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Noninvasive analysis of hepatic glycogen kinetics before and after breakfast with deuterated water and acetaminophen

dc.contributor.authorJones, JG
dc.contributor.authorFagulha, A
dc.contributor.authorBarosa, C
dc.contributor.authorBastos, M
dc.contributor.authorBarros, L
dc.contributor.authorBaptista, C
dc.contributor.authorCaldeira, MM
dc.contributor.authorCarvalheiro, M
dc.date.accessioned2010-12-22T15:12:46Z
dc.date.available2010-12-22T15:12:46Z
dc.date.issued2006
dc.description.abstractThe contributions of hepatic glycogenolysis to fasting glucose production and direct pathway to hepatic glycogen synthesis were quantified in eight type 1 diabetic patients and nine healthy control subjects by ingestion of (2)H(2)O and acetaminophen before breakfast followed by analysis of urinary water and acetaminophen glucuronide. After overnight fasting, enrichment of glucuronide position 5 relative to body water (G5/body water) was significantly higher in type 1 diabetic patients compared with control subjects, indicating a reduced contribution of glycogenolysis to glucose production (38 +/- 3 vs. 46 +/- 2%). Following breakfast, G5/body water was significantly higher in type 1 diabetic patients, indicating a smaller direct pathway contribution to glycogen synthesis (47 +/- 2 vs. 59 +/- 2%). Glucuronide hydrogen 2 enrichment (G2) was equivalent to body water during fasting (G2/body water 0.94 +/- 0.03 and 1.02 +/- 0.06 for control and type 1 diabetic subjects, respectively) but was significantly lower after breakfast (G2/body water 0.78 +/- 0.03 and 0.82 +/- 0.05 for control and type 1 diabetic subjects, respectively). The reduced postprandial G2 levels reflect incomplete glucose-6-phosphate-fructose-6-phosphate exchange or glycogen synthesis from dietary galactose. Unlike current measurements of human hepatic glycogen metabolism, the (2)H(2)O/acetaminophen assay does not require specialized on-site clinical equipment or personnel.por
dc.identifier.citationDiabetes. 2006 Aug;55(8):2294-300.por
dc.identifier.urihttp://hdl.handle.net/10400.4/919
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherAmerican Diabetes Associationpor
dc.subjectAcetaminofenopor
dc.subjectDiabetes Mellitus Tipo 1por
dc.subjectAlimentospor
dc.subjectDeutériopor
dc.subjectGlicogéniopor
dc.titleNoninvasive analysis of hepatic glycogen kinetics before and after breakfast with deuterated water and acetaminophenpor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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