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Am J Physiol Regul Integr Comp Physiol (October 31, 2007). doi:10.1152/ajpregu.00093.2007
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Submitted on February 9, 2007
Accepted on October 28, 2007

Differential energetic response of brain vs. skeletal muscle upon glycemic variations in healthy humans

Kerstin M. Oltmanns1*, Uwe H. Melchert, Harald G. Scholand-Engler, Maria C. Howitz, Bernd Schultes, Ulrich Schweiger, Fritz Hohagen, Jan Born, Achim Peters, and Luc Pellerin2

1 Department of Neuroendocrinology, University of Luebeck, Luebeck, Germany
2 Institut de Physiologie

* To whom correspondence should be addressed. E-mail: oltmanns{at}medinf.mu-luebeck.de.

The brain regulates all metabolic processes within the organism and therefore its energy supply is preserved even during fasting. However, the underlying mechanism is unknown. Here it is shown, using 31P-magnetic resonance spectroscopy that during short periods of hypo- and hyperglycemia, the brain can rapidly increase its high energy phosphate content whereas there is no change in skeletal muscle. We investigated the key metabolites of high energy phosphate metabolism as rapidly available energy stores by 31P magnetic resonance spectroscopy in brain and skeletal muscle of 17 healthy men. Measurements were performed at baseline and during dextrose or insulin-induced hyper- and hypoglycemia. During hyperglycemia, PCr concentrations increased significantly in the brain (P = 0.013) while there was a similar trend in the hypopglycemic condition (P = 0.055). Skeletal muscle content remained constant in both conditions (P > 0.1). ANOVA analyses comparing changes from baseline to the respective glycemic plateau in brain (up to +15%) versus muscle (up to - 4%) revealed clear divergent effects in both conditions (p < 0.05). These effects were reflected by PCr/Pi ratio (P < 0.05). Total ATP concentrations revealed the observed divergency only during hyperglycemia (P = 0.018). These data suggest that the brain, in contrast to peripheral organs, can activate some specific mechanisms to modulate its energy status during variations in glucose supply. A disturbance of these mechanisms may have far reaching implications for metabolic dysregulation associated with obesity or diabetes mellitus.







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