Allard M F, Henning S L, Wambolt R B, Granleese S R, English D R, Lopaschuk G D
Cardiovascular Research Laboratory, University of British Columbia, Vancouver, Canada.
Circulation. 1997 Jul 15;96(2):676-82. doi: 10.1161/01.cir.96.2.676.
Rates of glycolysis from exogenous glucose are accelerated in hypertrophied hearts. In this study, we determined whether alterations in the metabolism of glycogen, an endogenous storage form of glucose, also occur in hypertrophied hearts.
Rates of glycolysis ([3H]H2O production) and oxidation ([14C]CO2 production) from exogenous glucose and glycogen were measured in isolated working hearts from control and aortic-banded rats. Hearts in which glycogen was prelabeled with [5-(3)H]- or [U-(14)C]glucose were perfused with buffer containing 11 mmol/L [5-(3)H]- or [U-(14)C]glucose (different from the isotope used to prelabel glycogen), 0.4 mmol/L palmitate, 0.5 mmol/L lactate, and 100 microU/mL insulin. Rates of glycolysis from exogenous glucose were greater (3471+/-114 versus 2665+/-194 nmol glucose x min(-1) x g dry wt(-1), P<.05, n=4 to 6, mean+/-SEM) and rates of exogenous glucose oxidation (445+/-36 versus 619+/-16 nmol glucose x min(-1) x g dry wt(-1), P<.05, n=4 to 6) were lower in hypertrophied hearts than in control hearts. Rates of glycolysis and oxidation from glycogen were not different between hypertrophied and control hearts. A greater proportion of glycogen was oxidized (80% to 100%) than the proportion of exogenous glucose oxidized (13% to 24%) in both groups. Additionally, 10.5+/-1.4 and 12.3+/-1.0 micromol/g dry wt of glycogen was synthesized in hypertrophied and control hearts, respectively, indicating that simultaneous synthesis and degradation (ie, glycogen turnover) occurred in both groups.
Thus, aerobic myocardial glycogen metabolism in the hypertrophied heart is similar to that observed in the normal heart even though exogenous glucose metabolism is altered in the hypertrophied heart.
在肥厚心肌中,外源性葡萄糖的糖酵解速率加快。在本研究中,我们确定了作为葡萄糖内源性储存形式的糖原代谢改变是否也发生在肥厚心肌中。
测量了对照大鼠和主动脉缩窄大鼠离体工作心脏中外源性葡萄糖和糖原的糖酵解速率([³H]H₂O生成量)和氧化速率(¹⁴CO₂生成量)。用含有11 mmol/L [5-(³)H]-或[U-(¹⁴)C]葡萄糖(不同于用于预标记糖原的同位素)、0.4 mmol/L棕榈酸、0.5 mmol/L乳酸和100 μU/mL胰岛素的缓冲液灌注预先用[5-(³)H]-或[U-(¹⁴)C]葡萄糖预标记糖原的心脏。肥厚心肌中外源性葡萄糖的糖酵解速率更高(3471±114对2665±194 nmol葡萄糖×min⁻¹×g干重⁻¹,P<0.05,n = 4至6,均值±标准误),外源性葡萄糖氧化速率更低(445±36对619±16 nmol葡萄糖×min⁻¹×g干重⁻¹,P<0.05,n = 4至6)。肥厚心肌和对照心肌中糖原的糖酵解和氧化速率没有差异。两组中糖原被氧化的比例(80%至100%)均高于外源性葡萄糖被氧化的比例(13%至24%)。此外,肥厚心肌和对照心肌中分别合成了10.5±1.4和12.3±1.0 μmol/g干重的糖原,表明两组均发生了同时合成和降解(即糖原周转)。
因此,尽管肥厚心肌中外源性葡萄糖代谢发生改变,但其有氧心肌糖原代谢与正常心脏相似。