Abstract
The effects of sodium dichloroacetate (DCA) on carbohydrate metabolism in conscious, 48-h-fasted dogs were examined using the hepatic A-V difference technique and a double isotope infusion technique ( 3H-glucose to measure glucose production and 14C-alanine to assess gluconeogenesis). DCA infusion (0.4 mg/kg-min) resulted in an 82 ± 1% fall in the arterial plasma alanine level and a 53 ± 8% fall in the arterial whole blood lactate level. Hepatic uptake of alanine and lactate fell 67 ± 5% and 59 ± 15%, respectively, although the fractional extraction of these intermediates was not altered. DCA decreased the conversion of circulating alanine and lactate to glucose but by only 41 ± 7%, suggesting that a slight increase in the efficiency of the intrahepatic gluconeogenic process took place. This may be explained by the decrease in the plasma insulin level (39 ± 9%) that occurred in the presence of a unchanged plasma glucagon concentration. Despite the substantial fall in the levels of gluconeogenic precursors in blood and the considerable decrease in their rate of conversion to glucose, the overall rates of glucose production and the blood glucose concentration were not altered by DCA. These data indicate that the alanine and lactate supplied by the periphery after a 48 h fast in the dog are not essential for the acute maintenance of glucose production or euglycemia. They suggest, further, that a compensatory increase in glucose production can occur by drawing on an alternate intrahepatic carbon source, the nature of which and signal for which remain unclear.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 702-709 |
| Number of pages | 8 |
| Journal | Diabetes |
| Volume | 29 |
| Issue number | 9 |
| State | Published - Dec 1 1980 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Internal Medicine
- Endocrinology, Diabetes and Metabolism
Cite this
Dichloroacetate - Its in vivo effects on carbohydrate metabolism in the conscious dog. / Diamond, Michael Peter; Rollings, R. C.; Erlendson, L.; Williams, P. E.; Lacy, W. W.; Rabin, D.; Cherrington, A. D.
In: Diabetes, Vol. 29, No. 9, 01.12.1980, p. 702-709.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Dichloroacetate - Its in vivo effects on carbohydrate metabolism in the conscious dog
AU - Diamond, Michael Peter
AU - Rollings, R. C.
AU - Erlendson, L.
AU - Williams, P. E.
AU - Lacy, W. W.
AU - Rabin, D.
AU - Cherrington, A. D.
PY - 1980/12/1
Y1 - 1980/12/1
N2 - The effects of sodium dichloroacetate (DCA) on carbohydrate metabolism in conscious, 48-h-fasted dogs were examined using the hepatic A-V difference technique and a double isotope infusion technique ( 3H-glucose to measure glucose production and 14C-alanine to assess gluconeogenesis). DCA infusion (0.4 mg/kg-min) resulted in an 82 ± 1% fall in the arterial plasma alanine level and a 53 ± 8% fall in the arterial whole blood lactate level. Hepatic uptake of alanine and lactate fell 67 ± 5% and 59 ± 15%, respectively, although the fractional extraction of these intermediates was not altered. DCA decreased the conversion of circulating alanine and lactate to glucose but by only 41 ± 7%, suggesting that a slight increase in the efficiency of the intrahepatic gluconeogenic process took place. This may be explained by the decrease in the plasma insulin level (39 ± 9%) that occurred in the presence of a unchanged plasma glucagon concentration. Despite the substantial fall in the levels of gluconeogenic precursors in blood and the considerable decrease in their rate of conversion to glucose, the overall rates of glucose production and the blood glucose concentration were not altered by DCA. These data indicate that the alanine and lactate supplied by the periphery after a 48 h fast in the dog are not essential for the acute maintenance of glucose production or euglycemia. They suggest, further, that a compensatory increase in glucose production can occur by drawing on an alternate intrahepatic carbon source, the nature of which and signal for which remain unclear.
AB - The effects of sodium dichloroacetate (DCA) on carbohydrate metabolism in conscious, 48-h-fasted dogs were examined using the hepatic A-V difference technique and a double isotope infusion technique ( 3H-glucose to measure glucose production and 14C-alanine to assess gluconeogenesis). DCA infusion (0.4 mg/kg-min) resulted in an 82 ± 1% fall in the arterial plasma alanine level and a 53 ± 8% fall in the arterial whole blood lactate level. Hepatic uptake of alanine and lactate fell 67 ± 5% and 59 ± 15%, respectively, although the fractional extraction of these intermediates was not altered. DCA decreased the conversion of circulating alanine and lactate to glucose but by only 41 ± 7%, suggesting that a slight increase in the efficiency of the intrahepatic gluconeogenic process took place. This may be explained by the decrease in the plasma insulin level (39 ± 9%) that occurred in the presence of a unchanged plasma glucagon concentration. Despite the substantial fall in the levels of gluconeogenic precursors in blood and the considerable decrease in their rate of conversion to glucose, the overall rates of glucose production and the blood glucose concentration were not altered by DCA. These data indicate that the alanine and lactate supplied by the periphery after a 48 h fast in the dog are not essential for the acute maintenance of glucose production or euglycemia. They suggest, further, that a compensatory increase in glucose production can occur by drawing on an alternate intrahepatic carbon source, the nature of which and signal for which remain unclear.
UR - http://www.scopus.com/inward/record.url?scp=0019276320&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0019276320&partnerID=8YFLogxK
M3 - Article
C2 - 7002686
AN - SCOPUS:0019276320
VL - 29
SP - 702
EP - 709
JO - Diabetes
JF - Diabetes
SN - 0012-1797
IS - 9
ER -