PMID- 1988769 OWN - NLM STAT- MEDLINE DCOM- 19910228 LR - 20190725 IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 40 IP - 2 DP - 1991 Feb TI - Influence of portal delivery of insulin on intracellular glucose and lipid metabolism. PG - 122-6 AB - We have investigated whether portal delivery of insulin as a result of intrahepatic islet cell autografts would prevent the development of metabolic alterations. Seven pancreatectomized dogs received islet autografts transplanted into the liver through the portal vein (PD). One year after transplantation, their intravenous glucose tolerance and insulin responses were similar to age-matched control (C) dogs (n = 5). Also, normal triglyceride content in arterial smooth muscle and striated muscle was observed in the dogs with portal insulin delivery in contrast to the substantial increases we observed in pancreatectomized dogs (n = 7) with pancreatic autografts that drained into the systemic circulation (SD). In these dogs, the tissue samples were taken at the age of 3 to 4 years. Triglyceride content (mean +/- SEM) in the aorta was 4.9 +/- 1.2 versus 2.6 +/- 0.6 versus 20.7 +/- 8.0 mumol/g (P less than .01) in C, PD, and SD models, respectively. The corresponding values for triglyceride content in striated muscles were 29.1 +/- 1.2, 25.9 +/- 1.5, and 171.4 +/- 46.6 mumol/g (P less than .01). Glucose-6-phosphate dehydrogenase (G-6-PDH) and malic enzyme, key enzymes for lipid synthesis, were also normal in the PD model, in contrast to the fivefold increased activity of these enzymes in the SD model (P less than .01). The glycolytic enzymes, hexokinase (HK) and phosphofructokinase (PFK), were normal compared with the decreased values in the SD. These data indicate that it is possible to normalize glucose and lipid metabolism in arterial walls by portal delivery of insulin, following intrahepatic islet cell transplantation.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Falholt, K AU - Falholt K AD - Novo Research Institute, Copenhagen, Denmark. FAU - Cutfield, R AU - Cutfield R FAU - Alejandro, R AU - Alejandro R FAU - Volund, A AU - Volund A FAU - Heding, L G AU - Heding LG FAU - Mintz, D H AU - Mintz DH LA - eng PT - Journal Article PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Insulin) RN - 0 (Lipids) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Arteries/enzymology/metabolism MH - Dogs MH - Fasting MH - Glucose/*metabolism MH - Glucose Tolerance Test MH - Insulin/*pharmacokinetics MH - Intracellular Membranes/*metabolism MH - Islets of Langerhans Transplantation MH - *Lipid Metabolism MH - Lipids/blood MH - Muscles/enzymology/metabolism MH - Pancreatectomy MH - Portal System/*metabolism EDAT- 1991/02/01 00:00 MHDA- 1991/02/01 00:01 CRDT- 1991/02/01 00:00 PHST- 1991/02/01 00:00 [pubmed] PHST- 1991/02/01 00:01 [medline] PHST- 1991/02/01 00:00 [entrez] AID - 0026-0495(91)90161-O [pii] AID - 10.1016/0026-0495(91)90161-o [doi] PST - ppublish SO - Metabolism. 1991 Feb;40(2):122-6. doi: 10.1016/0026-0495(91)90161-o.