Burns S P, Murphy H C, Iles R A, Bailey R A, Cohen R D
Cell Regulation Unit, Department of Diabetes and Metabolic Medicine, 5th Floor Alexandra Wing, St Bartholomew's and The Royal London School of Medicine and Dentistry, Whitechapel Road, London E1 1BB, UK.
Biochem J. 2000 Jul 15;349(Pt 2):539-45. doi: 10.1042/0264-6021:3490539.
Detailed mapping of glucose and lactate metabolism along the radius of the hepatic lobule was performed in situ in rat livers perfused with 1.5 mM lactate before and during the addition of 5 mM fructose. The majority of fructose uptake occurred in the periportal region; 45% of fructose taken up in the periportal half of the lobular volume being converted into glucose. Periportal lactate uptake was markedly decreased by addition of fructose. Basal perivenous lactate output, which was derived from glucose synthesized periportally, was increased in the presence of fructose. During fructose infusion there was a small decrease in cell pH periportally, but acidification of up to 0.5 pH units perivenously. The evidence suggests that in situ the apparent direct conversion of fructose into lactate represents, to a substantial extent, the result of periportal conversion of fructose into glucose and the subsequent uptake and glycolysis to lactate in the perivenous zone of some of that glucose. (31)P NMR spectroscopy showed that the cellular concentration of phosphomonoesters changes very little periportally during fructose infusion, but there was an approximate twofold increase perivenously, presumably due to the accumulation of fructose 1-phosphate. It may be inferred that fructokinase activity is expressed throughout the hepatic lobule.
在灌注1.5 mM乳酸的大鼠肝脏中,在添加5 mM果糖之前和期间,对沿肝小叶半径的葡萄糖和乳酸代谢进行了原位详细测绘。大部分果糖摄取发生在门静脉周围区域;在小叶体积门静脉周围一半摄取的果糖中,45%被转化为葡萄糖。添加果糖后,门静脉周围的乳酸摄取明显减少。源自门静脉周围合成葡萄糖的基础肝静脉乳酸输出在有果糖存在时增加。在输注果糖期间,门静脉周围细胞pH略有下降,但肝静脉处酸化高达0.5个pH单位。证据表明,原位果糖明显直接转化为乳酸在很大程度上代表了果糖在门静脉周围转化为葡萄糖以及随后部分葡萄糖在肝静脉区摄取并糖酵解为乳酸的结果。(31)P核磁共振波谱显示,在输注果糖期间,门静脉周围磷酸单酯的细胞浓度变化很小,但肝静脉处大约增加了两倍,推测是由于1-磷酸果糖的积累。可以推断,果糖激酶活性在整个肝小叶中都有表达。