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Title: Testing of the assumptions made in estimating the extent of futile cycling

Journal Article · · Am. J. Physiol.; (United States)
OSTI ID:5904737

In estimating glucose and fructose 6-phosphate futile cycling in vivo, complete detritiation of (2-/sup 3/H)glucose is assumed at the glucose 6-phosphate level, (3-/sup 3/H)glucose at triose phosphate formation, and (6-/sup 3/H)glucose in its conversion to glucose via pyruvate. (3-/sup 3/H)glucose detritiation via the pentose cycle is assumed to be negligible. Normal and non-insulin-dependent diabetic subjects, in the basal state and infused with glucose, were given (2-/sup 3/H,2-/sup 14/C)galactose, and /sup 3/H-to-/sup 14/C ratios in blood glucose were determined. (2-/sup 3/H,2-/sup 14/C)glucose was given with acetaminophen, and 3H/14C in urinary glucuronide was determined. Detritiation at glucose 6-phosphate was approximately 80%. (3-/sup 3/H,1-/sup 14/C)fructose was infused, and /sup 3/H//sup 14/C was determined in blood glucose and urinary glucuronide. At triose phosphate, 75-90% of the /sup 3/H was removed. The pentose cycle contribution was only a few percent. (6-/sup 3/H,6-/sup 14/C)glucose was infused, and 3H/14C in blood lactate was determined. (3-/sup 3/H,3-/sup 14/C)lactate was infused, and ratios in blood glucose were determined. Maximally, 10% of /sup 3/H from (6-/sup 3/H)glucose was retained. If glucose and galactose are metabolized in the same hepatic site(s), glucose conversion to three-carbon intermediates in the indirect pathway of glycogen formation occurs in extrahepatic tissue(s). Reported estimates of futile cycling, although qualitatively correct, quantitatively require correction.

Research Organization:
Karolinska Hospital, Stockholm (Sweden)
OSTI ID:
5904737
Journal Information:
Am. J. Physiol.; (United States), Vol. 256
Country of Publication:
United States
Language:
English