Abstract

Glucose uptake and glycolysis in the heart are increased during myocardial ischemia in order to provide an additional anaerobic source of ATP for the heart. This alteration in glucose metabolism constitutes an important contributing factor towards ischemic injury, and therefore it is important to understand how glucose uptake is controlled in the ischemic heart. There are primarily two glucose transporters which regulate glucose uptake into cardiac myocytes, GLUT1 and GLUT4. In the non-ischemic heart, insulin is only able to stimulate the translocation of GLUT4 to the sarcolemmal membrane, while both GLUT1 and GLUT4 translocation can occur following AMPK stimulation.

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