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Am J Physiol Endocrinol Metab 277: E505-E512, 1999;
0193-1849/99 $5.00
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Vol. 277, Issue 3, E505-E512, September 1999

EPILOGUE
Metabolic control analysis of insulin-stimulated glucose disposal in rat skeletal muscle

Beat M. Jucker1, Nicole Barucci1, and Gerald I. Shulman2

1 Department of Internal Medicine and the 2 Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut 06520-8020

Metabolic control analysis was used to calculate the distributed control of insulin-stimulated skeletal muscle glucose disposal in awake rats. Three separate hyperinsulinemic infusion protocols were performed: 1) protocol I was a euglycemic (~6 mM)-hyperinsulinemic (10 mU · kg-1 · min-1) clamp, 2) protocol II was a hyperglycemic (~11 mM)-hyperinsulinemic (10 mU · kg-1 · min-1) clamp, and 3) protocol III was a euglycemic (~6 mM)-hyperinsulinemic (10 mU · kg-1 · min-1)-lipid/heparin (increased plasma free fatty acid) clamp. [1-13C]glucose was administered in all three protocols for a 3-h period, during which time [1-13C]glucose label incorporation into [1-13C]glycogen, [3-13C]lactate, and [3-13C]alanine was detected in the hindlimb of awake rats via 13C-NMR. Combined steady-state and kinetic data were used to calculate rates of glycogen synthesis and glycolysis. Additionally, glucose 6-phosphate (G-6-P) was measured in the hindlimb muscles with the use of in vivo 31P-NMR during the three infusion protocols. The clamped glucose infusion rates were 31.6 ± 2.9, 49.7 ± 1.0, and 24.0 ± 1.5 mg · kg-1 · min-1 at 120 min in protocols I-III, respectively. Rates of glycolysis were 62.1 ± 10.3, 71.6 ± 11.8, and 19.5 ± 3.6 nmol · g-1 · min-1 and rates of glycogen synthesis were 125 ± 15, 224 ± 23, and 104 ± 17 nmol · g-1 · min-1 in protocols I-III, respectively. Insulin-stimulated G-6-P concentrations were 217 ± 8, 265 ± 12, and 251 ± 9 nmol/g in protocols I-III, respectively. A top-down approach to metabolic control analysis was used to calculate the distributed control among glucose transport/phosphorylation [GLUT-4/hexokinase (HK)], glycogen synthesis, and glycolysis from the metabolic flux and G-6-P data. The calculated values for the control coefficients (C) of these three metabolic steps (CJGLUT-4/HK = 0.55 ± 0.10, CJglycogen syn = 0.30 ± 0.06, and CJglycolysis = 0.15 ± 0.02; where J is glucose disposal flux, and glycogen syn is glycogen synthesis) indicate that there is shared control of glucose disposal and that glucose transport/phosphorylation is responsible for the majority of control of insulin-stimulated glucose disposal in skeletal muscle.

nuclear magnetic resonance; flux control; glycogen synthesis; glycolysis; glucose 6-phosphate


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