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Department of Physiology and Biophysics, University of Southern California School of Medicine, Los Angeles, California 90033
The relationships
between postabsorptive glucose concentration and hepatic glucose output
(HGO) and glucose clearance were studied in rats one day after
treatment with various doses of streptozotocin (STZ; 0, 15, 30, 40, 50, or 75 mg/kg; n = 6 per dose;
study 1). Glucose fluxes were
estimated using a prolonged (6-h) infusion of
[3-3H]glucose to
ensure complete tracer equilibration at hyperglycemia. Postabsorptive
glucose was significantly increased at the high doses of STZ (50 and 75 mg/kg; P < 0.01) and was
strongly correlated with glucose clearance across all doses
(r =
0.85,
P < 0.001) but less strongly with
HGO (r = 0.46, P < 0.01). In the group treated with
50 mg/kg STZ, postabsorptive glucose was increased twofold compared
with the control (i.e., zero dose) group, with no change in HGO and a
45% decrease in glucose clearance, indicating that the hyperglycemia
was due to a decrease in glucose clearance. To understand the cellular
mechanisms of decreased glucose clearance in STZ diabetic rats,
skeletal muscle glucose clearance and intracellular glucose and glucose
6-phosphate (G-6-P) concentrations
were determined in normal and STZ (50 mg/kg) diabetic rats at their
postabsorptive glucose levels as well as at matched hyperglycemia (12 mM; study 2). Glucose clearance was
significantly decreased in soleus (P < 0.05) muscles of the diabetic rats, and this was associated with
significantly decreased intracellular glucose and
G-6-P levels at matched hyperglycemia
(P < 0.05), suggestive of decreased
glucose transport. In conclusion, postabsorptive hyperglycemia in STZ diabetic rats was largely due to decreased glucose clearance, although
increased HGO may also have been a contributing factor at the highest
STZ dose. The decrease in postabsorptive glucose clearance in STZ
diabetic rats appeared to be associated with an impairment of glucose
transport in soleus (type I) muscles.
hepatic glucose output; insulin; intracellular glucose; glucose 6-phosphate; skeletal muscle
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