The effect of insulin on gluconeogenesis in diabetic rabbits has been studied by measurement of both pool size and specific activity of alanine, lactate, glucose, and protein during the infusion of labeled alanine, acetate, glycerol, and lactate. Insulin administration causes an immediate net drop in the pool sizes of alanine, lactate, glucose, pyruvate, and glycerol. The radioactivity of tracer alanine is found to be shunted from glucose to protein on insulin administration concurrent with the fall in the plasma levels of three-carbon compounds measured. This is consistent with the net pool size experiments and suggests that the major carbon flow is directed away from glucose toward protein synthesis by insulin. The recovery of most of the counts from alanine which did not go into glucose in protein also supports the proposition that the major effect of insulin on gluconeogenesis is to stimulate protein synthesis. Further experiments with [ 14C]acetate which can be only incorporated into glucose through the activity of PC and PEPCK show that although its incorporation into protein is increased significantly by insulin its incorporation into glucose is unaffected. All these results are consistent with the conclusion that insulin “inhibits” gluconeogenesis by stimulating resynthesis of amino acids into protein before they are converted to glucose. In this way insulin modulates hyperglycemia induced by gluconeogenetic hormones.
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