Effect of starvation and diabetes on glucose transport in the lung.

Transport of glucose by the isolated and perfused rat lung was studied using 2-deoxy-D-(1-14C)-glucose, 2-(1-14C)-DG, and 3-O-methyl-(U-14C)-glucose, 3-(U-14C)-MG. Uptake of 3-(U-14C)-MG was reduced by 20% in the lungs of fasting and diabetic rats, the uptake was restored by refeeding and insulin treatment, respectively. Although the intracellular accumulation of unphosphorylated 2-(1-14C)-DG in lungs was altered by a small amount in diabetes and fasting, the intracellular accumulation of phosphorylated 2-(1-14C)-DG was significantly reduced and restored by insulin treatment and refeeding, suggesting that phosphorylation was inhibited in these conditions. The reduction of glucose utilization in fasting or diabetic state was shown to be due to the inactivation of hexokinase II enzyme. Thus, a specific glucose-carrier system is present in the rat lung which appears to be insulin-sensitive and is under the nutritional and hormonal control.