PMID- 26549348 OWN - NLM STAT- MEDLINE DCOM- 20160908 LR - 20220408 IS - 1872-9452 (Electronic) IS - 0098-2997 (Print) IS - 0098-2997 (Linking) VI - 46 DP - 2015 Dec TI - Molecular pathophysiology of hepatic glucose production. PG - 21-33 LID - S0098-2997(15)30005-4 [pii] LID - 10.1016/j.mam.2015.09.003 [doi] AB - Maintaining blood glucose concentration within a relatively narrow range through periods of fasting or excess nutrient availability is essential to the survival of the organism. This is achieved through an intricate balance between glucose uptake and endogenous glucose production to maintain constant glucose concentrations. The liver plays a major role in maintaining normal whole body glucose levels by regulating the processes of de novo glucose production (gluconeogenesis) and glycogen breakdown (glycogenolysis), thus controlling the levels of hepatic glucose release. Aberrant regulation of hepatic glucose production (HGP) can result in deleterious clinical outcomes, and excessive HGP is a major contributor to the hyperglycemia observed in Type 2 diabetes mellitus (T2DM). Indeed, adjusting glycemia as close as possible to a non-diabetic range is the foremost objective in the medical treatment of patients with T2DM and is currently achieved in the clinic primarily through suppression of HGP. Here, we review the molecular mechanisms controlling HGP in response to nutritional and hormonal signals and discuss how these signals are altered in T2DM. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Sharabi, Kfir AU - Sharabi K AD - Department of Cancer Biology, Department of Cell Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA. FAU - Tavares, Clint D J AU - Tavares CD AD - Department of Cancer Biology, Department of Cell Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA. FAU - Rines, Amy K AU - Rines AK AD - Department of Cancer Biology, Department of Cell Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA. FAU - Puigserver, Pere AU - Puigserver P AD - Department of Cancer Biology, Department of Cell Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA. Electronic address: pere_puigserver@dfci.harvard.edu. LA - eng GR - F32 DK102293/DK/NIDDK NIH HHS/United States GR - F32DK102293-01/DK/NIDDK NIH HHS/United States GR - R24 DK080261/DK/NIDDK NIH HHS/United States GR - R01 DK081418/DK/NIDDK NIH HHS/United States GR - R01 DK089883/DK/NIDDK NIH HHS/United States GR - R01 DK069966/DK/NIDDK NIH HHS/United States GR - R24 DK080261-06/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20151105 PL - England TA - Mol Aspects Med JT - Molecular aspects of medicine JID - 7603128 RN - 0 (Blood Glucose) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Blood Glucose/*metabolism MH - Diabetes Mellitus, Type 2/blood/metabolism/pathology MH - Fasting/metabolism MH - Gluconeogenesis/physiology MH - Glucose/*metabolism MH - Humans MH - Hyperglycemia/metabolism/pathology MH - Liver/*metabolism/pathology PMC - PMC4674831 MID - NIHMS735842 OTO - NOTNLM OT - glucagon OT - gluconeogenesis OT - glucose OT - insulin OT - liver EDAT- 2015/11/10 06:00 MHDA- 2016/09/09 06:00 PMCR- 2016/12/01 CRDT- 2015/11/10 06:00 PHST- 2015/09/09 00:00 [received] PHST- 2015/09/09 00:00 [accepted] PHST- 2015/11/10 06:00 [entrez] PHST- 2015/11/10 06:00 [pubmed] PHST- 2016/09/09 06:00 [medline] PHST- 2016/12/01 00:00 [pmc-release] AID - S0098-2997(15)30005-4 [pii] AID - 10.1016/j.mam.2015.09.003 [doi] PST - ppublish SO - Mol Aspects Med. 2015 Dec;46:21-33. doi: 10.1016/j.mam.2015.09.003. Epub 2015 Nov 5.