TY - JOUR
T1 - Enhanced glucose cycling and suppressed de novo synthesis of glucose-6-phosphate result in a net unchanged hepatic glucose output in ob/ob mice
AU - Bandsma, R. H.J.
AU - Grefhorst, A.
AU - Van Dijk, T. H.
AU - Van Der Sluijs, F. H.
AU - Hammer, A.
AU - Reijngoud, D. J.
AU - Kuipers, F.
PY - 2004/11
Y1 - 2004/11
N2 - Aims/hypothesis. Leptin-deficient ob/ob mice are hyperinsulinaemic and hyperglycaemic; however, the cause of hyperglycaemia remains largely unknown. Methods. Glucose metabolism in vivo in 9-h fasted ob/ob mice and lean littermates was studied by infusing [U-13C]-glucose, [2- 13C]-glycerol, [1-2H]-galactose and paracetamol for 6 h, applying mass isotopomer distribution analysis on blood glucose and urinary paracetamol-glucuronide. Results. When expressed on the basis of body weight, endogenous glucose production (109±23 vs 152±27 μmol·kg-1·min-1, obese versus lean mice, p<0.01) and de novo synthesis of glucose-6-phosphate (122±13 vs 160±6 μmol·kg-1·min-1, obese versus lean mice, p<0.001) were lower in ob/ob mice than in lean littermates. In contrast, glucose cycling was greatly increased in obese mice (56±13 vs 26±4 μmol·kg-1·min-1, obese versus lean mice, p<0.001). As a result, total hepatic glucose output remained unaffected (165±31 vs 178±28 μmol·kg -1·min-1, obese vs lean mice, NS). The metabolic clearance rate of glucose was significantly lower in obese mice (8±2 vs 18±2 ml·kg-1·min-1, obese versus lean mice, p<0.001). Hepatic mRNA levels of genes encoding for glucokinase and pyruvate kinase were markedly increased in ob/ob mice. Conclusions/ interpretation. Unaffected total hepatic glucose output in the presence of hyperinsulinaemia reflects hepatic insulin resistance in ob/ob mice, which is associated with markedly increased rates of glucose cycling. Hyperglycaemia in ob/ob mice primarily results from a decreased metabolic clearance rate of glucose.
AB - Aims/hypothesis. Leptin-deficient ob/ob mice are hyperinsulinaemic and hyperglycaemic; however, the cause of hyperglycaemia remains largely unknown. Methods. Glucose metabolism in vivo in 9-h fasted ob/ob mice and lean littermates was studied by infusing [U-13C]-glucose, [2- 13C]-glycerol, [1-2H]-galactose and paracetamol for 6 h, applying mass isotopomer distribution analysis on blood glucose and urinary paracetamol-glucuronide. Results. When expressed on the basis of body weight, endogenous glucose production (109±23 vs 152±27 μmol·kg-1·min-1, obese versus lean mice, p<0.01) and de novo synthesis of glucose-6-phosphate (122±13 vs 160±6 μmol·kg-1·min-1, obese versus lean mice, p<0.001) were lower in ob/ob mice than in lean littermates. In contrast, glucose cycling was greatly increased in obese mice (56±13 vs 26±4 μmol·kg-1·min-1, obese versus lean mice, p<0.001). As a result, total hepatic glucose output remained unaffected (165±31 vs 178±28 μmol·kg -1·min-1, obese vs lean mice, NS). The metabolic clearance rate of glucose was significantly lower in obese mice (8±2 vs 18±2 ml·kg-1·min-1, obese versus lean mice, p<0.001). Hepatic mRNA levels of genes encoding for glucokinase and pyruvate kinase were markedly increased in ob/ob mice. Conclusions/ interpretation. Unaffected total hepatic glucose output in the presence of hyperinsulinaemia reflects hepatic insulin resistance in ob/ob mice, which is associated with markedly increased rates of glucose cycling. Hyperglycaemia in ob/ob mice primarily results from a decreased metabolic clearance rate of glucose.
KW - Gluconeogenesis
KW - Glucose-6-phosphate
KW - Glycogen
KW - Glycogenolysis
KW - Hepatic glucose production
KW - Mass isotopomer distribution analysis
KW - Stable isotopes
KW - ob/ob mice
UR - http://www.scopus.com/inward/record.url?scp=12144272234&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00125-004-1571-8
DO - https://doi.org/10.1007/s00125-004-1571-8
M3 - Article
C2 - 15599701
SN - 0012-186X
VL - 47
SP - 2022
EP - 2031
JO - Diabetologia
JF - Diabetologia
IS - 11
ER -