ACTH and Cortisol Responses to Glucagon Stimulation

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Abstract
The effect of the intramuscular injection of various doses of glucagon in 15 healthy subjects was studied. Significant elevations of plasma ACTH, and cortisol were found to occur 3 h after the administration of 4 mg of crystalline glucagon. Mean levels in 7 subjects were for ACTH 44 ± 30 (SD) pg/ml, and for cortisol 14 ± 6 (SD)μg/100 ml at the beginning of the test, and rose to 109 ± 48 (SD) pg/ml and to 23 ± 5 (SD)μg/100 ml respectively following glucagon. The peak response of ACTH and cortisol was preceded by a significant rise of plasma insulin, by a fall of the blood glucose, which was initially increased by the administration of glucagon, and by the symptoms of nausea and sweating. This study demonstrates that the intramuscular administration of glucagon (4 mg) provides a potent stimulus to ACTH and cortisol secretion in healthy subjects.

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