenahalli, Pratibha C</creatorcontrib><creatorcontrib>Papadopoulou, Deborah</creatorcontrib><creatorcontrib>Modi, Manish</creatorcontrib><creatorcontrib>Starikova, Jessica</creatorcontrib><creatorcontrib>Chan, Derek</creatorcontrib><creatorcontrib>Eng, Pei Chia</creatorcontrib><creatorcontrib>Phylactou, Maria</creatorcontrib><creatorcontrib>Ratnasabapathy, Risheka</creatorcontrib><creatorcontrib>Mills, Edouard</creatorcontrib><creatorcontrib>Yang, Lisa</creatorcontrib><creatorcontrib>Pacuszka, Ewa</creatorcontrib><creatorcontrib>Bech, Paul</creatorcontrib><creatorcontrib>Minnion, James</creatorcontrib><creatorcontrib>Tharakan, George</creatorcontrib><creatorcontrib>Tan, Tricia</creatorcontrib><creatorcontrib>Veldhuis, Johannes</creatorcontrib><creatorcontrib>Abbara, Ali</creatorcontrib><creatorcontrib>Comninos, Alexander N</creatorcontrib><creatorcontrib>Dhillo, Waljit S</creatorcontrib><collection>Oxford University Press Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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consequently, glucagon receptor agonists are in development for the treatment of obesity. Obesity negatively affects the reproductive axis, and hypogonadism itself can exacerbate weight gain. Therefore, knowledge of the effects of glucagon receptor agonism on reproductive hormones is important for developing therapeutics for obesity; but reports in the literature about the effects of glucagon receptor agonism on the reproductive axis are conflicting. Objective The objective of this work is to investigate the effect of glucagon administration on reproductive hormone secretion in healthy young men. Design A single-blinded, randomized, placebo-controlled crossover study was conducted. Setting The setting of this study was the Clinical Research Facility, Imperial College Healthcare NHS Trust. Participants Eighteen healthy eugonadal men (mean ± SEM: age 25.1 ± 1.0 years; body mass index 22.5 ± 0.4 kg/m2; testosterone 21.2 ± 1.2 nmol/L) participated in this study. Intervention An 8-hour intravenous infusion of 2 pmol/kg/min glucagon or rate-matched vehicle infusion was administered. Main Outcome Measures Luteinizing hormone (LH) pulsatility; LH, follicle-stimulating hormone (FSH), and testosterone levels were measured. Results Although glucagon administration induced metabolic effects (insulin area under the curve: vehicle 1065 ± 292 min.µU/mL vs glucagon 2098 ± 358 min.µU/mL, P &lt; .001), it did not affect LH pulsatility (number of LH pulses/500 min: vehicle 4.7 ± 0.4, glucagon 4.2 ± 0.4, P = .22). Additionally, there were no significant differences in circulating LH, FSH, or testosterone levels during glucagon administration compared with vehicle administration. Conclusions Acute administration of a metabolically active dose of glucagon does not alter reproductive hormone secretion in healthy men. These data are important for the continued development of glucagon-based treatments for obesity.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32232363</pmid><doi>10.1210/clinem/dgaa164</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2795-5256</orcidid><orcidid>https://orcid.org/0000-0001-5950-4316</orcidid><orcidid>https://orcid.org/0000-0001-7599-0166</orcidid><orcidid>https://orcid.org/0000-0001-5873-3432</orcidid><orcidid>https://orcid.org/0000-0002-4987-1224</orcidid><orcidid>https://orcid.org/0000-0002-7104-2297</orcidid><oa>free_for_read</oa></addata></record>
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ispartof The journal of clinical endocrinology and metabolism, 2020-06, Vol.105 (6), p.1899-1905
issn 0021-972X
1945-7197
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7182124
source Oxford Journals Online
subjects Acute effects
Adult
Biological control systems
Biomarkers - metabolism
Body mass index
Body weight gain
Clinical s
Cross-Over Studies
Energy expenditure
Follicle Stimulating Hormone - metabolism
Follicle-stimulating hormone
Gastrointestinal Agents - administration & dosage
Glucagon
Glucagon - administration & dosage
Health aspects
Hormones
Humans
Hypogonadism
Insulin
Intravenous administration
Luteinizing hormone
Luteinizing Hormone - drug effects
Luteinizing Hormone - metabolism
Male
Obesity
Prognosis
Properties
Reproduction
Secretion
Single-Blind Method
Testosterone
Testosterone - metabolism
title Acute Effects of Glucagon on Reproductive Hormone Secretion in Healthy Men
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