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Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232
We previously reported that infection
decreases hepatic glucose uptake when glucose is given as a constant
peripheral glucose infusion (8 mg · kg
1 · min
1). This impairment persisted despite greater
hyperinsulinemia in the infected group. In a normal setting, hepatic
glucose uptake can be further enhanced if glucose is given
gastrointestinally. Thus the aim of this study was to determine whether
hepatic glucose uptake is impaired during an infection when glucose is
given gastrointestinally. Thirty-six hours before study, a sham (SH,
n = 7) or Escherichia coli-containing
(2 × 109 organisms/kg; INF; n = 7)
fibrin clot was placed in the peritoneal cavity of chronically
catheterized dogs. After the 36 h, a glucose bolus (150 mg/kg)
followed by a continuous infusion (8 mg · kg
1
· min
1) of glucose was given intraduodenally to
conscious dogs for 240 min. Tracer ([3-3H]glucose and
[U-14C]glucose) and arterial-venous difference techniques
were used to assess hepatic and intestinal glucose metabolism.
Infection increased hepatic blood flow (35 ± 5 vs. 47 ± 3 ml · kg
1 · min
1; SH vs. INF)
and basal glucose rate of appearance (2.1 ± 0.2 vs. 3.3 ± 0.1 mg · kg
1 · min
1).
Arterial insulin concentrations increased similarly in SH and INF
during the last hour of glucose infusion (38 ± 8 vs. 46 ± 20 µU/ml), and arterial glucagon concentrations fell (62 ± 14 to 30 ± 3 vs. 624 ± 191 to 208 ± 97 pg/ml). Net
intestinal glucose absorption was decreased in INF, attenuating the
increase in blood glucose caused by the glucose load. Despite this, net
hepatic glucose uptake (1.6 ± 0.8 vs. 2.4 ± 0.9 mg · kg
1 · min
1; SH vs. INF) and
consequently tracer-determined glycogen synthesis (1.3 ± 0.3 vs.
1.0 ± 0.3 mg · kg
1 · min
1) were similar between groups. In summary, infection
impairs net glucose absorption, but not net hepatic glucose uptake or
glycogen deposition, when glucose is given intraduodenally.
alanine; lactate; inflammation; glycogen
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