1995
DOI: 10.1096/fasebj.9.8.7768357
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Insulin, ketone bodies, and mitochondrial energy transduction

Abstract: Addition of insulin or a physiological ratio of ketone bodies to buffer with 10 mM glucose increased efficiency (hydraulic work/energy from O2 consumed) of working rat heart by 25%, and the two in combination increased efficiency by 36%. These additions increased the content of acetyl CoA by 9- to 18-fold, increased the contents of metabolites of the first third of the tricarboxylic acid (TCA) cycle 2- to 5-fold, and decreased succinate, oxaloacetate, and aspartate 2- to 3-fold. Succinyl CoA, fumarate, and mal… Show more

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Cited by 396 publications
(412 citation statements)
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“…Tissue pH was determined using 31 P magnetic resonance spectroscopy in heart (22,23) (24) and applying the Henderson-Hasselbalch equation (25). Heart free phosphate species were calculated (23) from free cytosolic [ Pi] determined using magnetic resonance spectroscopy and corrected for intracellular pH and free [Mg 2+ ] (22,12). Because obtaining free cytosolic Pi in liver required anesthesia with attendant changes in hepatic circulation, an alternative method for determining free cytosolic [ Pi] was used.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…Tissue pH was determined using 31 P magnetic resonance spectroscopy in heart (22,23) (24) and applying the Henderson-Hasselbalch equation (25). Heart free phosphate species were calculated (23) from free cytosolic [ Pi] determined using magnetic resonance spectroscopy and corrected for intracellular pH and free [Mg 2+ ] (22,12). Because obtaining free cytosolic Pi in liver required anesthesia with attendant changes in hepatic circulation, an alternative method for determining free cytosolic [ Pi] was used.…”
Section: Methodsmentioning
confidence: 99%
“…The G of ATP hydrolysis, G ATP , for each tissue was calculated as described previously (10,12,29) from the G o of ATP hydrolysis determined at 38 • C, ionic strength of 0.25, and specified free [Mg 2+ ] and pH (30). The G of ATP hydrolysis was then calculated for the sum species of products over reactants of the ATP hydrolysis reaction:…”
Section: Calculations Of G [Ion Z ] O/i and G Atpmentioning
confidence: 99%
“…30,31 This increase in metabolic efficiency has been studied extensively in seminal work done by Veech and colleagues. 22,32 Working in perfused rat hearts, Sato et al 32 found that treatment of cells with levels of KB found during starvation (4 mM BHB and 1 mM ACA) increased cardiac efficiency by 13% compared with control hearts. The increase in metabolic efficiency can be attributed to several key features of KB metabolism (FIG.…”
Section: Properties Of Kbmentioning
confidence: 99%
“…Briefly, when BHB is converted to ACA it generates NADH (the reduced form of nicotinamide adenine dinucleotide [NAD]), thereby reducing the mitochondrial NAD/NADH couple and increasing the oxidation of the co-enzyme Q couple. 32 In addition, KB metabolism increases the mitochondrial pool of acetylCoA and succinate. 33 The net effect of these changes is increased metabolic efficiency.…”
Section: Properties Of Kbmentioning
confidence: 99%
“…Sato et al [226] concluded that in working rat hearts, the addition of insulin or a physiological ratio of ketone bodies (␤-hydroxybutyrate and acetoacetate) to physiological solutions containing 10 mM glucose increased the hydraulic work efficiency from 10.5 to 13.4%, and insulin and ketones together allowed the efficiency to reach 14.3%. They did not measure basal metabolism, but explained the increase in efficiency caused by ketones as being compatible with a decrease in protein leakage across the mitochondria consequent on a fall in mitochondrial membrane potential to Ϫ120 mV with addition of ketones, from Ϫ143 mV in glucose-perfused hearts, with or without insulin.…”
Section: Modifiers Of Basal Metabolismmentioning
confidence: 99%