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Am J Physiol Regul Integr Comp Physiol 273: R2072-R2079, 1997;
0363-6119/97 $5.00
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AJP - Regulatory, Integrative and Comparative Physiology, Vol 273, Issue 6 2072-R2079, Copyright © 1997 by American Physiological Society

ARTICLES

Lactate infusion to normal rats during hyperglycemia enhances in vivo muscle glycogen synthesis

C. Pagano, M. Granzotto, A. Giaccari, R. Fabris, R. Serra, A. M. Lombardi, G. Federspil and R. Vettor
Endocrine-Metabolic Laboratory, University of Padua, Italy.

Both hyperglycemia and hyperinsulinemia stimulate whole body and muscle glucose disposal. To define the impact of increased lactate concentration (4-5 mM) on muscle glucose disposal during hyperglycemia, we studied anesthetized normal rats infused with either sodium lactate or sodium bicarbonate as control. Animals were studied under hyperglycemic clamp (13 mM) using [3-3H]glucose (study 1) and 2-deoxy-[1-3H]glucose (study 2) to assess glucose rate of disappearance (Rd), glycolytic flux (GF), glycogen synthesis, and glucose utilization index by different tissues. Moreover, in study 3, the effect of lactate on the pattern of plasma insulin response to hyperglycemia was evaluated. In study 1, lactate infusion resulted in an increased Rd (38.7 +/- 1.7 vs. 32.3 +/- 1.3 mg.min-1.kg-1; P < 0.01), which was explained by an enhanced rate of glycogen synthesis (23.0 +/- 1.7 vs. 14.7 +/- 1.2 mg.min-1.kg-1; P < 0.001), whereas GF was unchanged. In study 2, lactate-infused animals showed an increased 2-deoxy-glucose disposal and a stimulated glycogen synthase activity as well as an increased glycogen accumulation at the end of the study in several skeletal muscles. In study 3, lactate did not induce any change in either early or late insulin response to hyperglycemia. In conclusion, our results show that muscle glycogen deposition may be enhanced by elevated lactate levels under hyperglycemic conditions and support a role for lactate in the regulation of glucose homeostasis.


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A. M. Lombardi, R. Fabris, F. Bassetto, R. Serra, A. Leturque, G. Federspil, J. Girard, and R. Vettor
Hyperlactatemia reduces muscle glucose uptake and GLUT-4 mRNA while increasing (E1alpha )PDH gene expression in rat
Am J Physiol Endocrinol Metab, May 1, 1999; 276(5): E922 - E929.
[Abstract] [Full Text] [PDF]


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