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解决葡萄糖负荷后无效葡萄糖循环和糖原分解对血浆葡萄糖水平的影响。

Resolving futile glucose cycling and glycogenolytic contributions to plasma glucose levels following a glucose load.

作者信息

Nunes Patricia M, Jarak Ivana, Heerschap Arend, Jones John G

机构信息

Department of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

出版信息

Magn Reson Med. 2014 Apr;71(4):1368-73. doi: 10.1002/mrm.24789. Epub 2013 May 28.

DOI:10.1002/mrm.24789
PMID:23716355
Abstract

PURPOSE

After a glucose load, futile glucose/glucose-6-phosphate (G6P) cycling (FGC) generates [2-(2) H]glucose from (2)H(2)O thereby mimicking a paradoxical glycogenolytic contribution to plasma glucose levels. Contributions of load and G6P derived from gluconeogenesis, FGC, and glycogenolysis to plasma glucose levels need resolution. A simple methodology is proposed integrating the administration of (2)H(2)O with a glucose load containing [1-(2)H, 1-(13)C]glucose and [2-(2)H, 2-(13)C]glucose.

METHODS

Mice fasted for 6 (n = 7) or 24 h (n = 5) were intraperitoneally injected with 2 mg/g 10% enriched glucose in 35 µL/g (2)H(2)O. Plasma glucose enrichment was analyzed by (2)H NMR after 30 min.

RESULTS

For 6-h fasted mice, 12.3 ± 1.5% of plasma glucose was pre-existing, 44.3 ± 2.7% was load derived, and 43.4 ± 1.8% G6P derived. G6P origins were 26.0 ± 2.0% gluconeogenesis, 10.9 ± 2.6% FGC, and 6.5 ± 3.4% glycogenolysis. For 24-h fasted mice, 18.2 ± 8.5% was pre-existing, 41.1 ± 5.0 % was load derived, and 40.8 ± 4.3% G6P derived. G6P origins were 27.1 ± 3.3% gluconeogenesis, 13.1 ± 2.8% FGC, and 0.6 ± 2.4% glycogenolysis.

CONCLUSION

After a glucose load, glycogenolytic contribution to plasma glucose was negligible, whereas FGC was significant for both 6- and 24-h fasted mice.

摘要

目的

在给予葡萄糖负荷后,无效的葡萄糖/葡萄糖-6-磷酸(G6P)循环(FGC)可从H₂O生成[2-(²)H]葡萄糖,从而模拟糖原分解对血糖水平产生的矛盾作用。源自糖异生、FGC和糖原分解的负荷及G6P对血糖水平的贡献需要明确。本文提出一种简单的方法,即将给予H₂O与含有[1-(²)H, 1-(¹³)C]葡萄糖和[2-(²)H, 2-(¹³)C]葡萄糖的葡萄糖负荷相结合。

方法

将禁食6小时(n = 7)或24小时(n = 5)的小鼠腹腔注射2 mg/g 10%富集葡萄糖(溶于35 µL/g H₂O中)。30分钟后通过²H NMR分析血浆葡萄糖富集情况。

结果

对于禁食6小时的小鼠,12.3±1.5%的血浆葡萄糖为预先存在的,44.3±2.7%源自负荷,43.4±1.8%源自G6P。G6P的来源分别为:26.0±2.0%来自糖异生,10.9±2.6%来自FGC,6.5±3.4%来自糖原分解。对于禁食24小时的小鼠,18.2±8.5%为预先存在的,41.1±5.0%源自负荷,40.8±4.3%源自G6P。G6P的来源分别为:27.1±3.3%来自糖异生,13.1±2.8%来自FGC,0.6±2.4%来自糖原分解。

结论

给予葡萄糖负荷后,糖原分解对血糖的贡献可忽略不计,而FGC对禁食6小时和24小时的小鼠均有显著作用。

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