Affiliation:
1. Department of Medicine, Gouverneur Hospital, Beth Israel Medical Center, the Department of Medicine, Mount Sinai School of Medicine New York, New York the Department of Medicine, University of North Carolina School of Medicine Chapel Hill, North Carolina
Abstract
We have recently demonstrated that in rats fed a high protein, carbohydrate-free (HP) diet plasma glucagon and liver cyclic AMP are increased and as a result hepatic gluconeogenesis is stimulated. To determine whether increased protein intake or lack of dietary carbohydrate was responsible for these changes, the effects of a high fat, carbohydrate-free (HF) diet on plasma glucagon and insulin, liver cyclic AMP and hepatic gluconeogenesis were determined. Perfused livers of HF-fed rats showed greater conversion of alanine and pyruvate into carbohydrate than did control liver, although the rates were less than in HP-liver. Despite elevated gluconeogenesis in liver of HF-rats, plasma glucagon and insulin and liver cyclic AMP were normal. These findings demonstrate that some mechanism other than a rise in the level of glucagon is responsible for stimulating carbohydrate synthesis. We have postulated that acetyl CoA, which is formed in large amounts as a result of accelerated fatty acid oxidation, promotes gluconeogenesis in HF-fed rats. The observation that plasma glucagon is elevated in HP-fed but not in HF-fed rats demonstrates that protein intake and not carbohydrate restriction stimulates glucagon secretion since both diets are carbohydrate-free. Despite the lack of dietary carbohydrate, plasma glucose of HF-fed rats was normal and liver glycogen was about half that of controls. When HF animals were starved for twenty-four hours, mobilization of carbohydrate stores was diminished indicating that glucose utilization is reduced as a result of fat feeding.
Publisher
American Diabetes Association
Subject
Endocrinology, Diabetes and Metabolism,Internal Medicine
Cited by
42 articles.
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