Chronic insulin hypoglycemia induces glut3 protein in rat brain neurons. Uehara, Yutaka, Valerie Nipper and Anthony L. McCall, . Departments of Cell & Developmental Biology1, Medicine2 and Neurology3, Oregon Health Sciences University, Diabetes Program & Research Service, Department of Veterans Affairs4 Medical Center, Portland, OR
APStracts 4:0002E, 1997.
Near-normal glycemiaABSTRACT Near-normalization of glycemia reduces the risks of chronic diabetic complications, but increases the risk of serious hypoglycemia. Hypoglycemia can impair neuronal function in the brain and diminish awareness of subsequent hypoglycemic episodes, yet little is known of how neurons adapt to hypoglycemia. This study tests the hypothesis that isoform-specific alterations in brain glucose transport proteins occur in response to chronic hypoglycemia. To study this, groups of rats were injected at 17:00h with 25U/kg ultralente insulin to maintain hypoglycemia for 8 days. Vascular-free and microvessel membrane fractions from brain were prepared for immunoblot analysis of GLUT1 and GLUT3 using isoform-specific specificantisera. Insulin treatment reduced blood glucose levels from 4.0 + 0.1 (vehicle injected controls) to 1.7 + 0.1 mmol/L on day 8. (p< 0.001) and increased GLUT3 protein expression (175.6% of control; p< 0.05). Microvascular GLUT1 (55 kDa) tended to increase (195.6% of controls; p = 0.08) variably, while non-vascular GLUT1 (45 kDa) was unchanged. We conclude that neuronal glucose transport protein (GLUT3) expression adapts to chronic hypoglycemia. This adaptation may spare neuronal energy metabolism, but could dampen neuronal signaling of glucose deprivation.

Received 5 September 1996; accepted in final form 9 December
1996.
APS Manuscript Number E442-6.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1997 The American Physiological Society.
Published in APStracts on 21 January 1997