Glucose transport and equilibrium across the alveolar-airway barrier of the rat. Saumon, Georges, Genevi[grave]eve Martet, and Paule Loiseau. INSERM U82, Facult[acute]e Xavier Bichat, 75018 Paris, France
APStracts 2:0155L, 1995.
The glucose concentration in the epithelial lining fluid (ELF) results from a balance between cellular uptake and paracellular leakage. The present study examines whether the ELF glucose concentration can be predicted from the kinetics of airspace glucose transport obtained in fluid-filled lungs. Isolated rat lungs (n=16) were filled via the trachea with instillate containing 0-10 mM glucose; the perfusate glucose concentration was 10 mM. The rate of glucose removal from airspaces depended on luminal glucose concentration and was saturable (maximum uptake rate = 101+/-8.6 [mu]mol/h/g dry lung weight, apparent Km = 1.5+/-0.43 mM, R =0.79). Glucose removal was inhibited by phloridzin but not by phloretin or by inhibiting lung glycolysis with iodoacetic acid. Airspace glucose remained low when the initial instillate glucose concentration was zero. The steady state concentration in fluid filled lungs was estimated 0.15+/-0.034 mM. It agreed with that (<1/20 plasma) calculated using glucose transport kinetics and epithelium paracellular permeability. The ELF glucose concentration obtained by bronchoalveolar lavage was 0.39+/-0.012 plasma in vivo and 0.39+/-0.021 perfusate in air-filled isolated lungs. The equilibrium ELF/perfusate distribution ratio of -methylglucose was similar to that of glucose. Thus, there is a major difference between the alveolar steady state glucose concentration in fluid-filled lungs and the ELF glucose concentration in aerated lungs despite similar mechanisms of airspace glucose removal. This suggests that glucose kinetics or access to uptake sites differ in air- and fluid-filled lungs.

Received 10 March 1995; accepted in final form 9 August 1995.
APS Manuscript Number L78-5.
Article publication pending Am. J. Physiol. (Lung Cell. Mol.
Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 23 September 1995.