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This version published online on August 5, 2004
Endocrinology, doi:10.1210/en.2004-0323
A more recent version of this article appeared on November 1, 2004
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*Hypoglycemia

Submitted on March 12, 2004
Accepted on July 28, 2004

Inhibition of hepatic gluconeogenesis and enhanced glucose uptake contribute to the development of hypoglycemia in mice bearing IL-1{beta}-secreting tumor

Shulamit Metzger, Samir Nusair, David Planer, Varda Barash, Orit Pappo, Joel Shilyansky, and Tova Chajek-Shaul*

Department of Medicine, Hadassah University Hospital, Mount Scopus, and Departments of Biochemistry and Pathology, Hadassah University Hospital, Jerusalem 91240, Israel.; Division of Pediatric Surgery, Medical College of Wisconsin, Milwaukee, WI 53201, USA

* To whom correspondence should be addressed. E-mail: chajek{at}hadassah.org.il.

Mice bearing interleukin-1{beta} (IL-1{beta})-secreting tumor were used to study the chronic effect of IL-1{beta} on glucose metabolism. Mice were injected with syngeneic tumor cells transduced with the human IL-1{beta} gene. Serum IL-1{beta} levels increased exponentially with time. Secretion of IL-1{beta} from the developed tumors was associated with decreased food consumption, reduced body weight and reduced blood glucose levels. Body composition analysis revealed that IL-1{beta} caused a significant loss in fat tissue without affecting lean body mass and water content. Hepatic phosphoenolpyruvate carboxykinase (PEPCK) and Glucose-6-phosphatase (G6Pase) activities and mRNAs levels of these enzymes were reduced, and 2-deoxy-glucose (2DG) uptake by peripheral tissues was enhanced. mRNA levels of glucose transporters in the liver were determined by Real Time PCR (RT-PCR) analysis. Glut-3 mRNA levels were up regulated by IL-1{beta}. Glut-1 and glut-4 mRNA levels in IL-1{beta} mice were similar to mRNA levels in pair-fed mice bearing non-secreting tumor. mRNA level of Glut-2, the major glucose transporter of the liver, was down regulated by IL-1{beta}. It is concluded that both decreased glucose production by the liver and enhanced glucose disposal lead to the development of hypoglycemia in mice bearing IL-1{beta} secreting tumor. The observed changes in expression of hepatic glucose transporters that are not dependent on insulin may contribute to the increased glucose uptake.


Key words: PEPCK • G6Pase • glucose uptake • glucose transporters • Food intake




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