Glycogen formation is stated to occur after the oral administration of mannose to animals, but the conversion of mannitol, the hexahydric alcohol which may be obtained by reduction of the aldehyde group of mannose, to glucose or glycogen has not been definitely proven. It has been maintained that sorbitol, the hexahydric alcohol derived from glucose, may alleviate the hypoglycemic symptoms in rabbits which have received insulin and when administered to diabetic patients may increase the respiratory quotient. Rosenfeld was unable to observe any significant increases in liver glycogen after feeding mannitol to dogs. Pfliiger in a critical evaluation of the data of Kiilz concluded that the increased glycogen deposition obtained by this investigator was within the limits of experimental error. We have studied the glycogen content of the liver after the oral administration of d-mannitol by the method of Cori. Young white rats were fasted 24 hours and fed either 2 or 4 cc. of a 15% solution of mannitol by stomach tube. The amount of mannitol fed was determined by passing the mannitol solution through the stomach tube into an evaporating dish, which was then placed in an oven and dried to constant weight. After absorption periods of 2, 3, 4, and 6 hours, the rats were killed and the glycogen content of the liver was determined as described previously. The results are presented in Table I. The glycogen values for the livers of a control series of 9 rats which received 2 cc. of water after 24 hour fasting periods varied from 0.02 to 0.06% with an average of 0.05%. Inspection of the data of the table fails to reveal any significant increases in liver glycogen after oral administration of mannitol as compared with the values obtained for the control series. After these experiments were completed, Carr and his co-workers reported a similar study of the glycogen content of the liver of white rats, previously fasted and then fed a mixture of cacao-butter and mannitol (33%) over a period of 80 hours. The glycogen content of the liver of the rats fed mannitol and cacao-butter ranged from 0.62 to 1.80% with an average value of 1.23%, as compared with the average glycogen content of the livers of control rats fed cacao-butter alone of 0.14%. It is impossible to compare the results of this series with our own experiments since the treatment of the animals was quite different in the 2 series. Under the experimental conditions used by us, it is evident that mannitol did not serve as a ready available source of glycogen. A similar lack of ready utilization of mannitol is shown by the reported failure of mannitol to relieve insulin shock in white rats.
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