Laboratory for Functional and Metabolic Imaging, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Faculty of Health and Medical Sciences, Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark.
J Neurosci Res. 2019 Aug;97(8):1004-1017. doi: 10.1002/jnr.24437. Epub 2019 May 1.
Diabetes impacts the central nervous system predisposing to cognitive decline. While glucose is the main source of energy fueling the adult brain, brain glycogen is necessary for adequate neuronal function, synaptic plasticity and memory. In this study, we tested the hypothesis that brain glycogen metabolism is impaired in type 2 diabetes (T2D). C magnetic resonance spectroscopy (MRS) during [1- C]glucose i.v. infusion was employed to detect C incorporation into whole-brain glycogen in male Goto-Kakizaki (GK) rats, a lean model of T2D, and control Wistar rats. Labeling from [1- C]glucose into brain glycogen occurred at a rate of 0.25 ± 0.12 and 0.48 ± 0.22 µmol/g/h in GK and Wistar rats, respectively (p = 0.028), despite similar brain glycogen concentrations. In addition, the appearance of [1- C]glucose in the brain was used to evaluate glucose transport and consumption. T2D caused a 31% reduction (p = 0.031) of the apparent maximum transport rate (T ) and a tendency for reduced cerebral metabolic rate of glucose (CMR ; -29%, p = 0.062), indicating impaired glucose utilization in T2D. After MRS in vivo, gas chromatography-mass spectrometry was employed to measure regional C fractional enrichment of glucose and glycogen in the cortex, hippocampus, striatum, and hypothalamus. The diabetes-induced reduction in glycogen labeling was most prominent in the hippocampus and hypothalamus, which are crucial for memory and energy homeostasis, respectively. These findings were further supported by changes in the phosphorylation rate of glycogen synthase, as analyzed by Western blotting. Altogether, the present results indicate that T2D is associated with impaired brain glycogen metabolism.
糖尿病会影响中枢神经系统,导致认知能力下降。虽然葡萄糖是为大脑提供燃料的主要能量来源,但脑糖原对于维持神经元功能、突触可塑性和记忆至关重要。在这项研究中,我们检验了这样一个假设,即 2 型糖尿病(T2D)患者的脑糖原代谢受损。通过静脉注射 [1-13C]葡萄糖,采用 C 磁共振波谱(MRS)检测雄性 Goto-Kakizaki(GK)大鼠(T2D 的一种瘦素模型)和对照组 Wistar 大鼠的全脑糖原中 13C 的掺入情况。GK 大鼠和 Wistar 大鼠脑糖原中 13C 标记的掺入率分别为 0.25±0.12 和 0.48±0.22µmol/g/h(p=0.028),尽管脑糖原浓度相似。此外,还可以通过 [1-13C]葡萄糖在大脑中的出现来评估葡萄糖的转运和消耗情况。T2D 导致葡萄糖的表观最大转运速率(T)降低了 31%(p=0.031),脑葡萄糖代谢率(CMR)也有降低的趋势(-29%,p=0.062),这表明 T2D 患者的葡萄糖利用率受损。在体内 MRS 之后,采用气相色谱-质谱法测量皮质、海马、纹状体和下丘脑的葡萄糖和糖原的 13C 分数富集。糖尿病引起的糖原标记减少在海马体和下丘脑最为明显,这两个区域分别对记忆和能量稳态至关重要。这些发现通过 Western blot 分析的糖原合酶磷酸化速率变化得到进一步支持。总之,本研究结果表明,T2D 与脑糖原代谢受损有关。