A critical evaluation of mass isotopomer distribution analysis of gluconeogenesis in vivo

SF Previs, GW Cline… - American Journal of …, 1999 - journals.physiology.org
American Journal of Physiology-Endocrinology and Metabolism, 1999journals.physiology.org
There are conflicting reports concerning the reliability of mass isotopomer distribution
analysis (MIDA) for estimating the contribution of gluconeogenesis to total glucose
production (f) during [13C] glycerol infusion. We have evaluated substrate-induced effects
on rate of appearance (Ra) of glycerol and glucose and f during [2-13C] glycerol infusion in
vivo. Five groups of mice were fasted for 30 h and then infused with [2-13C] glycerol at
variable rates and variable 13C enrichments (group I: 20 μmol⋅ kg− 1⋅ min− 1, 99% 13C; …
There are conflicting reports concerning the reliability of mass isotopomer distribution analysis (MIDA) for estimating the contribution of gluconeogenesis to total glucose production (f) during [13C]glycerol infusion.We have evaluated substrate-induced effects on rate of appearance (Ra) of glycerol and glucose and f during [2-13C]glycerol infusion in vivo. Five groups of mice were fasted for 30 h and then infused with [2-13C]glycerol at variable rates and variable 13C enrichments (group I: 20 μmol ⋅ kg−1 ⋅ min−1, 99% 13C;group II: 60 μmol ⋅ kg−1 ⋅ min−1, 60% 13C;group III: 60 μmol ⋅ kg−1 ⋅ min−1, 99% 13C;group IV: 120 μmol ⋅ kg−1 ⋅ min−1, 40% 13C; orgroup V: 120 μmol ⋅ kg−1 ⋅ min−1, 99% 13C). The total glycerol Ra increased from ∼104 to ∼157 and to ∼210 μmol ⋅ kg−1 ⋅ min−1as the infusion of [2-13C]glycerol increased from 20 to 60 and to 120 μmol ⋅ kg− 1 ⋅ min−1, respectively. As the amount of 99% enriched [2-13C]glycerol increased from 20 to 60 and to 120 μmol ⋅ kg−1 ⋅ min−1(groups I,III, andV, respectively), plasma glycerol enrichment increased from ∼21 to ∼42 and to ∼57% and the calculated f increased from ∼27 to ∼56 and to ∼87%, respectively. Similar plasma glycerol enrichments were observed ingroups I,II, andIV (i.e., ∼21–24%), yet f increased from ∼27 to ∼57 and to ∼86% ingroups II andIV, respectively. Estimates of absolute gluconeogenesis increased from ∼14 to ∼33 and ∼86 μmol ⋅ kg−1 ⋅ min−1as the infusion of [2-13C]glycerol increased from 20 to 60 and 120 μmol ⋅ kg−1 ⋅ min−1. Plausible estimates of f were obtained only under conditions that increased total glycerol Ra∼2-fold (P < 0.001) and increased glucose Ra ∼1.5-fold (P < 0.01) above basal. We conclude that in 30-h fasted mice, 1) estimates of f by MIDA with low infusion rates of [2-13C]glycerol yield erroneous results and 2) reasonable estimates of f are obtained at glycerol infusion rates that perturb glycerol and glucose metabolism.
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