Evidence for Transaldolase Activity in the Isolated Heart Supplied with [U-13C3]Glycerol*

Background: The metabolic fate of glycerol in the heart is controversial. Results: [U-13C3]Glycerol is metabolized to glycogen, but the label is only found in carbon positions 4–6 of each glucose moiety. Conclusion: This isotopomer pattern can only be ascribed to transaldolase activity. Significance: This is the first detection of transaldolase activity of an isolated organ using a stable isotope. Studies of glycerol metabolism in the heart have largely emphasized its role in triglyceride synthesis. However, glycerol may also be oxidized in the citric acid cycle, and glycogen synthesis from glycerol has been reported in the nonmammalian myocardium. The intent of this study was to test the hypothesis that glycerol may be metabolized to glycogen in mammalian heart. Isolated rat hearts were supplied with a mixture of substrates including glucose, lactate, pyruvate, octanoate, [U-13C3]glycerol, and 2H2O to probe various metabolic pathways including glycerol oxidation, glycolysis, the pentose phosphate pathway, and carbon sources of stored glycogen. NMR analysis confirmed that glycogen production from the level of the citric acid cycle did not occur and that the glycerol contribution to oxidation in the citric acid cycle was negligible in the presence of alternative substrates. Quite unexpectedly, 13C from [U-13C3]glycerol appeared in glycogen in carbon positions 4–6 of glucosyl units but none in positions 1–3. The extent of [4,5,6-13C3]glucosyl unit enrichment in glycogen was enhanced by insulin but decreased by H2O2. Given that triose phosphate isomerase is generally assumed to fully equilibrate carbon tracers in the triose pool, the marked 13C asymmetry in glycogen can only be attributed to conversion of [U-13C3]glycerol to [U-13C3]dihydroxyacetone phosphate and [U-13C3]glyceraldehyde 3-phosphate followed by rearrangements in the nonoxidative branch of the pentose phosphate pathway involving transaldolase that places this 13C-enriched 3-carbon unit only in the bottom half of hexose phosphate molecules contributing to glycogen.

Studies of glycerol metabolism in the heart have largely emphasized its role in triglyceride synthesis. However, glycerol may also be oxidized in the citric acid cycle, and glycogen synthesis from glycerol has been reported in the nonmammalian myocardium. The intent of this study was to test the hypothesis that glycerol may be metabolized to glycogen in mammalian heart. Isolated rat hearts were supplied with a mixture of substrates including glucose, lactate, pyruvate, octanoate, [U-13 C 3 ]glycerol, and 2 H 2 O to probe various metabolic pathways including glycerol oxidation, glycolysis, the pentose phosphate pathway, and carbon sources of stored glycogen. NMR analysis confirmed that glycogen production from the level of the citric acid cycle did not occur and that the glycerol contribution to oxidation in the citric acid cycle was negligible in the presence of alternative substrates. Quite unexpectedly, 13 C from [U-13 C 3 ]glycerol appeared in glycogen in carbon positions 4 -6 of glucosyl units but none in positions 1-3. The extent of [4,5,6-13 C 3 ]glucosyl unit enrichment in glycogen was enhanced by insulin but decreased by H 2 O 2 . Given that triose phosphate isomerase is generally assumed to fully equilibrate carbon tracers in the triose pool, the marked 13

C asymmetry in glycogen can only be attributed to conversion of [U-13 C 3 ]glycerol to [U-13 C 3 ]dihydroxyacetone phosphate and [U-13 C 3 ]glyceraldehyde 3-phosphate followed by rearrangements in the nonoxidative branch of the pentose phosphate pathway involving transaldolase that places this 13 C-enriched 3-carbon unit only in the bottom half of hexose phosphate molecules contributing to glycogen.
Free fatty acids, lactate and glucose are primary substrates for cardiac energy production, but the heart has the capacity to oxidize a wide variety of alternative compounds. In mammalian heart tissue, 14 C-enriched glycerol was readily oxidized to 14 CO 2 even in the presence of glucose or long chain fatty acids (1,2). Glycerol is phosphorylated by glycerol kinase to form glycerol 3-phosphate, and this intermediate is then converted to dihydroxyacetone phosphate (DHAP) 2 which is rearranged to D-glyceraldehyde 3-phosphate (GA3P) via triose phosphate isomerase (TPI; EC 5.3.1.1). GA3P may be further metabolized to pyruvate and enter the citric acid cycle via pyruvate dehydrogenase, or pyruvate may supply carbon to the cycle via pyruvate carboxylase without net oxidation (3). Another metabolic fate of glycerol after phosphorylation is that it is readily utilized in the synthesis of triglycerides and phospholipids in the mammalian heart (2). Although the heart is not a glyconeogenic organ, the enzymes necessary to convert glycerol to glucose 1-phosphate (G1P) and glycogen are all present, and conversion of 14 C-enriched glycerol to glycogen in isolated heart tissue of nonmammalian species has been reported (4). The quantitative significance of this conversion in mammalian tissue has not been examined.
The physiological range of glycerol in plasma is 0.04-0.4 mM (5-7), but it may be increased severalfold under the condition of starvation (7), exercise (8), exposure to cold (9), or diabetes (10). The combination of fasting and cold exposure increased plasma glycerol up to ϳ1 mM in rodents (9). Furthermore, athletes who drink beverages containing extra glycerol for improving exercise performance and hydration status may reach up to ϳ10 mM glycerol in plasma with the dose of 1 g/kg body weight (11,12). In this study, [U-13 C 3 ]glycerol was supplied to isolated rat hearts with the intent of quantifying the contribution of glycerol to assess exchange of glycerol into the glucosyl carbons of glycogen. With full exchange at the level of TPI, labeling in the top and bottom of glucosyl units of glycogen should be equal whereas incomplete exchange in the triose pool should result in preferential enrichment of carbons 1-3 of glucosyl units in glycogen. Surprisingly, we found that [U-13 C 3 ]glycerol is transferred exclusively to carbons 4 -6 of glucosyl units with no enrichment in carbons 1-3. This observation can only be explained by carbon rearrangements occurring at the level of transaldolase in the nonoxidative portion of the pentose phosphate pathway (PPP). 13  In one set of studies, the heart was preperfused with 8 nM isoproterenol solution containing 0.5 mM octanoate, 1.2 mM lactate, and 0.12 mM pyruvate for 20 min to reduce glycogen content, followed by a 5-min perfusion with a mixture of the same substrates to wash out isoproterenol in the medium. In other studies, the heart was preperfused with a substrate-free KHB buffer without isoproterenol for 20 min to reduce glycogen. In all experiments the heart was perfused subsequently for 60 min with a medium containing 0.5 mM octanoate, 1.2 mM lactate, 0.12 mM pyruvate, 10 mM glucose, 2 mM glycerol, and 0.5% BSA to assure identical substrate conditions for all hearts. Depending on the experiment, deuterated water ( 2 H 2 O), insulin, or hydrogen peroxide (H 2 O 2 ) was added, or [U-13 C 3 ]glycerol or [1,2-13 C 2 ]glucose was substituted for the unlabeled compound, as follows: (i) 2 mM [U-13 C 3 ]glycerol and no insulin; (ii) 2 mM [U-13 C 3 ]glycerol and 50 microunits/ml insulin; (iii) 2 mM [U-13 C 3 ]glycerol, 50 microunits/ml insulin, and 0.1 mM H 2 O 2 ; or (iv) 2 mM unlabeled glycerol, 10 mM [1,2-13 C 2 ]glucose, 50 microunits/ml insulin, and 5% 2 H 2 O. After the perfusion, each heart was freeze clamped.

Materials-[U-
Preparation of Samples for NMR Analysis-Glycogen was extracted from frozen heart tissue using standard methods (13). Isolated glycogen was dissolved in 5 ml of 10 mM sodium acetate solution (pH 4.8) and incubated with amyloglucosidase (50 mg of glycogen/20 units of amyloglucosidase) for 4 h at 50°C. After neutralizing, the hydrolyzed glycogen solution was applied to an ion exchange column containing 15 ml of the cation-exchange (Dowex 50WX8-200) and 15 ml of the anion-exchange (Amberlite IRA-67) resin. Hydrolyzed glycogen was purified by passage through the column using deionized water as eluent, collected, and lyophilized.
Glucosyl units from tissue glycogen were converted to monoacetone glucose (MAG) as follows. Dried glucose was suspended in 3.0 ml of acetone containing 120 l of concentrated sulfuric acid. The mixture was stirred for 4 h at room temperature to yield diacetone glucose. After adding 3 ml of water, the pH was adjusted to 2.0 by dropwise addition of 1.5 M Na 2 CO 3 . The mixture was stirred for 24 h at room temperature to convert diacetone glucose into MAG. The pH was then further increased to ϳ8.0 by addition of Na 2 CO 3 . The acetone was evaporated under vacuum, and the sample was freeze-dried. MAG was extracted into 3 ml of hot ethyl acetate (5ϫ), the solutions were combined, and ethyl acetate was removed by vacuum evaporation. The resulting MAG was further purified by passage through a 3-ml DSC-18 cartridge, using 5% acetonitrile as eluent. The effluent was freeze-dried and stored dry before NMR analysis.
A standard perchloric acid extraction procedure was used to extract water-soluble components from some hearts perfused with [U-13 C 3 ]glycerol for NMR analysis of the citric acid cycle intermediates and exchanging pools. In addition, effluent from the heart perfused with [1,2-13 C 2 ]glucose was treated with perchloric acid for NMR analysis of 13 C-enriched lactate.
NMR Spectroscopy-All NMR spectra were collected using a Varian Inova 14.1T spectrometer (Agilent, Santa Clara, CA) equipped using a 3-mm broadband probe with coil tunable to 1 H (600 MHz), 2 H (92 MHz), or 13 C (150 MHz). Hydrolyzed glycogen or perchloric acid extracts were dissolved in 2 H 2 O (160 l) for 1 H and 13 C NMR acquisition. 1 H NMR was acquired at 25°C, using a 90°observe pulse, a 2-s acquisition time, and 1-s delay between pulses. The solvent water signal was presaturated using a frequency-selective pulse. Typically, 128 scans were summed requiring ϳ6 min. Proton-decoupled 13 C NMR spectra were acquired at 25°C using a 45°pulse (5.0 s), 34,965-Hz sweep width, 104,986 data points, and a 1.5-s interpulse delay at 25°C. The samples were signal-averaged over 7,000 -30,000 scans requiring 6 -25 h. Proton decoupling was performed using a standard WALTZ-16 pulse sequence.
For 2 H NMR acquisition, MAG was dissolved in a mixture of 160 l of acetonitrile and 10 l of water. Proton-decoupled 2 H NMR spectra were acquired using a 90°pulse (12.5 s), 920-Hz sweep width, 1,836 data points, and a 1-s acquisition time with no further delay at 50°C. Typically ϳ70,000 scans were averaged, requiring ϳ21 h. After 2 H NMR acquisition, MAG was lyophilized and resuspended in 160 l of deuterated acetonitrile (99.8%) and 10 l of water for 13 C NMR acquisition. 13 C NMR spectra of MAG were collected using 52°pulse (6.06 s), 20,330-Hz sweep width, 60,992 data points, and a 1.5-s acquisition time with 1.5-s interpulse delay at 25°C. Typically ϳ25,000 scans were averaged, requiring ϳ25 h. All NMR spectra were analyzed using ACD/Labs PC-based NMR spectral analysis program (Advanced Chemistry Development, Inc., Toronto, ON, Canada).
Statistics-Data are expressed as means Ϯ S.E. Comparisons between two groups were made using Student's two-tailed t test, where p Ͻ 0.05 was considered significant.
Pathway Considerations: 13 C Labeling of Glycogen in Hearts Supplied with [U- 13 C 3 ]Glycerol-Given that the heart does not generate glycogen from the citric acid cycle, the only possible pathway for [U-13 C 3 ]glycerol to contribute to glucosyl units in glycogen must involve exchanges occurring at the level of TPI. In the "standard" gluconeogenesis in general, carbons 1-3 of glucose (the "top half") are derived from DHAP whereas carbons 4 -6 (the "bottom half") are derived from GA3P ( Fig. 1A) and, because phosphorylation of [U-13 C 3 ]glycerol would form [U-13 C 3 ]DHAP in two steps if complete equilibration at the level of TPI does not occur, this should produce more [1,2,3-13 C 3 ]glucosyl units (the DHAP end) than [4,5,6-13 C 3 ]glucosyl units (the GA3P end; Fig. 1B). If the trioses fully equilibrate at the level of TPI and this is the only pathway leading to glucosyl units, the labeling of the top and bottom ends of glucosyl units must be identical. On the other hand, if other exchanges occur rapidly in the nonoxidative portion of the PPP, then the labeling pattern could be quite different. For example, transaldolase (EC 2.2.1.2) catalyzes removal of a 3-carbon dihydroxyacetone unit from the nonphosphorylated end of sedoheptulose 7-phosphate (S7P), and this 3-carbon unit can then condense with any [U-13 C 3 ]GA3P that might be present to yield [4,5,6-13 C 3 ]fructose 6-phosphate (F6P) and erythrose 4-phosphate (Fig.  1C). This [4,5,6-13 C 3 ]F6P would be readily converted to [4,5,[6][7][8][9][10][11][12][13] 13 C NMR spectrum of MAG derived from hydrolyzed glycogen is shown in Fig. 2. Clearly, excess 13 C was evident only in carbons 4, 5, and 6 of glucosyl units of glycogen in hearts supplied with [U-13 C 3 ]glycerol and other natural abundance substrates. Preferential labeling of the bottom half could in principle arise from metabolism of [U-13 C 3 ]glycerol in the citric acid cycle followed by conversion of 13 C-enriched citric acid cycle intermediates to phosphoenolpyruvate and ultimately GA3P, but this is highly unlikely because only intact, three-carbon 13 C-enriched units were found in glycogen as [4,5,6-13 C 3 ]glucose moiety.

Hearts Supplied with [U-13 C 3 ]Glycerol-A
Although glycogen synthesis from the citric acid cycle is not considered active in the heart, we reexamined the possibility that [U-13 C 3 ]glycerol under these conditions could be metabolized to pyruvate followed by oxidation to acetyl-CoA or carboxylation to oxaloacetate. The presence of [U- 13 C 3 ]lactate resonances in the 13 C NMR spectra of heart tissue extracts demonstrated that the glycerol was indeed metabolized to pyruvate (Fig. 3). However, the 13 C signals in glutamate were almost exclusively at natural abundance levels except the very small amount of [4,5-13 C 2 ]glutamate (0.022 Ϯ 0.006%, n ϭ 5). This labeling at C4 -C5 of glutamate demonstrated that [U-13 C 3 ]glycerol did indeed enter the citric acid cycle as acetyl-CoA, but the fraction of acetyl-CoA derived from glycerol was Ͻ1%. Pyruvate carboxylation to oxaloacetate was not detected as evidenced by the absence of excess 13 C enrichment in glutamate C1-C3. Clearly, small amount of [4,5-13 C 2 ]glutamate formed in the cycle could not have contributed significantly to the [4,5,6-13 C 3 ]glucose moiety in glycogen.
The labeling pattern in glycogen cannot be explained by simple condensation of GA3P and DHAP at the level of TPI. Incomplete equilibration of 3-carbon units at TPI would result in excess enrichment in the top half of glucosyl units, i.e. [1,2,3-13 C 3 ]glucose (Fig. 1B). The appearance of [4,5,6-13 C 3 ]glucosyl units alone, however, must reflect some combination of transaldolase activity between [U-13 C 3 ]GA3P and S7P (Fig. 1C), and transaldolase exchange between the bottom half carbons of F6P and [U-13 C 3 ]GA3P (Fig. 1D). The 13 C enrichment in cardiac glycogen was measured using 13 C NMR analysis of ␣and ␤-glucose C6 resonances after the hydrolysis of glycogen, assuming that the singlet peaks seen in the C6 resonances represent natural abundance 13 C. The areas of the multiplets in the C6 resonances indicated that [U-13 C 3 ]glycerol contributed to ϳ0.51% and ϳ1.21% of the total glucose derived from tissue glycogen in the absence and presence of insulin, respectively (Fig. 4, A and B). Thus, insulin enhanced 13 C enrichment in glycogen approximately 2-fold whereas it did not affect glycogen content (Fig. 4C).
The unexpected labeling pattern in glycogen remained the same whether hearts were preperfused with isoproterenol or with a substrate-free KHB buffer, confirming that the asymmetry was not related to a residual effect of isoproterenol (Fig. 4). The enrichment of [4,5,6-13 C 3 ]glucosyl units from the hearts preperfused with a buffer was not different statistically from the hearts pretreated with isoproterenol (Fig. 4, A and B). In contrast, adding H 2 O 2 in the hearts preperfused with a buffer decreased the enrichment compared with the hearts pretreated with isoproterenol. However, glycogen content was not affected by insulin, H 2 O 2 , or pretreatment with isoproterenol (Fig. 4C). All of the hearts under the various conditions were functioning well as evidenced by heart beating rates and oxygen consumption (Table 1).
Hearts Supplied with [1,2-13 C 2 ]Glucose and 2 H 2 O-To determine whether the observed asymmetry required flux of exogenous glucose into the triose phosphate pool, a second group of hearts were supplied with medium containing [1,2-13 C 2 ]glucose and 5% 2 H 2 O in addition to unlabeled glycerol. The 2 H NMR spectrum of MAG derived from glycogen showed ϳ0.5-0.6% 2 H enrichment in H1 and H2 positions, ϳ0.07-0.08% enrichment in H4 and H5, but no excess enrichment in other proton positions (Fig. 5). 2 H enrichment at the H1 and H2 positions was the result of exchange reactions occurring at the level of hexose phosphates, whereas 2 H enrichment at H4 and H5 originate from exchange reactions occurring at the level of triose phosphates. The absence of enrichment at H3 informed that DHAP did not contribute to carbons 1-3 of glucosyl units of glycogen through the standard glyconeogenic pathways from the triose pool because 2 H incorporation at H3 position also FIGURE 3. 13

C NMR spectrum of a heart tissue extract after perfusion with [U-13 C 3 ]glycerol.
Only natural-abundance singlets were detected in glutamate, glutamine, and taurine, with the exception that [4,5-13 C 2 ]glutamate was observed at a very low level (0.022 Ϯ 0.006%, n ϭ 5). Resonance of glutamate C4 is expanded. The multiplets in lactate resonances are from [U-13 C 3 ]lactate, which is in exchange with [U-13 C 3 ]pyruvate in tissues. Because glutamate is in rapid exchange with ␣-ketoglutarate (␣-kG), the presence of the small doublets due to 13 C-13 C spin-spin coupling between C4 and C5 (D45) indicates that a small portion of [U-13 C 3 ]pyruvate entered the citric acid cycle through acetyl-CoA. D45, doublet arising from coupling of C4 with C5; S, singlet. occurs at the level of TPI (DHAP 4 GA3P) (15). Otherwise, the enrichment at H3 of glucosyl units would be observed, which originates from H1 position of DHAP. The absence of enrichment at H6 confirmed that the citric acid cycle did not contribute to glycogen because 2 H incorporation at H6 occurs at the level of fumarase (16). The dominant 2 H enrichment at the H1 and H2 positions of [1,2-13 C 2 ]glucose units from glycogen (Fig.  5) informed that newly synthesized glycogen was mainly from exogenous glucose incorporation. The 13 C NMR spectra confirmed that the overwhelming majority of glycogen was produced by direct phosphorylation of [1,2-13 C 2 ]glucose into glycogen rather than breakdown to the level of trioses followed by synthesis to glycogen (spectra not shown).
The fraction of newly synthesized glycogen that occurred during the perfusion period was determined by 1 H NMR analysis of hydrolyzed glycogen (Fig. 6A). Fig. 6A shows the 1 H NMR spectrum of glucose derived from glycogen with the H1 resonance showing the 13 C satellite peaks characteristic of enrichment in carbon 1. Because the proton signals in positions 1 and 2 are both split due to J CH scalar coupling, the fraction of glycogen from perfusate [1,2-13 C 2 ]glucose is simply the area of the doublet relative to total signal. In this case, 23 Ϯ 1% (n ϭ 6) of total glycogen was derived from [1,2-13 C 2 ]glucose. This demonstrates that pretreatment with isoproterenol did not deplete the entire glycogen pool.
Lactate in the effluent was also examined by 13 C NMR. Glycolysis of [1,2-13 C 2 ]glucose will produce [2,3-13 C 2 ]lactate whereas any flux through the oxidative portion of the PPP would yield [3-13 C 1 ]lactate. The spectra shown in Fig. 6B provide direct evidence that no [3-13 C 1 ]lactate was formed as a result of glucose passing through the PPP. Here, the singlet components seen in the C2 and C3 resonances of lactate have identical intensities so must reflect only natural abundance levels of 13 C. This demonstrates that the oxidative portion of the PPP was not active in these hearts.

DISCUSSION
The observation that carbons from [U-13 C 3 ]glycerol appear exclusively in the 4,5,6-positions of glucosyl units of newly formed glycogen in hearts perfused with a mixture of substrates confirms earlier observations that glycerol can indeed supply carbons to glycogen in the nonmammalian heart (4). The lack of 13 C enrichment in the carbons 1, 2, or 3 demonstrates that conversion of glycerol to glycogen does not occur via the standard glyconeogenic pathways (DHAP ϩ GA3P 3 Fru-1,6-P 2 3 F6P 3 G6P 3 G1P 3 glycogen) but rather must involve rearrangements in the nonoxidative portion of the PPP. The rather dramatic 13 C asymmetry found in glycogen (Fig. 2) was quite surprising. The data shown here by 13 C NMR isotopomer analysis of tissue glutamate showed that very little [U-13 C 3 ]glycerol (Ͻ1%) contributes to acetyl-CoA in the citric acid cycle even though [U-13 C 3 ]lactate is formed. Furthermore, 2 H NMR of MAG derived from tissue glycogen in hearts exposed to 2 H 2 O indicates that, within error of the measurement, none of the glucosyl units in glycogen comes from the level of the citric acid cycle (Fig. 5), as expected for this nonglyconeogenic tissue. Thus, the only reasonable explanation for the observations seen here must involve carbon rearrangements in the PPP catalyzed by transaldolase.
The PPP is described as having two components, the oxidative segment that produces NADPH and ribulose 5-phosphate from 6-phosphogluconate and the nonoxidative segment that

consumption
Hearts were preperfused with isoproterenol solution for 20 min or with a substrate-free buffer without isoproterenol for 20 min to reduce glycogen content. A 60-min perfusion followed with media containing octanoate, lactate, pyruvate, glucose, and [U-13 C 3 ]glycerol. Insulin and/or H 2 O 2 were added in some cases, which are specified below. § , p Յ 0.01; ¥ , p Ͻ 0.001 compared with the time point at either ϩ20 min or ϩ40 min. FEBRUARY 1, 2013 • VOLUME 288 • NUMBER 5 interconverts sugar phosphates formed in glycolysis with the pentose phosphates. Transaldolase catalyzes exchange of 3-carbon sugar units, with the most widely accepted reaction being interconversion of GA3P and S7P to form erythrose 4-phosphate and F6P. However, it has also been reported that isolated transaldolase can directly exchange the carbons 4,5,6 of F6P with GA3P even in the absence of other enzymes or intermediates of the PPP (14). Transaldolase is active in the heart, although at a lower level compared with the kidney or liver (17,18). The fact that the fraction of glycogen derived through the transaldolase reaction increased in the presence of insulin suggests that flux through this pathway may be physiologically significant. However, at least in normal myocardium the fraction of glycogen labeled with 13 C from [U- 13 C 3 ]glycerol was small, on the order of 5-6%, compared with the glycogen derived directly from exogenous glucose. Nevertheless, the fact that genetic defects in transaldolase have been associated with cardiomyopathy (19) suggests that transaldolase may play a significant role under some pathophysiological conditions.

Transaldolase Activity in the Heart
Transaldolase was also reported to play a key role in redox homeostasis (20,21), and oxidative damage is involved in many diseases including heart failure (22)(23)(24). The decreased [U-13 C 3 ]glycerol incorporation to glycogen via transaldolase in the presence of H 2 O 2 (0.1 mM) supports the idea that it may play a role in regulation of redox. Reduced transaldolase activity was reported to correlate with increased activities of glucose-6phosphate dehydrogenase (G6PD) and 6-phosphogluconate dehydrogenase (6PGD), and to increased level of reduced glutathione (GSH) in Jurkat human leukemic T cells (20). GSH is the primary antioxidant in most cells involved in reducing H 2 O 2 to water (H 2 O). The NADPH supply from the oxidative segment of the PPP is essential in maintaining GSH, and it is produced at the levels of G6PD and 6PGD. However, the precise mechanism remains to be investigated as to how transaldolase plays a role in antioxidant defense along with the enzymes of the oxidative segment. We also perfused hearts with a higher concentration of H 2 O 2 (0.225 mM), which reduced the enrichment of [4,5,6-13 C 3 ]glucosyl units dramatically by ϳ10fold, but the hearts functioned poorly, and the perfusions were discontinued before the planned 60-min duration (data not shown).
Although the pathophysiological relevance of transaldolase in heart is not well understood, its activity in the intact liver has been examined in some detail in part because it may result in overestimation of gluconeogenic flux using the 2 H 2 O method introduced by Landau and his co-workers (25)(26)(27)(28). The distribution of 2 H in glucose, after the administration of 2 H 2 O, is commonly used to measure the relative activity of gluconeogenesis and glycogenolysis in hepatic glucose production. In principle, 2 H labeling should occur in three-carbon units derived from either glycerol or the citric acid cycle at the level of TPI. The hydrogen destined to become the H5 of glucose exchanges with any 2 H in tissue water and thus reports the fraction of glucose derived from the sum of glycerol plus the citric acid cycle contribution, assuming equilibration in the TPI reaction. However, 2 H labeling of glucose H5 through transaldolase exchange was reported to result in overestimation of gluconeogenesis (26). The distribution of 13 C in urinary glucuronides was also reported to be sensitive to activity of liver transaldolase (28).
Flux through the PPP in heart is controversial in part because of difficulties related to the interpretation of 14 CO 2 release from [1-14 C]glucose compared with 14 CO 2 release from [6-14 C]glucose (29). Pfeiffer et al. concluded that PPP flux does not contribute significantly to NADPH production in the heart (30). However, Burns and Reddy found significant PPP flux in isolated cardiomyocytes (31). The current results provided no information about flux through the oxidative portion of the cycle but did illustrate the high activity of flux through the nonoxidative portion of the cycle.
After exposure of hearts to 2 H 2 O, the absence of excess 2 H in glucose H6 demonstrated that none of the trioses involved with glucose production passed through the citric acid cycle. The enrichment of H4 and H5 occurred through 2 H incorporation at the levels of triose phosphates. The absence of enrichment at H3 informed that carbons 1-3 of glucosyl units of glycogen were not originated directly from DHAP through the standard glyconeogenic pathways, in which the hydrogen destined to become the H3 of glucosyl units exchanges with 2 H in tissue water also occurs at the levels of triose phosphates, precisely originating from the H1 position of DHAP. The highest enrichment in H2 position of glucosyl units was due to 2 H incorporation at the level of G6P 7 F6P exchange. The H1 position was also substantially labeled by 2 H, as observed previously in skeletal muscle glycogen (32). 2 H labeling at H1 can occur by two processes. First, 2 H incorporation at the level of mannose 6-phosphate isomerase (F6P 7 mannose 6-phosphate) can lead to 2 H enrichment of H1 position of glucose (33). The other possibility is intramolecular exchange of 1 H in position 1 of F6P with 2 H in position 2 of G6P (34).
In contrast to earlier reports (1-2), we found that oxidation of glycerol in the citric acid cycle did not contribute significantly to energy production using a perfusion medium containing physiological amounts of other unlabeled substrates. As noted previously (35,36), oxidation of any particular substrate is very sensitive to the concentrations of alternative substrates. Consequently, differing results are almost certainly due to differences in the availability of other oxidizable substrates. In the current study, octanoate likely suppressed glycerol oxidation and enabled detection of asymmetric labeling in glycogen.
In summary, 13 C labeling in carbons 4,5,6 of glucosyl units of glycogen in the heart after administration of [U-13 C 3 ]glycerol reflects flux through the following pathway: [U-13 C 3 ]glycerol