CONTRIBUTION OF LIVER AND SKELETAL-MUSCLE TO ALANINE AND LACTATE METABOLISM IN HUMANS
CONTRIBUTION OF LIVER AND SKELETAL-MUSCLE TO ALANINE AND LACTATE METABOLISM IN HUMANS
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DOI:
10.1152/ajpendo.1990.259.5.e677
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发表时间:
1990-11-01
影响因子:
--
通讯作者:
GERICH, JE
中科院分区:
文献类型:
--
作者:
CONSOLI, A;NURJHAN, N;GERICH, JE
To quantitate alanine and lactate gluconeogenesis in postabsorptive humans and to test the hypothesis that muscle is the principal source of these precursors, we infused normal volunteers with [3-14C]lactate, [3-13C]alanine, and [6-3H]glucose and calculated alanine and lactate incorporation into plasma glucose corrected for tricarboxylic acid cycle carbon exchange, the systemic appearance of these substrates, and their forearm fractional extraction, uptake, and release. Forearm alanine and lactate fractional extraction averaged 37 .+-. 3 and 27 .+-. 2%, respectively; muscle alanine release (2.94 .+-. 0.27 .mu.mol .cntdot. kg body wt-1 .cntdot. min-1) accounted for .apprx. 70% of its systemic appearance (4.18 .+-. 0.31 .mu.mol .cntdot. kg body wt-1 .cntdot. min-1); muscle lactate release (5.51 .+-. 0.42 .mu.mol .cntdot. kg body wt-1 .cntdot. min-1) accounted for .apprx. 40% of its systemic appearance (12.66 .+-. 0.77 .mu.mol .cntdot. kg body wt-1 .cntdot. min-1); muscle alanine and lactate uptake (1.60 .+-. 0.7 and 3.29 .+-. 0.36 .mu.mol .cntdot. kg body wt-1 .cntdot. min-1, respectively) accounted for .apprx. 30% of their overall disappearance from plasma, whereas alanine and lactate incorporation into plasma glucose (1.83 .+-. 0.20 and 4.24 .+-. 0.44 .mu.mol .cntdot. body wt-1 .cntdot. min-1, respectively) accouted for .apprx. 50% of their disappearance from plasma. We therefore conclude that muscle is the major source of plasma alanine and lactate in postabsorptive humans and that factors regulating their release from muscle may thus exert an important influence on hepatic gluconeogenesis.