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1 Perinatal Research Center and Departments of Pediatrics and 2 Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, Colorado, 80262; and 3 Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, 73190
We studied the effect of an acute 4-h period of
hyperinsulinemia (H) on net utilization rates (AAURnet)
of 21 amino acids (AA) in 17 studies performed in 13 late-gestation
fetal sheep by use of a novel fetal
hyperinsulinemic-euglycemic-euaminoacidemic clamp. During H [84 ± 12 (SE) µU/ml H, 15 ± 2 µU/ml control (C), P < 0.00001], euglycemia was maintained by glucose
clamp (19 ± 0.05 µmol/ml H, 1.19 ± 0.04 µmol/ml C), and
euaminoacidemia (mean 4.1 ± 3.3% increase for all amino acid
concentrations [AA], nonsignificantly different from zero) was
maintained with a mixed amino acid solution adjusted to keep lysine
concentration constant and other [AA] near C values. H produced a
63.7% increase in AAURnet (3.29 ± 0.66 µmol · min
1 · kg
1 H,
2.01 ± 0.55 µmol · min
1 · kg
1 C,
P < 0.001), accounting for a 60.1% increase in fetal
nitrogen uptake rate (2,064 ± 108 mg · day
1 · kg
1 H,
1,289 ± 73 mg · day
1 · kg
1 C,
P < 0.001). Mean AA clearance rate
(AAURnet/[AA]) increased by 64.5 ± 18.9%
(P < 0.001). Thus acute physiological H increases net
amino acid and nitrogen utilization rates in the ovine fetus independent of plasma glucose and [AA].
glucose; insulin; amino acids; sheep; nitrogen
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