ABSTRACT
Glucocorticoids induce hyperinsulinemia, hyperglycemia, and depress glucose transport by aortic endothelium. High glucocorticoid doses are used for many diseases, but with unknown effects on brain glucose transport or metabolism. This study tested the hypothesis that glucocorticoids affect glucose transport or metabolism by brain microvascular endothelium. Male rats received dexamethasone (DEX) s.c. with sucrose feeding for up to seven days. Cerebral microvessels from rats treated with DEX/sucrose demonstrated increased GLUT1 and brain glucose extraction compared to controls. Glucose transport in vivo correlated with hyperinsulinemia. Pre-treatment with low doses of streptozotocin blunted hyperinsulinemia and prevented increased glucose extraction induced by DEX. In contrast, isolated brain microvessels exposed to DEX in vitro demonstrated suppression of 2-deoxyglucose uptake and glucose oxidation. We conclude that DEX/sucrose treatment in vivo increases blood-brain glucose transport in a manner that requires the effects of chronic hyperinsulinemia. These effects override any direct inhibitory effects of either hyperglycemia or DEX.
Subject(s)
Brain/metabolism , Cerebrovascular Circulation/physiology , Dexamethasone/pharmacology , Glucose/metabolism , Hexoses/metabolism , Microcirculation/physiology , Animals , Blood Glucose/metabolism , Brain/drug effects , Cerebrovascular Circulation/drug effects , Dietary Sucrose , Glucose Transporter Type 1 , Hyperinsulinism/metabolism , Hyperinsulinism/physiopathology , Insulin/blood , Male , Microcirculation/drug effects , Monosaccharide Transport Proteins/metabolism , Rats , Rats, Sprague-Dawley , Reference Values , Streptozocin/pharmacologyABSTRACT
Pyruvate kinase catalyzes the conversion of phosphoenolpyruvate (PEP) to pyruvate. A direct radioassay for this enzyme using [14C]PEP as substrate has been developed. The product, [14C]pyruvate, can be separated from the substrate rapidly and easily by applying the mixture to a hydroxyapatite column, and eluting the [14C]pyruvate directly into a scintillation vial. The [14C]PEP is bound to the column which can be regenerated and used indefinitely. The assay is sensitive, rapid, and particularly well suited for the simultaneous assay of large numbers of samples.
