Alterations in hepatic 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase and glucose-6-phosphatase gene expression after hemorrhagic hypotension and resuscitation

Shock. 1997 Nov;8(5):385-8. doi: 10.1097/00024382-199711000-00012.

Abstract

The mRNA abundance of several hepatic glycolytic and gluconeogenic enzymes and blood hormone concentrations were determined in hemorrhagic hypotension-induced rats before and after resuscitation with lactated Ringer's. Northern blot analysis of total liver RNA after 30 min of hemorrhage showed control values for phospho-enolpyruvate carboxykinase and fructose-1,6-bisphosphatase mRNA, but significantly lower values for 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase (6PF2K/FBPase) as well as 2.5-fold increases in glucose-6-phosphatase (Glu-6-Pase) mRNA. The latter finding is in agreement with the greatly reduced intracellular levels of fructose-6-phosphate and glucose-6-phosphate, and the results are consistent with a rapid activation of hepatic gluconeogenesis by the concomitant decrease in 6PF2K/FBPase and increase in Glu-6-Pase. Blood insulin levels were decreased during hemorrhage and with resuscitation, whereas glucocorticoids were increased 1.5-fold in both cases. Glucagon was unchanged during hemorrhage, but was reduced with resuscitation. Lactated Ringer's resuscitation seemed to affect 6PF2K/FBPase only, which was restored to, and even exceeded, control values. In contrast, Glu-6-Pase mRNA was increased to fourfold control values. The increase in Glu-6-Pase and the decrease in 6PF2K/FBPase mRNA is probably at the level of altered transcriptional rates, because insulin, which plays a dominant role in the regulation of these genes, was decreased during hemorrhage. It remains to be determined what factors are causing further induction of Glu-6-Pase gene after lactated Ringer's resuscitation when hepatic glucose metabolism seems to have reverted to the glycolytic mode.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Blood Glucose / metabolism
  • Corticosterone / blood
  • Gene Expression
  • Glucagon / blood
  • Gluconeogenesis
  • Glucose-6-Phosphatase / genetics*
  • Glycolysis
  • Hypotension / enzymology*
  • Hypotension / genetics*
  • Hypotension / therapy
  • Insulin / blood
  • Liver / enzymology
  • Male
  • Phosphofructokinase-2
  • Phosphoric Monoester Hydrolases / genetics*
  • Phosphotransferases (Alcohol Group Acceptor) / genetics*
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Resuscitation
  • Shock, Hemorrhagic / enzymology*
  • Shock, Hemorrhagic / genetics*
  • Shock, Hemorrhagic / therapy

Substances

  • Blood Glucose
  • Insulin
  • RNA, Messenger
  • Glucagon
  • Phosphotransferases (Alcohol Group Acceptor)
  • Phosphofructokinase-2
  • Phosphoric Monoester Hydrolases
  • Glucose-6-Phosphatase
  • Corticosterone