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Originally published In Press as doi:10.1074/jbc.M004739200 on August 25, 2000
J. Biol. Chem., Vol. 275, Issue 47, 36787-36793, November 24, 2000
Loss of [13C]Glycerol Carbon via the Pentose
Cycle
IMPLICATIONS FOR GLUCONEOGENESIS MEASUREMENT BY
MASS ISOTOPER DISTRIBUTION ANALYSIS*
Irwin J.
Kurland §¶,
Allison
Alcivar§,
Sara
Bassilian , and
Wai-Nang P.
Lee
From the Molecular Biology Institute and
§ Department of Medicine, Division of Endocrinology,
Diabetes and Metabolism Signaling Laboratory, UCLA,
Los Angeles, California 90024 and the Department of
Pediatrics, Harbor-UCLA Medical Center,
Torrance, California 90502
Received for publication, June 1, 2000, and in revised form, August 19, 2000
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ABSTRACT |
Whereas many reports substantiated the
suitability of using [2-13C]glycerol and Mass
Isotoper Distribution Analysis for gluconeogenesis, the use of
[13C]glycerol had been shown to give lower estimates of
gluconeogenesis (GNG). The reason for the underestimation has been
attributed to asymmetric isotope incorporation during gluconeogenesis
as well as zonation of gluconeogenic enzymes and a
[13C]glycerol gradient across the liver. Since the
cycling of glycerol carbons through the pentose cycle pathways can
introduce asymmetry in glucose labeling pattern and tracer dilution, we
present here a study of the role of the pentose cycle in
gluconeogenesis in Fao cells. The metabolic regulation of glucose
release and gluconeogenesis by insulin was also studied.
Serum-starved cells were incubated for 24 h in Dulbecco's
modified Eagle's media containing 1.5 mM [U-13C]glycerol. Mass isotopomers of whole glucose from
medium or glycogen and those of the C-1 C-4 fragment were highly
asymmetrical, typical of that resulting from the cycling of glucose
carbon through the pentose cycle. Substantial exchange of tracer
between hexose and pentose intermediates was observed. Our results
offer an alternative mechanism for the asymmetrical labeling of glucose
carbon from triose phosphate. The scrambling of 13C in
hexose phosphate via the pentose phosphate cycle prior to glucose
release into the medium is indistinguishable from dilution of labeled
glucose by glycogen using MIDA and probably accounts for the
underestimation of GNG using 13C tracer methods.
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INTRODUCTION |
In the liver, the phosphorylation of glycerol and its subsequent
conversion to glyceraldehyde phosphate
(GAP)1 and dihydroxyacetone
phosphate (DHAP) provides the basis of an important isotopomer method
for the determination of gluconeogenesis using 13C-labeled
glycerol (1). Whereas many reports substantiated the suitability of
using [2-13C]glycerol and MIDA for gluconeogenesis (2,
3), the use of [U-13C]glycerol had been shown to give
lower estimates of gluconeogenesis (4). The reason for the
underestimation has been attributed to the cycling of triose phosphate
and glycerol and the lack of complete equilibrium between GAP and DHAP
leading to asymmetric isotope incorporation as well as zonation of
gluconeogenic enzymes and a [13C]glycerol gradient across
the liver during gluconeogenesis. How these different factors may
affect the precision and accuracy of the MIDA approach in the
estimation of gluconeogenesis has not been demonstrated (1, 4, 5).
When rat liver was perfused after a 2-day fast with
[U-13C]glycerol, M1 and M2 glucose mass isotopomers were
found in addition to the M3 and M6 of glucose predicted on the basis of
the combination of two m3 triose-P molecules. Since M1 and M2
isotopomers were also seen in triose-P and in phosphoenolpyruvate (PEP)
(4), the source of M1 and M2 isotopomers of glucose was assumed to come
from the loss of carbon via the tricarboxylic acid cycle. Since
glyceraldehyde phosphate is also an intermediate of the pentose cycle,
the cycling of glycerol carbons through the pentose cycle pathways
produces asymmetry in glucose carbon labeling pattern and can also lead
to the formation of M1 and M2 glucose. We present here a study of the
role of the pentose cycle in gluconeogenesis in Fao cells, in which the
cycling of [U-13C]glycerol carbon between glycerol and
PEP was minimized with the dilution of PEP from unlabeled gluconeogenic
precursors, pyruvate and glutamine. Fao hepatoma cells are derived from
the Reuber H35 rat hepatoma cell line (6, 7) and show stable expression of a number of liver-specific functions including the expression of the
gluconeogenic enzymes PEP carboxykinase and fructose
1,6-bisphosphatase. Since Fao cells can grow in glucose-free media and
have a uniform enzymatic profile, unlike the mixture of periportal and
perivenous cells seen in primary hepatocyte culture, Fao cells were
used to study gluconeogenesis. In addition, Fao cells have been found to have specific and high affinity binding of insulin at physiologic concentrations. The metabolic regulation of glucose release and gluconeogenesis by insulin was also studied.
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EXPERIMENTAL PROCEDURES |
Materials--
The Fao hepatoma cell line was obtained from the
American Tissue Culture Collection (ATCC).
[1,2,3-13C3]Glycerol or
[U-13C3]glycerol (>99% enriched) was
purchased from Isotec (Miamisburg, OH).
Tissue Culture Conditions--
The Fao cells were serum-starved
for 18 h in low glucose (1 g/liter) DMEM, containing an additional
1 mM glutamine, 1 mM sodium pyruvate, and 1%
penicillin/streptomycin before the isotope study. The medium was then
changed to DMEM with no glucose, which contains sodium pyruvate, 1 mM glutamine (2 mM final), and
penicillin/streptomycin as in the low glucose condition. Dexamethasone
was then added to a final concentration of
10 6 M, and the final
concentration of the ETOH carrier for dexamethasone was 0.02%. Two
substrate conditions (2 mM xylitol or 12.5 mM
glucose) and two hormone conditions (in the presence or absence of
insulin) were used giving rise to four incubation conditions. Undiluted [U-13C]glycerol was added to all culture plates to a
final [U-13C]glycerol of 1.5 mM to start the
experiment. For incubation with insulin, the cells were stimulated with
dexamethasone for 2 h before the addition of insulin. The final
concentration of insulin was 10 8
M. The plates were incubated for a total of 24 h after
the time the media were collected.
Sample Processing--
At the end of experiment, cells were
harvested in ice-cold phosphate-buffered saline, spun down, resuspended
in a total volume of 50 µl with phosphate-buffered saline, and stored
at 80 °C until processed. This pellet was sonicated prior to
measurement of glycogen or ribose. Glycogen glucose was isolated from
cell pellets after treatment with amyloglucosidase (8). RNA was extracted from cell pellet after treatment with ice-cold Trizol 1:2%,
v/v (9, 10). Incubation medium from each culture plate was analyzed for
lactate, glucose, and glutamate using previously established methods.
Lactate was first extracted from the acidified medium using ethyl
acetate. Glucose, glutamine, and glutamate were separated using
ion-exchange chromatography. (8) Glucose and xylitol were co-eluted in
the neutral fraction from the medium.
Gas Chromatography-Mass Spectrometry Analysis--
Medium or
glycogen glucose was derivatized as its penta-acetate or aldonitrile
penta-acetate derivative for gas chromatography-mass spectrometry
analysis (11). Under either derivatization condition, xylitol was
converted to its acetate derivative by the acetic anhydride reaction.
GC conditions were as follows: capillary column (HP5); carrier gas,
helium at flow rate of 1 ml/min, initial oven temperature 220 °C for
2 min and a temperature gradient of 10 °C per min until final
temperature of 250 °C, xylitol penta-acetate and glucose aldonitrile
penta-acetate were separated. Chemical ionization (CI) was used to give
the molecular ion (C-1 C-6) of the glucose molecule at m/z
331 for its penta-acetate and m/z 328 for its aldonitrile
penta-acetate. Electron impact ionization (EI) of the aldonitrile
derivative was used to characterize glucose positional isotopomers at
m/z 187 for C-3 C-6 and m/z 242 for C-1 C-4
fragments. Ribose was converted to its aldonitrile acetate derivative
and lactate to its heptafluorobutyrate n-propylamide derivative as described previously (12).
Results of the mass isotopomers in glucose or lactate are reported as
molar fractions of m0, m1, m2, etc., according to the number of labeled
carbons in the molecule (13). The sum of all isotopomers of the
molecules, mi for I = 1 to n
(n = 3, 5, or 6 for lactate, ribose, and glucose,
respectively), equal to 1 or 100%. The labeled isotopomer fractions
are also reported as mi/ mi, in
percent, which is a distribution not affected by the dilution with
unlabeled compounds. The enrichment, mn, is the weighted
sum of the labeled species ( mn = m1 × 1 + m2 × 2 + m3 × 3 ... ). The relative molar enrichment
equals enrichment in the product, mn, divided by the
enrichment in the infused precursor, (= m1·1 + m2·2 + m3·3 = average 13C/molecule) = 3 for
[1,2,3-13C3]glycerol. The relative enrichment
is equivalent to relative molar specific activity, the ratio of
13C activity in a product to the 13C specific
activity of the infused glycerol.
Data Interpretation--
Glucose has been considered to be a
dimer resulting from the condensation of GAP and DHAP molecules. When
the rate of formation of glucose is much slower than the rate of
isomerization of these triose-P molecules, the labeling pattern of the
top half (C-1 C-3) of the glucose molecule is expected to be the same
as that of the bottom half (C-4 C-6). Asymmetry in the glucose
labeling pattern can result when the two triose-P molecules are
produced or removed at unequal rates as demonstrated by Previs et
al. (4). Asymmetry of labeling of the top and bottom half of the
glucose molecule can occur through the loss of
[13C]carbon via the pentose cycle. An account of
the fate of [1,2,3-13C3]glucose-6-P carbon
going through the pentose cycle is provided in Fig.
1.
[1,2,3-13C3]glucose (M3 top) can be oxidized
by the reaction of glucose-6-phosphate dehydrogenase (G6PDH) resulting
in [1,2-13C2]pentose-5-P (either ribose-5-P
or xylulose-5-P). The action of transketolase on xylulose-5-P and
ribose-5-P leads to the formation of
[1,2,3,4-13C4]-,
[1,2-13C2]-, and
[3,4-13C2]sedoheptulose-7-P. Subsequently,
due to the action of transaldolase, [1,2,3-13C3]-,
[1,2-13C2]-, and
[3-13C]fructose-6-P, and
[1-13C]erythrose-4-P and unlabeled erythrose-4-P are
formed. M3 glucose can rapidly become M1 and M2 glucose. The action of
the pentose cycle leads to the formation of M2 and M1 glucose at the
expense of M3 label in the C-1 C-3 position. As shown in Fig. 1, the
bottom three carbons, on the other hand, cycle via the transketolase and transaldolase reactions without being changed. Thus
[4,5,6-13C3]glucose (M3 bottom) is expected
to remain as M3. As a result, M3 bottom (C-4 C-6) is always greater
than M3 top (C-1 C-3), and the opposite is true for M2 and M1.
Asymmetry in glucose labeling pattern can be demonstrated by comparing
the distribution of isotopomers of the C-1 C-4 fragment (by EI) to
that of the C-1 C-6 fragment (by CI) as illustrated in Fig.
2.

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Fig. 1.
Genesis of glucose mass isotopomers from
[1,2,3-13C3]glucose through the PPP.
[13C]Carbon atoms are indicated by *C, and the
subscript numbers indicate the original carbon
positions in the glucose molecule. The fate of individual glucose
carbon in different pentose cycle intermediates is shown. Glucose
oxidation by glucose-6-phosphate dehydrogenase results in the loss of
C1 and the formation of pentose phosphate with two
[13C]carbons. Subsequent action of the pentose cycle
enzymes transketolase and transaldolase results in four isotopomers of
sedoheptulose-7-P and four isotopomers of fructose-6-P, which become
[1,2,3-13C3]-,
[1,2-13C2]-, and [3-13C]glucose
(M3, M2, and M1). Reaction of erythrose-4-P with xylulose-5-P (not
shown) can similarly result in the same M3, M2, and M1 glucose. By
following the subscript numbers, it is clear that unlike
[1,2,3-13C3]glucose,
[4,5,6-13C3]glucose is recycled as
[4,5,6-13C3]glucose, and no M2 and M1 glucose
are generated from it. Thus, the action of the PPP on a mixture of
equal amount of [1,2,3-13C3]glucose and
[4,5,6-13C3]glucose results in a decrease in
molar enrichment of [1,2,3-13C3]glucose
without changing the enrichment of
[4,5,6-13C3]glucose as shown in Fig. 2.
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Fig. 2.
Glucose labeling distribution for the pentose
cycle. [13C]Carbon atoms are indicated by
filled circles and [12C]carbons by open
circles. The orientation of all molecules is such that carbon 1 (C-1) position is on the top. Asymmetry of labeling of the
top and bottom half of the glucose molecule can result when
the two triose-P molecules are produced or removed at unequal rates.
Successive loss of labeled glucose carbon at C-1 C-3 can occur through
the loss catalyzed by glucose-6-phosphate dehydrogenase via the
oxidative limb of the pentose cycle producing M2 and M1 glucose.
[13C]Carbon in the lower half of the glucose molecule
that cycles through the non-oxidative limb of the pentose cycle
(glucose 6-phosphate ribose/xylulose phosphates glyceraldehyde
3-phosphate + fructose 6-phosphate) remains intact. Asymmetry in
glucose labeling pattern reflecting the sole action of pentose cycle
can be demonstrated by comparing the distribution of isotopomers of the
C-1 C-4 fragment (by EI) to that of the C-1 C-6 fragment (by
CI).
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As shown in Fig. 2, if only the sole action of the pentose cycle is
considered, a loss in the M3 isotopomers by EI, due to cleaving off
carbons 5 and 6 of glucose, results in a gain of M1. However, some
randomization of top and bottom of the glucose molecule does occur,
secondary to the action of aldolase on fructose-1,6-P, in which case
proportionate amount of M3 and M2 should be lost, if the label in M3,
M2, and M1 glucose is symmetrically distributed (see
"Results").
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RESULTS |
Distribution of Lactate Isotopomers--
In order to minimize the
effect of the tricarboxylic acid cycle on the final isotopomer
distribution in glucose and ribose, unlabeled gluconeogenic precursors,
pyruvate and glutamine, were added to the incubation media to a final
concentration of 1 mM. This had the effect of diluting any
13C label coming from the randomization of the
13C label through tricarboxylic acid cycle. Under such
conditions, mass isotopomer distribution in lactate is the result of
conversion of glycerol to lactate diluted by unlabeled lactate from
other sources. Table I shows that lactate produced from
glycerol by cultured Fao cells is greatly
diluted by lactate produced from pyruvate or glutamate. This
observation suggests that very little 13C-labeled glycerol
went into the tricarboxylic acid cycle, and this was also supported by
the fact that 13C isotopomer of glutamate was not
detectable in medium glutamate (data not shown). Therefore our
experimental conditions allowed us to focus on the interactions of
glycolytic/gluconeogenic, glycogen, and pentose phosphate pathways in
this Fao model.
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Table I
Mass isotopomer distribution in media lactate:
2 mM xylitol and 1.5 mM
[U13C]glycerol with no cold glucose added. Average (Ave.) and
S.D. of triplicates are provided.
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Effect of Insulin on Glucose Release--
The release of glucose
into the medium was quantitated using the medium xylitol as a recovery
standard. Xylitol is co-isolated with glucose and is converted to
penta-acetate during the derivatization of glucose. The derivative of
xylitol shares a common C-3 C-6 fragment (at m/z 187) with
the glucose aldonitrile penta-acetate derivative but has a different
retention time than that of the glucose derivative (Fig.
3). The inhibition of glucose release into the medium by insulin is clearly demonstrated by the reduction of
the glucose peak. The inhibition can be quantitated by examining the GC
ratio of glucose to that of xylitol using a standard curve. Results are
shown in Fig. 4. The release of glucose
into the medium was reduced from 15.1 µmol/24 h with no insulin to
4.2 µmol of glucose with insulin (Fig. 4).

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Fig. 3.
Total ion chromatogram of xylitol and glucose
in the incubation media. The spectra of xylitol penta-acetate and
of glucose acetonitrile penta-acetate were determined by EI.
Integrated, they form the chromatographic peaks for the situation of
incubation in DMEM, no glucose, 10 6
M dexamethasone, 2 mM xylitol, 1 mM
pyruvate, without insulin (top, A) or with insulin
(bottom, B). Diminution of the glucose peak where insulin is
present indicates inhibition of gluconeogenesis by insulin.
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Fig. 4.
Ratio of the integrated EI spectra of the
glucose and xylitol peaks at m/z 187 (see Fig.
3 for details). The height of the peaks in Fig. 3 is
proportional to the concentration of glucose or xylitol in the media.
The xylitol peak of the integrated EI spectra at m/z 187, shown in Fig. 3, was taken to be an internal standard for this
calculation, as we have found there is no change in the xylitol
concentration during the experiment for the two conditions (with and
without insulin).
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Distribution of Glucose Isotopomers--
The mass isotopomer
distribution in medium glucose (new glucose) is shown in Table
II. The enrichment in glucose was 0.42 and 0.44 in the insulin-treated and untreated cells, being about four times that of lactate. Thus, [U-13C]glycerol
contributed to 12-16% of carbon atoms of the new glucose molecules.
Regardless of insulin treatment, 8-10% of glucose in the medium is
labeled with 3 [13C]carbon atoms, 2.7-3% with 2 [13C]carbon atoms, and 6.6-7.1% with 1 [13C]carbon atom per molecule. This pattern is
significantly different from that in lactate suggesting sources of M1
and M2 isotopomers of glucose other than the tricarboxylic acid cycle.
The mass isotopomer distribution in the C-1 C-4 fragment of glucose
aldonitrile penta-acetate is shown in the lower half of Table II. The
number of molecules containing 3 [13C]carbon atoms was
substantially reduced when carbon 5 and carbon 6 of glucose were
cleaved by EI. Only 1.7-1.8% of the molecules contains 3 [13C]carbon atoms in the C-1 C-4 fragment. By comparing
the M3 molar fraction of the whole glucose molecule as determined by CI
and that in the C-1 C-4 fragment determined by EI, it can be estimated that the glucose molecule was asymmetrically labeled with 20% of M3
labeling C-1 C-3 and 80% labeling C-4 C-6. The molar fractions of M2
glucose (C-1 C-6) in Table II were comparable to the M2 of the
C-1 C-4 glucose fragment (Table II, bottom). The distribution of
glucose mass isotopomers deduced from the difference between isotopomers in C-1 C-6 and C-1 C-4 fragment is shown in Fig.
5. Some randomization of top and bottom
of the glucose molecule does occur, secondary to the action of aldolase
on fructose-1,6-P (18). If the label in M3, M2, and M1 glucose is
symmetrically distributed, M1 can be in any of the C-1 C-6 positions,
but M2 can only be in C-1 C-2 or C-5 C-6 and M3 in C-1-C-3 or
C-4-C-6 (Fig. 5). Therefore, a proportionate amount of M3 and M2 should
be lost, greater than the loss in M1, by cleaving off carbon 5 and 6 of
glucose by EI. However, if the loss of M3 is more than the loss of M1
and M2 of the C-1 C-4 fragment, it is an indication of M3 in C-4 C-6 being greater than M3 in C-1 C-3 of glucose, and M2 and M1 in C-4-C-6
being less than that in C-1 C-3 glucose. The degree of loss of
[13C]glycerol carbon depends on the magnitude of the
non-oxidative and oxidative fluxes, relative to the gluconeogenic flux
and input of 5 carbon precursors, such as xylitol carbon. These
considerations are illustrated by our findings, showing that the
reduction in M3 is associated with a slight decrease in M2, as
predicted in Fig. 5. The asymmetry in the labeling pattern can only be
the result of loss of [13C]carbon through the pentose
cycle during gluconeogenesis.
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Table II
Mass isotopomer distribution in C-1-C-6 fragment of media glucose
(glucose formed during experiment)
2 mM xylitol and 1.5 mM
[U-13C]glycerol present with no cold glucose added. Average
(Ave) and S.D. of triplicates are provided. Media glucose from
insulin-treated cells was too low for this determination.
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Fig. 5.
Mass isotopomers in newly formed glucose as
deduced from the analysis of C-1 C-6 and C-1 C-4 fragments.
Eleven possible isotopomers of M0, M1, M2, and M3 glucose are shown and
are labeled from a to k. The orientation of all
molecules is such that carbon 1 (C-1) position is on the
top. Since total M3 (j + k) is 9.2% and
[1,2,3-13C3]glucose (j) is 1.7%,
M3 at the bottom is therefore 7.5%. M3 (top)/M3
(bottom) = 1.7/7.5. By similar reasoning,
M2(top)/M2(bottom) = 2.1/0.6, which is quite
the opposite of the M3 ratio. This labeling pattern resembles the
examples shown in Fig. 1 and Fig. 2, with the addition of reflecting
the randomization of the top and bottom of the glucose molecule
secondary to the action of aldolase on fructose-1,6P and can only be
the result of the action of the pentose phosphate pathway.
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Table III compares the relative
enrichments in glycogen glucose derived from Fao cells incubated in the
presence of 12.5 mM glucose ± 10 8 M insulin to that derived
from Fao cells incubated in 2 mM xylitol ± 10 8 M insulin with no cold
glucose added. The enrichment in glycogen glucose from Fao cells
treated with 12.5 mM glucose was 0.349 which was
significantly higher than the enrichment of 0.261 from cells treated
with 2 mM xylitol (p < 0.005). Enrichment
of M3 glucose was also higher for incubation in 12.5 mM
glucose than in 2 mM xylitol (6.7 ± 0.7% compared
with 5.3 ± 0.5%). The lower enrichment in glucose of the
xylitol-treated case may indicate that some of the 2 mM
xylitol was converted into glucose carbons via equilibration with the
transaldolase and transketolase reactions of the pentose cycle diluting
the [13C]carbon label coming from glycerol.
Furthermore, this observation is consistent with the absence of
glucokinase in Fao cells as reported previously (14). If glucokinase
were appreciably expressed and active, the enrichment in glycogen
glucose from 12.5 mM glucose-treated cells would be lower
than that in glycogen from cells incubated with xylitol and no added
glucose. However, the enrichment in the glucose-treated cells was
higher than that of the xylitol-treated cells supporting the lack of
glucokinase activity.
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Table III
Mass isotopomers in glycogen glucose determined by CI
Average (ave) and S.D. of triplicates are provided.
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As in the case of enrichment in new glucose from gluconeogenesis (Table
II), no difference was observed between enrichment in glycogen from
insulin and no insulin-treated cells of either medium condition. Thus,
insulin has no effect on the influx of unlabeled precursor in the
dexamethasone-treated Fao cells.
Distribution of Pentose/Ribose Isotopomers--
Table
IV compares the relative enrichments in
ribose derived from Fao cells incubated in the presence of 12.5 mM glucose ± 10 8 M insulin
to Fao cells incubated in 2 mM xylitol ± 10 8 M insulin with no cold glucose added.
Again, as in the enrichment of glycogen, enrichment in ribose of the
xylitol-treated cells was significantly lower than that of the
glucose-treated cells. This indicates that xylitol from the medium is
phosphorylated to xylulose-5-P (Xu5P) which equilibrates with the
intracellular ribose pool, diluting the labeled ribose originated from
the [U-13C]glycerol. Since labeled glycerol can be
incorporated into M3 ribose by the transketolase/transaldolase reaction
or recycled from glucose labeled in the C-4 C-6 positions, M3 ribose
was labeled only in positions C-3 C-5, which was confirmed by the loss
of M3 in the C-1 C-4 fragment of ribose (data not shown). Since
13C atoms are conserved by the TK/TA reactions, the
existence of M1 and M2 ribose in relatively high amounts can only be
the result of G6PDH oxidation of the
[1,2,3-13C3]glucose and subsequent cycling
via the non-oxidative pathways.
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Table IV
Mass isotopomer distribution in ribose by CI
The experimental conditions had either 2 mM xylitol and 1.5 mM [U 13C]glycerol present, no cold glucose
added; or 12.5 mM glucose and 1.5 mM
[U 13C]glycerol, no xylitol added. Except for the condition
of no insulin and glucose, average (Ave) and S.D. of triplicates are
provided.
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DISCUSSION |
The loss of [13C]glycerol carbon during
gluconeogenesis has been reported previously (4). When rat liver was
perfused with 0.1-1.5 mM [U-13C]glycerol,
glucose isotopomers with 1-6 [13C]carbon substitutions
were obtained. The symmetry of labeling in the glucose molecule was not
determined. However, the enrichment and pattern of these mass
isotopomers were different from those of PEP or of triose-P and were
not compatible with the synthesis of glucose from a simple combination
of these 3-carbon precursors. Such a discrepancy was attributed to
compartmentalization or heterogeneity or isotope gradient of these
precursor pools. In a later study, the lost of
[13C]glycerol carbon during gluconeogenesis was again
observed in isolated hepatocytes (5). When hepatocytes were incubated
with [3-13C1]lactate/pyruvate mixture in the
presence of unlabeled glycerol, substantially less 13C was
found in the C-1 C-3 fragment of glucose as compared with the C-4 C-6
fragment. The loss of [13C]carbon from the C-1 C-3
position of glucose was also observed, but to a lesser degree with
[2-13C1]glycerol incubation (Fig. 5 of Ref.
5). Since these isotopes ([2-13C1]glycerol
and [3-13C1]lactate/pyruvate) become the
inner carbons of oxaloacetate, these labels are lost at the same rate
via the tricarboxylic acid cycle. Therefore, the excessive loss of
[13C]carbon from C-1 C-3 of glucose labeling with
[3-13C1]lactate/pyruvate or
[2-13C1]glycerol cannot be explained by the
loss of 13C via the tricarboxylic acid cycle. Neither can
it be explained by the lack of equilibrium in triose-P isomerase. That
label in the C-1 and C-2 position of glucose is lost to a different
degree is compatible with the action of G6PDH and cycling between
hexose-P and pentose-P. In the present study, we observed loss of
[13C]glycerol carbon mainly from C-1 C-3 of the glucose
molecules, a pattern consistent with the loss of labeled carbon via the
pentose cycle. The dilution of label in glucose by xylitol is further evidence for the participation of the pentose pathway in
gluconeogenesis. In light of such evidence, gluconeogenesis is not only
the result of the condensation of two triose-P molecules but also the
result of the pentose cycle depending on substrate availability. Under conditions where the pentose cycle is active, glucose molecule is not
just a dimer of triose-P molecules, and the application of MIDA in the
study of gluconeogenesis assuming dimerization of triose-P is clearly problematic.
The underestimation of gluconeogenesis by MIDA has been an enigma. It
has been mathematically proven that the approach tolerates a wide range
of disequilibrium between GAP and DHAP (1). A 50% asymmetry between
label in C-1 C-3 and C-4 C-6 of glucose results in less than 5%
underestimation of precursor enrichment. The underestimation of
precursor enrichment can only falsely increase the estimation of GNG, a
condition that may be difficult to detect. Therefore, asymmetry of
labeling is not the reason for underestimation of GNG. The MIDA method
is, however, modestly sensitive to isotope gradient. By using the model
of reference (Fig. 5 in Ref. 4), one can show that a gradient of 25%
in glycerol enrichment (from 0.2 to 0.15) results in 2%
underestimation of GNG. Substantial underestimation of GNG occurs when
the gradient is 75%. The effect of cycling of glucose carbon through
the PPP has not been studied. An example of such an effect is provided
under the "Appendix." There are three major variables that can
influence the distribution of mass isotopomers in glucose. These are
the oxidation of glucose-6-P by G6PDH, the dilution of glucose carbon
by unlabeled pentose carbon, and finally, the substrate flux via the
non-oxidative branch of the PPP relative to that of gluconeogenic flux.
These three processes all have the effect of altering the mass
isotopomer distribution after glucose is synthesized (by dimerization
of triose-P) and can contribute to the underestimation of gluconeogenesis.
The Fao hepatoma cell is an 8-azaguanine-resistant, ouabain-resistant
clone derived from the Reuber H35 rat hepatoma cell line (6, 7). These
Fao cells show stable expression of a number of liver-specific
functions. These include the following: 1) the expression of the
gluconeogenic enzymes PEP carboxykinase and fructose-1,6-bisphosphatase
(7, 15), and 2) the ability to grow in the absence of glucose and to
release glucose into the medium. In addition, Fao cells have been found
to have specific and high affinity binding of insulin at physiologic
concentrations and to respond to insulin and dexamethasone similar to
other primary hepatocytes (16, 17). In the present study, the effect of insulin on the inhibition of gluconeogenesis was demonstrated. Since
insulin treatment did not alter the enrichment or labeling pattern in
glucose, the effect of insulin is probably to decrease the activity of
glucose-6-phosphatase. The Fao cells are known to lack glucokinase
(14). We did not find any glucose uptake even in the presence of 12.5 mM glucose in the medium. We demonstrate for the first time
a very active pentose phosphate cycle in these cells which is an
integral part of substrate flux in gluconeogenesis.
Traditionally, the pentose phosphate cycle has been considered to be
relatively unimportant in hepatic glucose metabolism. This conclusion
is based on the following: 1) that the flux through the oxidative
branch of the pentose cycle accounts for a small part (less than 10%)
of the glucose uptake, and 2) that the quantity of pentose produced by
the action of G6PDH exceeds the net synthesis of ribose in RNA.
Combining data from [1-14C]-, [2-14C]-, and
[6-14C]glucose studies on the pentose cycle, Katz and
Rognstad (18) showed that the flux of hexose-P through the
non-oxidative branch could be substantial equaling 2-3 times that of
the glucose uptake. This was confirmed in a recent study using
[1,2-13C2]glucose (19). We show in the
present study that during gluconeogenesis, the flux through the pentose
cycle could be equally substantial. The enrichment of M1 and M2
isotopomers suggests the flux to be 2-3 times that of the
gluconeogenic flux. In addition to the production of xylulose-5-P and
its action on the bifunctional enzyme, we believe that the pentose
cycle may play other roles in the regulation of
glycolysis/gluconeogenesis. The role of the pentose cycle in the
regulation of hepatic glucose metabolism therefore deserves further study.
 |
ACKNOWLEDGEMENTS |
The Harbor-UCLA General Clinical Research
Center was the recipient of United States Public Health Service Grant
MO1 RR0425 from the National Institutes of Health, and the UCLA
Clinical Nutrition Research Unit was the recipient of United States
Public Health Service Grant PO1-CA 42710 from the National Institutes of Health.
 |
FOOTNOTES |
*
This work was supported by a Career Development award (to
I. J. K.) from the American Diabetes Association and a grant from the
American Diabetes Association (to W. P. L.).The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
To whom correspondence should be addressed. Tel.:
310-825-5548; Fax: 310-825-8534; E-mail:
ikurland@mednet.ucla.edu.
Published, JBC Papers in Press, August 25, 2000, DOI 10.1074/jbc.M004739200
 |
ABBREVIATIONS |
The abbreviations used are:
GAP, glyceraldehyde
phosphate;
DHAP, dihydroxyacetone phosphate;
PEP, phosphoenolpyruvate;
DMEM, Dulbecco's modified Eagle's medium;
EI, electron impact
ionization;
CI, chemical ionization;
G6PDH, glucose-6-phosphate
dehydrogenase;
PPP, pentose phosphate pathway;
MIDA, Mass Isotoper
Distribution Analysis.
 |
APPENDIX |
Although hexose-P flux through the oxidative branch of the
pentose pathway represents only a small portion of the
glycolytic/gluconeogenic flux, hexose-P flux through the non-oxidative
branch has been shown to be substantial, equaling to 2-3 times that of
the glucose uptake (18).
In addition, Crawford and Blum (20) showed that the magnitude of the
bidirectional flux through transketolase or transaldolase exceeds the
flux through the limbs of the key substrate cycles of
glycolysis/gluconeogenesis (glucokinase/glucose-6-phosphatase, 6-phosphofructokinase/fructose-1,6-bisphosphatase, and pyruvate kinase/phosphoenolpyruvate carboxykinase) and glycogen storage by
2-10-fold in fed hepatocytes.
The operation of the pentose pathway therefore can substantially
influence the mass isotopomer distribution in glucose and on the
calculation of gluconeogenesis based on the enrichment of
13C-labeled precursors. There are three major variables
that can influence the distribution of mass isotopomer in glucose.
These are the oxidation of glucose-6-P by G6PDH, the dilution of
glucose carbon by unlabeled pentose carbon, and the substrate flux via the non-oxidative branch of the PPP relative to that of gluconeogenic flux. In this example, we follow glucose isotopomers formed from the
combination of 50% enriched [U-13C]triose-P through the
textbook account of the pentose cycle assuming no tracer dilution by
unlabeled pentose (Table V). From the
combination of two triose-P, we have four distinct mass and positional
isotopomers, which are converted to their respective pentose phosphate
counterparts. By inspection, carbons of C-1 C-2 position in the
pentose phosphate are 50% 13C and 50% 12C, or
50% m2 and 50% m0. At equilibrium, there are eight isotopomers of
sedoheptulose-7-P and five isotopomers of erythrose-P (Table VI). The distribution of these
isotopomers can be calculated by their respective combinatorial
probabilities. For example
[U-13C7]sedoheptulose-7-P is the result of
combining m2 in C-1 C-2 position with m5 in the pentose-5-P, and the
probability is the product of 50 and 25% giving 12.5%. The labeled
sedoheptulose-7-P and erythrose-4-P eventually return to fructose-6-P
by either combining the top three carbons of sedoheptulose-7-P with
glyceraldehyde phosphate or condensing the top 2 carbons of pentose-5-P
with erythrose-4-P. The resulting distribution is again dictated by combinatorial probability (Table VII).
The example is simplified by the fact that both the enrichment in
glyceraldehyde phosphate (m3b) and C-1 C-2 of pentose phosphate (m2t)
happen to be 50%. To facilitate the calculation of distribution from
combinatorial probability using information of Table VI, we designate
the origin of the precursor either as labeled top or labeled bottom
(m3t, m3b, etc.). Thus, m6 glucose can be derived from combining m3t of
sedoheptulose-7-P and m3b of glyceraldehyde-3-P or m2t from xylulose-5-P and m4b of erythrose-4-P. m3t in sedoheptulose-7-P is 25%
and m3b in glyceraldehyde-3-P is 50%. Therefore, the probability of m6
(m3tm3b) is 12.5% or (0.125). The isotopomer distribution in glucose
after passing through the pentose cycle is the average of those from
both of these two transketolase reactions and is presented in column 2 in Table VIII.
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Table V
Mass isotopomer distribution in pentose phosphate from the action of
G6PDH on glucose 6-phosphate without dilution by unlabeled pentose
phosphate
In this and subsequent tables, x and o represent 13C and
12C, respectively. The two m3 mass isotopomers are designated
as m3 top (m3t) and m3 bottom (m3b) depending on whether the
13C is in C-1-C-3 or C-4-C-6. The t and b are used in
combination with m1, m2, and m3 throughout to designate the
corresponding carbon position of the label in glucose. Please note, the
mass isotopomer distribution is that from 100% GNG.
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Table VI
Equilibrium distribution of mass isotopomers in sedoheptulose and
erythrose phosphate by the action of transketolase/transaldolase
Molar fraction of each isotopomer is given by the respective
combinatorial probability. For example,
[U-13C7]sedoheptulose is derived from combining
1,2-13C2 moiety from [U-13C7]- and
[1,2-13C2] sedoheptulose with
[U-13C5]ribose-5-P, which is 0.5 × 0.25 = 0.125 using values from Table V.
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Table VII
Equilibrium distribution of mass isotopomers in fructose 6-phosphate by
the action of transketolase and transaldolase
The molar fraction is calculated using results in Table VI. m3b and m0b
refer to enrichment of glyceraldehyde-3-P, and m2t and m0t are from
xylulose-5-P (Table V).
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Table VIII
Impact of the pentose cycle on mass isotopomers in hexose 6-phosphate
and calculation of gluconeogenesis
|
|
The final mass isotopomer distribution in glucose can be considered to
be the result of mixing glucose from the combination of two triose-P
with the glucose recycled from the pentose cycle. The final mass
isotopomer distribution depends on the relative contribution of these
two pools. We consider two possibilities, one having 30% gluconeogenic
flux to pass through the pentose cycle (30%) and the other 60%, shown
in the 3rd and 4th columns of Table VIII. The assumption in these
calculations of 30-60% of gluconeogenic flux transversing the pentose
cycle may be conservative, considering the estimations of bidirectional
transketolase and transaldolase flux by Crawford and Blum (20). The
mass isotopomers in column 3 are the result of adding 30% of column 2 to 70% of column 1; and the isotopomers in column 4 are the result of
adding 60% of column 2 to 40% of column 1. When the precursor
enrichment (p) and the fractional gluconeogenesis (GNG) are
calculated using MIDA, we confirm the minimal influence of the
asymmetry on the calculation of p. However, substantial
underestimation of GNG occurs because of the effect of the pentose
cycle. Note that the asymmetry of the labeling pattern in glucose due
to the pentose cycle is readily detected as indicated by m3t/m3b
ratios. The asymmetry in our experiment is 1.7:9.2 (Fig. 5), suggesting
that the gluconeogenic flux passing through the pentose cycle is very large.
In this example, we assume possible tracer dilution by unlabeled
pentose to be relatively small. We have not discussed the effect of
isotopic equilibration between the pentose phosphate and the hexose
phosphate pools by just the transketolase and transaldolase reactions
without the action of G6PDH. It should be pointed out that such
equilibrium reactions have the same effect in introducing asymmetry in
symmetrically labeled glucose precursor, i.e. M1, M2, and M3
glucose are generated from
[1,2,3-13C3]glucose but not from
[4,5,6-13C3]glucose. Their effects on the
glucose mass isotopomer distribution and calculations of MIDA are
expected to be similar. As shown in the above examples (Tables
V-VIII), the calculation of GNG is subject to compensating errors of
overestimation of GNG due to underestimation of p and
underestimation of GNG due to scrambling of isotope. From the results
of Ref. 5, we can conclude that the effect of isotope scrambling
dominates even in the studies using [2-13C]glycerol
causing significant underestimation of GNG.
 |
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