Opioid antagonism alters blood glucose homeostasis during exercise in humans

J Appl Physiol (1985). 1994 Jun;76(6):2452-60. doi: 10.1152/jappl.1994.76.6.2452.

Abstract

In an attempt to clarify the role of endogenous opioid peptides in substrate mobilization and hormonal responses to dynamic exercise, eight trained cyclists completed exercise trials at 90% of maximal O2 consumption (VO2max) until exhaustion and at 70% VO2max for 90 min. Trials were conducted after intravenous administration of the opiate antagonist naloxone (NAL, 0.1 mg/kg bolus + 0.1 mg.kg-1.h-1) or volume-matched saline (SAL) at each intensity. Serum glucose was maintained at significantly higher levels at 60 and 90 min of exercise in the 70%-NAL than in the 70%-SAL trial and at all points during exercise and at 30 and 60 min of recovery in the 90%-NAL than in the 90%-SAL trial. The serum insulin response to exercise was not altered by NAL administration at either intensity. Serum C-peptide was approximately 50% higher at 60 and 90 min of exercise in the 70%-NAL than in the 70%-SAL trial but was significantly lower during exercise in the 90%-NAL than in the 90%-SAL trial. The plasma glucagon response to exercise at 70% VO2max was not altered by NAL administration but was significantly elevated in the 90%-NAL vs. the 90%-SAL trial. Plasma epinephrine was 50-150% (approximately 2-3 nM) higher during exercise from 30 to 90 min of exercise in the 70%-NAL than in the 70%-SAL trial and was higher at termination (4.9 +/- 2.1 vs. 2.7 +/- 1.7 nM) in the 90%-NAL than in the 90%-SAL trial, although the difference in the 90% trial was not statistically significant.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bicycling
  • Blood Glucose / metabolism*
  • C-Peptide / blood
  • Endorphins / physiology*
  • Epinephrine / blood*
  • Exercise / physiology*
  • Glucagon / blood
  • Homeostasis / drug effects
  • Homeostasis / physiology*
  • Humans
  • Insulin / blood
  • Male
  • Naloxone / pharmacology*
  • Norepinephrine / blood
  • Oxygen Consumption / drug effects

Substances

  • Blood Glucose
  • C-Peptide
  • Endorphins
  • Insulin
  • Naloxone
  • Glucagon
  • Norepinephrine
  • Epinephrine