ExtractPregnant rats during the last 3 days of gestation were fasted 16 hours, anesthetized and infused with glucose-U-C14 for two hours following a loading dose of labeled glucose. Rats infused with tracer only were compared with glucose-loaded rats. The volume of distribution for glucose was 28 % in the fasted rats and increased to 50% of body weight with glucose loading. Hepatic glucose production was 1.2 mg/min/300 g body weight in the fasted rats. This value was depressed to 0.32 with glucose loading. Comparison of maternal and fetal plasma after the two-hour infusion showed that the concentration of glucose in fetal plasma equaled the maternal in fasting rats and paralleled maternal hyperglycemia with a gradient (maternal to fetal) of 1.22 in the glucose-loaded rats. In the fasted rats, the specific activity of fetal plasma glucose was less than half that of maternal plasma glucose, indicating that unlabeled glucose was being produced within the conceptus. By contrast, the specific activities were more nearly equal in the glucose-loaded rats, showing that maternal plasma glucose was the primary source of fetal plasma glucose during hyperglycemia. The glycogen concentrations of fetal liver and placenta were not altered by glucose loading. The degree of labeling of glycogen was very small in fetal liver and placenta in fasting rats, while glucose loading increased the specific activity of glycogen in these two organs but the quantitative change in glycogen remained small compared to the total glycogen stores. However, with glucose loading, the incorporation of radioglucose into maternal liver glycogen reached 31 % of the liver glycogen store.From these data it is concluded that under conditions of fasting, the fetal liver contributes to the fetal plasma glucose through gluconeogenesis in preference to glycogenolysis, while in the presence of maternal hyperglycemia, fetal gluconeogenesis is reduced and glycogen synthesis in fetal liver is accelerated.
SpeculationDuring fasting, a competition may develop for gluconeogenetic precursors between the maternal liver, the fetal liver and the growing fetal tissues. Because of such a competition, prolonged fasting or protein malnutrition could result in either reduced availability of fetal glucose or limitation of protein synthesis or both. During short periods of fasting, the store of glycogen in the fetal liver was neither mobilized nor significantly increased by synthesis from glucose, while with glucose loading, net synthesis increased. These data suggest that accumulation of fetal liver glycogen occurs as a stepwise cycle with net synthesis occurring only during feeding and relative retardation of glycogenolysis predominating during fasting.