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Am J Physiol Heart Circ Physiol 276: H129-H133, 1999;
0363-6135/99 $5.00
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Vol. 276, Issue 1, H129-H133, January 1999

Lumped constant for deoxyglucose is decreased when myocardial glucose uptake is enhanced

Katsuji Hashimoto1, Tsunehiko Nishimura1, Ken-Ichi Imahashi1, Hitoshi Yamaguchi1, Masatsugu Hori2, and Hideo Kusuoka1

1 Division of Tracer Kinetics, Biomedical Research Center, and 2 First Department of Medicine, Osaka University Medical School, Suita, Osaka 565-0871, Japan

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 alpha  as the affinity of DG to transporters and the phosphorylating system relative to that of glucose. Theoretically, alpha  is equivalent to LC. We determined alpha  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 alpha  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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