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1 Division of Tracer Kinetics,
Quantification of
myocardial glucose uptake by positron emission tomography with
[18F]fluorodeoxyglucose
(FDG) requires the "lumped constant" (LC), which corrects the
difference of affinity between glucose and FDG to glucose transporters
and phosphorylating system. Since LC was introduced, it has been
considered to be constant. However, this has recently been questioned.
To elucidate the constancy of LC by other than radioisotope techniques,
the accumulation rate of sugar phosphates
(d[SP]/dt) was measured
in isolated, perfused rat hearts by
31P NMR spectroscopy with
2-deoxyglucose (DG). We postulate
as the affinity of DG to
transporters and the phosphorylating system relative to that of
glucose. Theoretically,
is equivalent to LC. We determined
by
measuring d[SP]/dt at DG
concentration ([DG]) = 10, 7, 5, and 3 mmol/l, keeping the
total of glucose concentration ([glucose]) and
[DG] to 10 mmol/l. When the glucose uptake was enhanced by
insulin (10 mU/ml) or stunning, calculated
was reduced (insulin
stimulated, 0.15; stunning, 0.19) compared with the control (0.59).
These results indicate that LC can be evaluated by methods without
radiolabeled tracers and is smaller when glucose uptake is augmented.
insulin; myocardial stunning; nuclear magnetic resonance spectroscopy
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