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Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232
An isotopic method
was used in conscious rats to determine the roles of glucose transport
and the transsarcolemmal glucose gradient (TSGG) in control of basal
and insulin-stimulated muscle glucose uptake. Rats received an
intravenous
3-O-[3H]methylglucose
(3-O-[3H]MG)
infusion from
100 to 40 min and a
2-deoxy-[3H]glucose
infusion from 0 to 40 min to calculate a glucose metabolic index
(Rg). Insulin was infused from
100 to 40 min at rates of 0.0, 0.6, 1.0, and 4.0 mU · kg
1 · min
1,
and glucose was clamped at basal concentrations. The ratios of soleus
intracellular to extracellular
3-O-[3H]MG
concentration and soleus glucose concentrations were used to estimate
the TSGG using principles of glucose countertransport. Tissue glucose
concentrations were compared in well-perfused, slow-twitch muscle
(soleus) and poorly perfused, fast-twitch muscle (vastus lateralis,
gastrocnemius). Data show that 1)
small increases in insulin increase soleus
Rg without decreasing TSGG,
suggesting that muscle glucose delivery and phosphorylation can
accommodate the increased flux; 2)
due to a limitation in soleus glucose phosphorylation and possibly
delivery, insulin at high physiological levels decreases TSGG, and at
supraphysiological insulin levels the TSGG is not significantly
different from 0; 3) maximum
Rg is maintained even though TSGG
decreases with increasing insulin levels, indicating that glucose
transport continues to increase and is not rate limiting for maximal
insulin-stimulated glucose uptake; and
4) muscle consisting of fast-twitch
fibers that are poorly perfused exhibits a 35-45% fall in tissue
glucose with insulin, suggesting that glucose delivery is a major
limitation in sustaining the TSGG. In conclusion, control of glucose
uptake is distributed between glucose transport and factors that
determine the TSGG. Insulin stimulation of glucose transport increases
the demands on the factors that maintain glucose delivery to the muscle
membrane and glucose phosphorylation inside the muscle.
countertransport; 3-O-methylglucose; 2-deoxyglucose
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