Fasting inhibits insulin-mediated glycolysis and anaplerosis in human skeletal muscle.
Euglycemic (approximately 5.5 mM) hyperinsulinemic (60 mU.m-2.min-1) clamps were performed for 2 h after a 10-h fast and after a prolonged (72-h) fast. Biopsies were obtained from the quadriceps femoris muscle before and after each clamp. The rate of whole body glucose disposal was approximately 50% lower during the clamp after the 72-h fast (P less than or equal to 0.001). The increase in carbohydrate (CHO) oxidation (which is proportional to glycolysis) during the clamp after the 10-h fast (to 13.8 +/- 1.5 mumol.kg fat free mass-1.min-1) was completely abolished during the clamp after the 72-h fast (1.7 +/- 0.6; P less than or equal to 0.001). During the clamp after the 10-h fast, postphosphofructokinase (PFK) intermediates and malate in muscle increased, whereas glutamate decreased (P less than or equal to 0.05-0.001 vs. basal) and citrate did not change. During the clamp after the 72-h fast, there were no significant changes in post-PFK intermediates or glutamate (P greater than 0.05 vs. basal), but there was a decrease in citrate (P less than or equal to 0.01 vs. basal). Euglycemic hyperinsulinemia increased glycogen synthase fractional activity in muscle under both conditions but to a greater extent after the 72-h fast (P less than or equal to 0.01). It is concluded that insulin (after 10-h fast) increases glycolytic flux and the content of malate in muscle, which is probably due to increased anaplerosis.(ABSTRACT TRUNCATED AT 250 WORDS)
Castillo
C E
CE
Clinical Diabetes and Nutrition Section, National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Phoenix, Arizona 85106.
Katz
A
A
Spencer
M K
MK
Yan
Z
Z
Nyomba
B L
BL
D000328:Adult; D001823:Body Composition; D050260:Carbohydrate Metabolism; D005215:Fasting; D005947:Glucose / Q000096:biosynthesis; D006006:Glycogen Synthase / Q000378:metabolism; D006019:Glycolysis; D006801:Humans; D007328:Insulin / Q000494:pharmacology / Q000502:physiology*; D008297:Male; D009132:Muscles / Q000378:metabolism*; D010084:Oxidation-Reduction; D011494:Protein Kinases / Q000378:metabolism
D007328:Insulin; D006006:Glycogen Synthase; D011494:Protein Kinases; D005947:Glucose