Background:Accuracy of tracer-based measurements of in vivo metabolic rates rely on assumptions, i.e., tracer non-interference with metabolism

Aim: [1,2-13C2]-L-glutamine was evaluated to trace hepatic (H) & renal (K) metabolism in rats fed control vs. highfat-highsucrose diets (HFHSD) with validation by independent models and compared to lactate, propionate, and acetate tracing

Methods: Sprague-Dawley rats underwent primed, continuous infusions of [1,2-13C2]-L-glutamine vis-à-vis lactate, propionate, acetate infusions.Plasma/freeze-clamped tissues were obtained at 7 timepoints. Isotopomers were interpreted by steady-state and kinetic Mass Isotopomer Multi-Ordinate Spectral Analysis (MIMOSA)

Results:[1,2-13C2]-L-glutamine equilibrated without significant impact on intermediary/glucose metabolism. Transaminase exchange (vx) was >> citrate synthase (vCS). vPEPCK/vCS was 1.5 in (H) and 1.9 in (K). Pyruvate contributed 76% of anaplerosis in (H) and 90% in (K) with the remainder from propionate (vPCC) (H) and glutamate (vGDH) (H, K)). Citrate lyase (vACLY/vCS) was significant only in (H) (18%) increasing on HFHSD. Plasma insulin ([i]), glucose ([g]), and/or glucose turnover (Ra) were increased by acetate ([i]=1.5x, p=0.015; [g]=129mg/dl, p=0.021), lactate ([i]=2.03x, p=0.0001; [g]=156mg/dl, p=0.0001, Ra=7.2mg/kg/min, p=0.006), and propionate ([i]=1.7x, p=0.0013; [g]=165mg/dl, p=0.0001, Ra=7.8mg/kg/min, p=0.0017). Lactate, acetate, and propionate increased cataplerosis > HFHSD

Conclusion: [1,2-13C2]-L-glutamine MIMOSA provided unaltered, direct measurements of mitochondrial metabolism validated by independent kinetic and steady-state models and demonstrated comparable vPEPCK and vCS, fast transaminase, substantial vACLY, vPCC, and minimal vGDH. Metabolic changes induced by HFHSD were less than those caused by lactate, propionate, acetate.

Disclosure

S. Siebel: None. R.L. Cardone: None. G.F. Mason: Consultant; Merck & Co., Inc. R. Kibbey: None.

Funding

National Institutes of Health (5R01DK108283-04)

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