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Underestimation of glucose turnover corrected with high-performance liquid chromatography purification of (6- sup 3 H)glucose

Journal Article · · American Journal of Physiology; (USA)
OSTI ID:7026904
We have recently reported that during infusion of commercially available (6-3H)glucose, a radioactive nonglucose contaminant may accumulate in plasma causing errors in the measurement of glucose turnover. To determine whether purification of this tracer by HPLC (high-performance liquid chromatography) before infusion would eliminate the contaminant in plasma and remove the underestimation of glucose turnover reported during hyperinsulinemia, four normal subjects each underwent two 5-h euglycemic clamps during infusion of insulin (1 mU.kg-1.min-1). Glucose turnover was measured with either commercially available (6-3H)glucose or with HPLC-purified (6-3H)glucose. HPLC analysis of samples from the clamps done with commercially available (6-3H)glucose showed that 9.7% of the infused tracer and 26% of the plasma glucose 3H radioactivity were contaminants. In contrast, no contaminant was observed in the plasma during infusion of HPLC-purified (6-3H)glucose. During the last hour of the clamp, mean glucose turnover using commercially available (6-3H)glucose was less (P less than 0.01) than the mean glucose infusion rate (7.6 +/- 0.3 vs. 10.5 +/- 0.3 mg.kg-1.min-1) yielding apparent negative (P less than 0.001) hepatic glucose release. In contrast, when HPLC-purified (6-3H)glucose was employed, glucose turnover equaled the glucose infusion rate (10.4 +/- 0.9 vs. 10.2 +/- 0.9 mg.kg-1.min-1) and hepatic glucose release was no longer negative. We conclude that removal of a tritiated nonglucose contaminant in (6-3H)glucose by HPLC yields correct estimations of glucose turnover at steady state.
OSTI ID:
7026904
Journal Information:
American Journal of Physiology; (USA), Journal Name: American Journal of Physiology; (USA) Vol. 258; ISSN 0002-9513; ISSN AJPHA
Country of Publication:
United States
Language:
English