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Am J Physiol Endocrinol Metab (January 9, 2007). doi:10.1152/ajpendo.00411.2006
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Submitted on August 10, 2006
Accepted on December 25, 2006

Hepatic Autoregulation: Response of Glucose Production and Gluconeogenesis to Increased Glycogenolysis

Peter Staehr1, Ole Hother-Nielsen2, Henning Beck-Nielsen3, Michael Roden4, Harald Stingl5, Jens Juul Holst6, Paul K Jones7, Visvanathan Chandramouli8, and Bernard Robert Landau8*

1 Medical Dept.M, Odense University Hospital, DK-5000 Odense C, Denmark
2 Endocrinology, Odense University Hospital, Odense DK5000, Denmark
3 Endocrinology, Odense University Hospital, Odense C5000, Denmark
4 Medical, Hanusch Hospital, Vienna A1140, Austria
5 Endocrinology & Metabolism, General Hospital of Vienna, Vienna , Austria
6 Physiology, University of Copenhagen, Copenhagen DK2220, Denmark
7 Epidemiology & Biostatistics, Case Western Reserve University, Cleveland, Ohio, United States
8 Medicine - Endocrinology, Case Western Reserve University, Cleveland, Ohio, United States

* To whom correspondence should be addressed. E-mail: brl{at}case.edu.

The effect of increased glycogenolysis, simulated by galactose's conversion to glucose, on the contribution of gluconeogenesis (GNG) to hepatic glucose production (GP) was determined. The conversion of galactose to glucose is by the same pathway as glycogen's conversion to glucose, i.e. glucose-1-P {Rightarrow} glucose-6-P {Rightarrow} glucose. Healthy men (n = 7) were fasted for 44 h. At 40 h hepatic glycogen stores were depleted. GNG then contributed ~90% to a GP of ~8 µmol/kg/min. Galactose, 9 g/h, was infused over the next 4 h.. The contribution of GNG to GP declined from ~90% to 65%, i.e. by ~2 µmol/kg/min. The rate of galactose conversion to blood glucose, measured by labeling the infused galactose with [1-2H]galactose (n = 4), was also ~2 µmol/kg/min. The 41st h GP rose by ~1.5 µmoles/kg/min and then returned to ~9 µmol/kg/min, while plasma glucose concentration increased from ~4.5 to 5.3 mM, accompanied by a rise in plasma insulin concentration. Over 50% of the galactose infused was accounted for in blood glucose and hepatic glycogen formation. Thus, an increase in the rate of GP via the glycogenolytic pathway resulted in a concomitant decrease in the rate of GP via GNG. While the compensatory response to the galactose administration was not complete, since GP increased, hepatic autoregulation is operative in healthy humans during prolonged fasting.




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[Abstract] [Full Text] [PDF]




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