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1 Department of Molecular Physiology and Biophysics, and 2 Diabetes Research and Training Center, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-6015
Concomitant portal infusion of gluconeogenic
amino acids (GNGAA) and glucose significantly reduces net hepatic
glucose uptake (NHGU), in comparison with NHGU during portal infusion
of glucose alone. To determine whether this effect on NHGU is specific
to the portal route of GNGAA delivery, somatostatin, intraportal insulin (3-fold basal) and glucagon (basal), and intraportal glucose (to increase the hepatic glucose load by ~50%) were infused for 240 min. GNGAA were infused peripherally into a group of dogs (PeAA), at a
rate to match the hepatic GNGAA load in a group of dogs that were given
the same GNGAA mixture intraportally (PoAA) at 7.6 µmol · kg
1 · min
1
(9). The arterial blood glucose concentrations and hepatic
glucose loads were the same in the two groups, but NHGU (
0.9 ± 0.2 PoAA and
2.1 ± 0.5 mg · kg
1 · min
1
in PeAA, P < 0.05) and net hepatic
fractional extraction of glucose (2.6 ± 0.7% in PoAA vs. 5.9 ± 1.4% in PeAA, P < 0.05) differed. Neither the hepatic loads nor the net hepatic uptakes of GNGAA were
significantly different in the two groups. Net hepatic glycogen synthesis was ~2.5-fold greater in PeAA than PoAA
(P < 0.05). Intraportal, but not
peripheral, amino acid infusion suppresses NHGU and net hepatic
glycogen synthesis in response to intraportal glucose infusion.
liver; hyperglycemia; liver nerves; glycogen; portal vein
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