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Department of Molecular Physiology and Biophysics and Diabetes Research and Training Center, Vanderbilt University, Nashville, Tennessee 37232-0615
Prior exercise stimulates muscle and liver
glucose uptake. A negative arterial-portal venous glucose gradient
(a-pv grad) stimulates resting net hepatic glucose uptake (NHGU) but
reduces muscle glucose uptake. This study investigates the effects of a
negative a-pv grad during glucose administration after exercise in
dogs. Experimental protocol: exercise (
180 to
30 min),
transition (
30 to
20 min), basal period (
20 to 0 min), and experimental period (0 to 100 min). In the experimental
period, 130 mg/dl arterial hyperglycemia was induced via vena cava (Pe,
n = 6) or portal vein (Po,
n = 6) glucose infusions. Insulin and
glucagon were replaced at fourfold basal and basal rates. During the
experimental period, the a-pv grad (mg/dl) was 3 ± 1 in Pe and
10 ± 2 in Po. Arterial insulin and glucagon were similar in
the two groups. In Pe, net hepatic glucose balance
(mg · kg
1 · min
1,
negative = uptake) was 4.2 ± 0.3 (basal period) and
1.2 ± 0.3 (glucose infusion); in Po it was 4.1 ± 0.5 and
3.2 ± 0.4, respectively (P < 0.005 vs.
Pe). Total glucose infusion
(mg · kg
1 · min
1)
was 11 ± 1 in Po and 8 ± 1 in Pe
(P < 0.05). Net hindlimb and whole
body nonhepatic glucose uptakes were similar. Conclusions: the portal
signal independently stimulates NHGU after exercise. Conversely, prior
exercise eliminates the inhibitory effect of the portal signal on
glucose uptake by nonhepatic tissues. The portal signal therefore
increases whole body glucose disposal after exercise by an amount equal
to the increase in NHGU.
glucose uptake; liver; arterial-portal vein gradient; muscle
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