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

Details

Serval ID
serval:BIB_3C0F31D253A7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Differential energetic response of brain vs. skeletal muscle upon glycemic variations in healthy humans.
Journal
American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
Author(s)
Oltmanns K.M., Melchert U.H., Scholand-Engler H.G., Howitz M.C., Schultes B., Schweiger U., Hohagen F., Born J., Peters A., Pellerin L.
ISSN
0363-6119
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
294
Number
1
Pages
R12-16
Language
english
Abstract
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 (31)P-magnetic resonance spectroscopy that during short periods of hypoglycemia 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 (31)P MRS in brain and skeletal muscle of 17 healthy men. Measurements were performed at baseline and during dextrose or insulin-induced hyperglycemia and hypoglycemia. During hyperglycemia, phosphocreatine (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%) vs. 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.
Keywords
Adenosine Triphosphate/metabolism, Adult, Blood Glucose/metabolism, Brain/metabolism, Energy Metabolism/physiology, Glucose, Homeostasis/physiology, Humans, Hyperglycemia/chemically induced, Hyperglycemia/metabolism, Hypoglycemia/chemically induced, Hypoglycemia/metabolism, Insulin/blood, Lactates/blood, Magnetic Resonance Spectroscopy, Male, Muscle, Skeletal/metabolism
Pubmed
Web of science
Create date
24/01/2008 14:17
Last modification date
20/08/2019 14:32
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