, respectively (5 to 38°C). We examined further the mass action ratio in rat heart and skeletal muscle at rest and found that the pyruvate kinase reaction in vivo was close to equilibrium i.e. within a factor of about 3 to 6 of K in the direction of ATP at the same pH, free [Mg 2؉ ], and T. We conclude that the pyruvate kinase reaction may be reversed under some conditions in vivo, a finding that challenges the long held dogma that the reaction is displaced far from equilibrium.Pyruvate kinase (phosphoenol transphosphorylase) (EC 2.7.1.40) catalyzes the magnesium-and potassium-dependent transphosphorylation between phosphoenolpyruvate (P-enolpyruvate) 1 and ADP according to Reaction 1 (1).The enzymatic transfer of phosphate from P-enolpyruvate to ATP was first described in 1934 by Parnas, Ostern, and Mann (2). Despite early statements of Meyerhof et al. (3) that the reaction was irreversible, Lardy and Ziegler (4) experimentally showed in rat muscle extracts its reversibility in 1945 from the exchange of 32 P between P-enolpyruvate and ATP. These workers further showed that P-enolpyruvate could be synthesized directly from pyruvate in a system where ATP was constantly being regenerated and that the rate of reaction increased with increasing potassium concentration (4, 5). The reversibility of the reaction in muscle extracts was subsequently shown by Krimsky (6) and McQuate and Utter (7) The more important question, however, is whether pyruvate kinase can be reversed in intact tissues. Can glycolysis be reversed at pyruvate kinase and glycogen form from lactate in skeletal muscle in vivo (7, 9 -14)? Because the early thermodynamic study of McQuate and Utter (7) indicated an unfavorable equilibrium at the pyruvate kinase step, Krebs proposed a bypass reaction via pyruvate carboxylase (EC 6.4.1.1). Pyruvate carboxylase catalyzes the ATP-driven formation of oxaloacetate from pyruvate and HCO 3 Ϫ and P-enolpyruvate carboxykinase (PEPCK) (EC 4.1.1.49), which then converts oxaloacetate to P-enolpyruvate (15). Although this pathway is known to occur in liver (and kidney) (16,17), it remains unclear whether the enzymes are present in skeletal muscle or heart (18).On closer examination of the otherwise excellent study of McQuate and Utter (7), there are a number of unavoidable limitations to their analysis. For example, in the 1950s there was considerable uncertainty about the apparent magnesium and acid binding constants for the ATP and ADP series, the binding of ADP in skeletal muscle, and the problem of measuring accurately low concentrations of metabolites in intact tissue. There was also a lack of computing power to solve the system of simultaneous equations defining the reaction in vitro. These limitations, along with the high sensitivity of the reaction to varying pH and free [Mg 2ϩ ], have impeded a detailed study into the thermodynamics of the reaction. The aim of this study was to examine the thermodynamics of the pyruvate kinase reaction and estimate the apparent equilibrium position in heart and skeletal m...