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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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