DIABETES, VOLUME 45, SUPPLEMENT 1, JANUARY 1996, PAGES S20-S23
Skeletal Muscle Kallikrein
Potential Role in Metabolic Regulation
Ronald K. Mayfield, Nobuo Shimojo, and Ayad A. Jaffa
Skeletal muscle glucose metabolism appears to be regulated by locally derived factors as
well as by systemically circulating hormones. Local factors may be particularly important
during exercise, when substrate demand can increase rapidly. Numerous studies in perfused
limbs suggest that the kallikrein-kinin system may participate in the regulation of substrate
delivery and utilization by skeletal muscle. Evidence also suggests that kinins mediate the
increase in insulin sensitivity after administration of converting enzyme inhibitors. Tissue
kallikrein has been isolated and purified from rat skeletal muscles, and its level is highest in
muscle with high oxidative activity. In other tissues, kallikrein synthesis is under the
influence of insulin. It has not been possible to demonstrate effects of kallikrein or kinins on
glucose metabolism in isolated skeletal muscle or cardiocytes. Therefore modulation of
glucose metabolism by kallikrein or kinins may only be observed in intact perfused tissues
or organs. Diabetes 45 (Suppl. 1):S20-S23, 1996
Copyright © 1996 American Diabetes Association
Last updated: 5/30/96
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