Modeling the effect of the cephalic phase of insulin secretion on glucose metabolism
Author(s)
Guemes, Amparo
Herrero, Pau
Bondia, Jorge
Georgiou, Pantelis
Type
Journal Article
Abstract
The nervous system has a significant impact in glucose homeostasis and endocrine pancreatic secretion in humans, especially during the cephalic phase of insulin release (CPIR); that is, before a meal is absorbed. However, the underlying mechanisms of this neural-pancreatic interaction are not well understood and therefore often neglected, despite their significance to achieving an optimal glucose control. As a result, the dynamics of insulin release from the pancreas are currently described by mathematical models that reproduce the behavior of the β cells using exclusively glucose levels and other hormones as inputs. To bridge this gap, we have combined, for the first time, metabolic and neural mathematical models in a unified system to reproduce to a great extent the ideal glucoregulation observed in healthy subjects. Our results satisfactorily replicate the CPIR and its impact during the post-absorptive phase. Furthermore, the proposed model gives insight into the physiological interaction between the brain and the pancreas in healthy people and suggests the potential of considering the neural information for restoring glucose control in people with diabetes.
Date Issued
2019-06-01
Date Acceptance
2019-01-07
Citation
Medical and Biological Engineering and Computing, 2019, 57 (6), pp.1173-1186
ISSN
0140-0118
Publisher
Springer Verlag
Start Page
1173
End Page
1186
Journal / Book Title
Medical and Biological Engineering and Computing
Volume
57
Issue
6
Copyright Statement
© The Author(s) 2019. This article is distributed under the terms of the
Creative Commons Attribution 4.0 International License (http://
creativecommons.org/licenses/by/4.0/), which permits unrestricted
use, distribution, and reproduction in any medium, provided you give
appropriate credit to the original author(s) and the source, provide a
link to the Creative Commons license, and indicate if changes were
made.
Creative Commons Attribution 4.0 International License (http://
creativecommons.org/licenses/by/4.0/), which permits unrestricted
use, distribution, and reproduction in any medium, provided you give
appropriate credit to the original author(s) and the source, provide a
link to the Creative Commons license, and indicate if changes were
made.
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000468361200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Technology
Life Sciences & Biomedicine
Computer Science, Interdisciplinary Applications
Engineering, Biomedical
Mathematical & Computational Biology
Medical Informatics
Computer Science
Engineering
Cephalic phase
Neural modeling
Insulin secretion
Vagus nerve
Metabolic modeling
BETA-CELL FUNCTION
VAGAL-STIMULATION
NERVE-STIMULATION
ELECTRICAL-STIMULATION
NEURAL REGULATION
HEPATIC GLUCOSE
MINIMAL MODEL
HEART-RATE
C-PEPTIDE
GLUCAGON
Publication Status
Published
Date Publish Online
2019-01-26