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1 Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8020; and 2 Howard Hughes Medical Institute, Bethesda, Maryland 20814
There are
conflicting reports concerning the reliability of mass isotopomer
distribution analysis (MIDA) for estimating the contribution of
gluconeogenesis to total glucose production (f) during
[13C]glycerol
infusion.1
We have evaluated substrate-induced effects on rate of appearance (Ra) of glycerol and glucose and
f during
[2-13C]glycerol
infusion in vivo. Five groups of mice were fasted for 30 h and then
infused with
[2-13C]glycerol at
variable rates and variable 13C
enrichments (group
I: 20 µmol · kg
1 · min
1,
99% 13C;
group
II: 60 µmol · kg
1 · min
1,
60% 13C;
group
III: 60 µmol · kg
1 · min
1,
99% 13C;
group
IV: 120 µmol · kg
1 · min
1,
40% 13C; or
group
V: 120 µmol · kg
1 · min
1,
99% 13C). The total glycerol
Ra increased from ~104 to ~157
and to ~210 µmol · kg
1 · min
1
as the infusion of
[2-13C]glycerol
increased from 20 to 60 and to 120 µmol · kg
1 · min
1,
respectively. As the amount of 99% enriched
[2-13C]glycerol
increased from 20 to 60 and to 120 µmol · kg
1 · min
1
(groups I,
III, and
V, respectively), plasma glycerol
enrichment increased from ~21 to ~42 and to ~57% and the
calculated f increased from ~27 to ~56 and to ~87%,
respectively. Similar plasma glycerol enrichments were observed in
groups
I,
II, and
IV (i.e., ~21-24%), yet f
increased from ~27 to ~57 and to ~86% in
groups
II and
IV, respectively. Estimates of
absolute gluconeogenesis increased from ~14 to ~33 and ~86
µmol · kg
1 · min
1
as the infusion of
[2-13C]glycerol
increased from 20 to 60 and 120 µmol · kg
1 · min
1.
Plausible estimates of f were obtained only under conditions that
increased total glycerol Ra
~2-fold (P < 0.001) and increased glucose Ra ~1.5-fold
(P < 0.01) above basal. We conclude
that in 30-h fasted mice, 1)
estimates of f by MIDA with low infusion rates of
[2-13C]glycerol yield
erroneous results and 2) reasonable
estimates of f are obtained at glycerol infusion rates that perturb
glycerol and glucose metabolism.
stable isotopes; mass spectrometry; triose phosphate turnover; diabetes; mice
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