Alterations in hepatic gluconeogenic amino acid uptake and gluconeogenesis in the endotoxin treated conscious dog. 1998

H Meinz, and D B Lacy, and J Ejiofor, and O P McGuinness
Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-0615, USA.

We examined the effect of a 240 min intraportal infusion of a nonlethal dose of Escherichia coli endotoxin (.21 g x kg(-1) x min[-1]) on hepatic amino acid and glucose metabolism in chronically catheterized 42 h fasted conscious dogs (n = 8). Hepatic metabolism was assessed using tracer (3-[3H]glucose [U-14C]alanine) and arteriovenous difference techniques. After endotoxin administration net hepatic glucose output increased twofold. Arterial plasma insulin levels decreased by 25%, whereas arterial plasma glucagon and cortisol levels increased 10- and 6-fold, respectively. Arterial lactate levels increased 6.4-fold, whereas net hepatic lactate uptake was not increased. Arterial alanine levels (1.6-fold) and net hepatic alanine uptake (1.3-fold) increased, whereas net hepatic alanine fractional extraction was unaltered. In contrast, the arterial levels of the other gluconeogenic amino acids (glutamine, glycine, serine, and threonine) decreased. Despite this decrease, net uptake of these amino acids by the liver did not decrease, because net hepatic amino acid fractional extraction increased. Total net hepatic gluconeogenic precursor uptake was unaltered (1.1 +/- .1 to 1.3 +/- .3 mg x kg(-1) x min(-1) expressed in glucose equivalents). In summary, gluconeogenesis does not increase after endotoxin administration. Thus, an increase in net hepatic glycogenolysis accounts for the majority of the increase in hepatic glucose production. The lack of an increase in alanine fractional extraction, despite hyperglucagonemia and a rise in the fractional extraction of other gluconeogenic amino acids, suggests that endotoxin specifically impairs hepatic alanine entry in vivo.

UI MeSH Term Description Entries
D007328 Insulin A 51-amino acid pancreatic hormone that plays a major role in the regulation of glucose metabolism, directly by suppressing endogenous glucose production (GLYCOGENOLYSIS; GLUCONEOGENESIS) and indirectly by suppressing GLUCAGON secretion and LIPOLYSIS. Native insulin is a globular protein comprised of a zinc-coordinated hexamer. Each insulin monomer containing two chains, A (21 residues) and B (30 residues), linked by two disulfide bonds. Insulin is used as a drug to control insulin-dependent diabetes mellitus (DIABETES MELLITUS, TYPE 1). Iletin,Insulin A Chain,Insulin B Chain,Insulin, Regular,Novolin,Sodium Insulin,Soluble Insulin,Chain, Insulin B,Insulin, Sodium,Insulin, Soluble,Regular Insulin
D007773 Lactates Salts or esters of LACTIC ACID containing the general formula CH3CHOHCOOR.
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008297 Male Males
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D003243 Consciousness Sense of awareness of self and of the environment. Consciousnesses
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004731 Endotoxins Toxins closely associated with the living cytoplasm or cell wall of certain microorganisms, which do not readily diffuse into the culture medium, but are released upon lysis of the cells. Endotoxin

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