Insulin stimulation of glucose uptake in skeletal muscles and adipose tissues in vivo is nitric oxide-dependent. Roy, Denis, Myl[grave]ene Perreault, and Andr[acute]e Marette. Department of Physiology and Lipid Research Unit, Laval University Hospital Research Center, Qu[acute]ebec, G1V 4G2, Canada.
APStracts 4:0288E, 1997.
The purpose of this study was to investigate whether in vivo nitric oxide (NO) synthase inhibition influences insulin-mediated glucose disposal in rat peripheral tissues. The NO synthase (NOS) inhibitor NG-nitro-L-arginine methyl ester (L-NAME) or saline were infused constantly during an euglycemic hyperinsulinemic clamp (HIC) in normal rats. Glucose utilization rates of insulin-sensitive tissues (individual muscles, heart and adipose tissues) were simultaneously determined using tracer infusion of 2-[3H]-deoxy-D-glucose. NOS blockade with L-NAME resulted in significant (p < 0.05) reduction in both whole-body glucose disposal (-16%, p < 0.01) and plasma 2 -[3H]-deoxy-D-glucose disappearance rate (-30%, p < 0.05) during HIC. L-NAME significantly decreased insulin-stimulated glucose uptake in heart (-62%, p = 0.01), soleus (-42%, p = 0.05), red (-53%, p < 0.001) and white (-62%, p < 0.001) gastrocnemius, tibialis (-57%, p < 0.01), and quadriceps (-33%, p < 0.05) muscles. The NOS inhibitor also decreased insulin action in brown interscapular (-47%, p < 0.01), retroperitoneal (-52%, p = 0.07), and gonadal (-66%, p = 0.06) adipose tissues. In contrast with in vivo NOS blockade, L-NAME failed to affect basal or insulin-stimulated 2-[3H]-deoxy-D-glucose transport in isolated soleus or extensor digitorum longus muscles in vitro. These results support the hypothesis that the action of insulin to augment glucose uptake by skeletal muscles and other peripheral insulin-sensitive tissues in vivo is NO-dependent.

Received 3 September 1997; accepted in final form 16 December
1997.
APS Manuscript Number E417-7.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1997 The American Physiological Society.
Published in APStracts on 7 January 1998