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J. Biol. Chem., Vol. 277, Issue 52, 50237-50244, December 27, 2002
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(PPAR
)
Influences Substrate Utilization for Hepatic Glucose Production*
§¶,
§,
§,
§,
§,
,

§§,
§
¶¶
From the § Department of Medicine, the
The hypoglycemia seen in the fasting
PPAR
Laboratory of Metabolomics, the ¶ Department of
Biological Chemistry, the
Department of Pathology, David
Geffen School of Medicine at UCLA, Los Angeles, California
90095, 
Molecular Biology Institute,
UCLA, Los Angeles, California 90095, and the ** Department of
Pediatrics, Harbor-UCLA Medical Center,
Torrance, California 90502
null mouse is thought to be due to impaired liver fatty acid
-oxidation. The etiology of hypoglycemia in the PPAR
null mouse
was determined via stable isotope studies. Glucose, lactate, and
glycerol flux was assessed in the fasted and fed states in 4-month-old
PPAR
null mice and in C57BL/6 WT maintained on standard chow using a
new protocol for flux assessment in the fasted and fed states. Hepatic
glucose production (HGP) and glucose carbon recycling were estimated
using [U-13C6]glucose, and HGP,
lactate, and glycerol turnover was estimated utilizing either
[U-13C3]lactate or
[2-13C]glycerol infused subcutaneously via Alza
miniosmotic pumps. At the end of a 17-h fast, HGP was higher in the
PPAR
null mice than in WT by 37% (p < 0.01).
However, recycling of glucose carbon from lactate back to glucose was
lower in the PPAR
null than in WT (39% versus 51%,
p < 0.02). The lack of conversion of lactate to
glucose was confirmed using an
[U-13C3]lactate infusion. In the fasted
state, HGP from lactate and lactate production were decreased by 65 and
55%, respectively (p < 0.05) in PPAR
null mice. In contrast, when [2-13C]glycerol
was infused, glycerol production and HGP from glycerol increased by 80 and 250%, respectively (p < 0.01), in the fasted state of PPAR
null mice. The increased HGP from glycerol was not
suppressed in the fed state. While little change was evident for
phosphoenolpyruvate carboxykinase (PEPCK) expression, pyruvate kinase
expression was decreased 16-fold in fasted PPAR
null mice as
compared with the wild-type control. The fasted and fed insulin levels
were comparable, but blood glucose levels were lower in the PPAR
null mice than in controls. In conclusion, PPAR
receptor function
creates a setpoint for a metabolic network that regulates the rate and
route of HGP in the fasted and fed states, in part, by controlling the
flux of glycerol and lactate between the triose-phosphate and
pyruvate/lactate pools.
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