J Appl Physiol 95: 712-719, 2003;
doi:10.1152/japplphysiol.01125.2002
8750-7587/03 $5.00
Effect of age and endurance training on the capacity for epinephrine-stimulated gluconeogenesis in rat hepatocytes
Ken D. Sumida,
Steven M. Arimoto,
Michael J. Catanzaro, and
Frank Frisch
Department of Biological Sciences, Chapman University, Orange, California
92866
Submitted 6 December 2002
; accepted in final form 25 April 2003
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ABSTRACT
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The effects of endurance training on hepatic glucose production (HGP) from
lactate were examined in 24-h-fasted young (4 mo) and old (24 mo) male Fischer
344 rats by using the isolated-hepatocyte technique. The liver cells were
incubated for 30 min with 5 mM lactate ([U-14C]lactate; 25,000
dpm/ml) and nine different concentrations of epinephrine (Epi). Basal HGP
(with lactate only and no Epi) was significantly greater for young trained (T)
(99.6 ± 6.2 nmol/mg protein) compared with young controls (C) (78.2
± 6.0 nmol/mg protein). The basal HGP was also significantly greater
for old T (97.3 ± 5.9 nmol/mg protein) compared with old C (72.2
± 3.9 nmol/mg protein). After the incubation with the various
concentrations of Epi, Hanes-Woolf plots were generated to determine kinetic
constants (Vmax and EC50). Maximal
Epi-stimulated hepatic glucose production (Vmax) was
significantly greater for young T (142.5 ± 6.5 nmol/mg protein)
compared with young C (110.9 ± 4.8 nmol/mg protein). Similarly, the
Vmax was significantly greater for old T (138.2 ±
5.0 nmol/mg protein) compared with old C (103.9 ± 2.5 nmol/mg protein).
Finally, there was an increase in the EC50 from the hepatocytes of
old T (56.2 ± 6.2 nM) compared with young T (32.6 ± 4.9 nM). In
like manner, there was an increase in the EC50 from the hepatocytes
of old C (59.7 ± 5.8 nM) compared with young C (33.1 ± 2.7 nM).
The results suggest that training elevates HGP in the basal and maximally
Epi-stimulated condition, but with age there is a decline in EC50
that is independent of training status.
liver; lactate; glucose production; exercise
THE BRAIN AND NERVE TISSUES depend on the maintenance of blood
glucose to sustain a concentration gradient for extraction
(16). When liver glycogen
stores become depleted, hepatic gluconeogenesis becomes an essential component
in an organism's ability to maintain blood glucose levels. Endurance training
has been shown to resist the decrements in blood glucose concentrations during
prolonged exercise despite depletion of hepatic glycogen stores
(7). Our laboratory has
previously demonstrated an enhanced hepatic gluconeogenic capacity
attributable to endurance training in rats
(7,
32,
33). The augmentation in
glucose production ability in the liver could help to account for the
maintenance of blood glucose levels in trained animals during prolonged
exercise when hepatic glycogen stores become depleted
(8). Conversely, recent reports
have demonstrated age-related declines in hepatic gluconeogenic capacity
(2527).
This loss in liver function could compromise the ability of an elderly
individual to respond to a given stress. However, reports from Podolin et al.
(2527)
demonstrate that endurance training can help to offset the age-related decline
in the liver's glucose production capacity.
Hormonal stimulation can increase hepatic gluconeogenesis above basal
rates. The impact of glucagon
(26) and norepinephrine
(25) stimulation on hepatic
gluconeogenic capacity after endurance training has previously been examined
in liver slices from rats. Podolin et al.
(26) reported an increase in
gluconeogenic capacity in liver slices from a maximal glucagon dose after
endurance training that was independent of age. In addition, Podolin et al.
observed in young, middle-aged, and old rats a training-induced increase in
hepatic glucose production when stimulated with a maximal phenylephrine
concentration. Although these observations show promise of the import of
endurance training in the improved resistance to hypoglycemia evoked by
prolonged exercise, an extrapolation of these observations to the in vivo
condition remain controversial. Specifically, circulating levels of glucagon,
epinephrine, and norepinephrine are lower in trained individuals during
exercise (15,
35). Thus there is skepticism
pertaining to the importance of the training-induced adaptations in the liver
for the maintenance of blood glucose homeostasis. However, a possible
mechanism to account for the lower hormonal milieu in trained individuals
could be an adaptation that augments the sensitivity of the liver to various
hormones. Although the prior studies by Podolin et al.
(25,
26) offer insight into the
augmented training-induced response on hepatic gluconeogenesis to hormones,
they were limited to an examination on the effects of maximal hormone
stimulation where hormone sensitivity was not assessed. Only the observation
from Drouin et al. (9) has
offered an indication about possible training-induced alterations in hormone
sensitivity. In trained subjects, they demonstrated an elevation in resting
hepatic glucose output when glucagon and insulin levels were clamped and
maintained at equivalent concentrations compared with controls. They
attributed the increase in hepatic glucose output to an increase in glucagon
sensitivity (9). In support,
Legare et al. (21) later
reported an increased density of glucagon receptors in the livers from
endurance-trained rats. Barring the report by Drouin et al.
(9), little is known about the
possible training-induced hepatic alterations to hormone sensitivity. Given
that catecholamines play an active role in augmenting precursor availability
and can also directly stimulate glucose production, we chose to examine the
effects of epinephrine on hepatic gluconeogenic capacity from young and old
animals after a program of exercise training.
The purpose of the present study was to assess the impact of epinephrine
stimulation on hepatic glucose production from lactate after endurance
training from young and old animals. Specifically, with use of the
isolated-hepatocyte technique, we sought to determine the following:
1) whether there are any alterations in the sensitivity or the
maximal response to epinephrine after endurance training and 2) the
impact of age (if any) on the training response to epinephrine. On the basis
of previous studies, we hypothesized that, irrespective of age, endurance
training would result in an elevation in basal hepatic gluconeogenic capacity
and that at maximal hormone concentrations the peak gluconeogenic capacity
would be further elevated from the liver cells of endurance-trained animals.
We also anticipated that endurance training would result in a greater
sensitivity to epinephrine and that age would not prevent a normal response to
hormone stimulation or any training-induced adaptation.
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METHODS
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The experimental protocol for this study was preapproved by the Chapman
University Institutional Review Board and conformed with the National
Institutes of Health Guide for the Care and Use of Laboratory
Animals. Male Fischer 344 rats were obtained from the National Institute
on Aging and were either 2 mo (n = 10) or 22 mo (n = 12) of
age on arrival. Animals were housed individually in a temperature-controlled
room, had free access to food and water, and were kept on a 12:12-h light-dark
cycle. After a period of 3 days to allow animals to be acclimated to the
living conditions, they were randomly assigned to either a control group
(n = 5 per group for young and n = 6 per group for old
animals) or endurance-trained group (n = 5 per group for young and
n = 6 per group for old animals). Trained animals were run on a
rodent treadmill 5 days/wk for 810 wk. For young animals, we employed a
training protocol previously used to elicit a training adaptation.
Specifically, the running time and speed were progressively increased over a
6-wk period until all animals were running at 30 m/min on a 10% grade for 90
min (32,
33). For old animals, the
running time and speed were progressively increased over a 6-wk period until
all animals were running at 15 m/min on a 10% grade for 60 min (based on
communications with D. A. Podolin). Thereafter, all trained animals were
maintained at this workload for the remainder of the scheduled program.
Control animals were acclimated to treadmill running 3 days/wk for 510
min/day at 20 m/min (for young animals) or 10 m/min (for old animals) on a 10%
grade for 2 wk before the experiments were initiated.
Forty-eight hours before the experiment, all animals engaged in treadmill
running to minimize any residual effects from the last exercise bout. All
young animals ran at 20 m/min on a 10% grade for 60 min, constituting the
final exercise bout for the trained animals and an acute exercise bout for the
controls. Similarly all old animals ran at 10 m/min on a 10% grade for 30 min,
constituting the final exercise bout for the trained animals and an acute
exercise bout for the controls. Twenty-four hours before the experiment, all
food was withdrawn, whereas water continued to be provided ad libitum. Our
laboratory previously reported significant depletion of liver glycogen stores
after a 24-h fast, thereby minimizing the glucose production from
glycogenolysis
(3133).
Finally, an equivalent number of young and old animals were used on a given
day. As such, all solutions were prepared on the day of the experiment and
used on both young and old hepatocytes.
The isolation of the liver was accomplished as previously reported by our
laboratory (32,
33). In addition, the right
hindlimb musculature of all animals (soleus, gastrocnemius, plantaris, vastus,
gracilis, and biceps femoris) was freeze clamped and stored at -80°C for
subsequent analysis. After the surgical isolation of the liver, the animal was
placed in a humidified and temperature-controlled (37°C) Plexiglas
perfusion chamber, identical to the perfusion chamber described in detail by
Exton and Park (12). Before
entering the liver, the perfusate was sequentially filtered through a nylon
mesh, oxygenated (95% O2-5% CO2), and then passed
through a bubble trap. Hepatocytes were isolated as previously reported by our
laboratory (31). Briefly,
calcium-free Krebs-Hensleit bicarbonate buffer and fresh thoroughly washed
bovine red blood cells (hematocrit of 1315%) perfused the liver (single
pass) for 10 min at a rate of 35 ml/min. The system was switched to a
recirculation mode, collagenase was added (30 mg), and the flow rate was
adjusted to
2 ml · min-1 · g liver-1.
The liver was perfused for 2030 min to allow for the degradation of
connective tissue and visually monitored. The liver was carefully removed from
the animal and placed in a petri dish containing an incubation buffer similar
to the perfusate but with the addition of calcium (2.4 mM) and the absence of
collagenase. Scissors were used to open any remaining intact liver capsules
and gently stirred until there was a concentrated homogenate of cells. The
cells were then funneled into a 250-ml Nalgene flask, aerated, and shaken in a
37°C water bath for 10 min. The cells were filtered through two layers of
a nylon mesh and centrifuged. The supernatant was aspirated and the cells were
washed three more times by using an incubation buffer now containing 1%
(wt/vol) gelatin (Difco). Before the first wash and at the end of the third
wash, a small aliquot was tested for viability by using a Trypan blue
exclusion test. In addition, another small aliquot was removed to determine
the endogenous glucose concentration (before the addition of any substrate)
and the initial glycogen content. After the final wash, the cell volume was
measured and the cells were reconstituted (14 ml buffer/1 ml cells) in an
incubation buffer now containing 1.5% (wt/vol) gelatin (Difco), 5 mM
neutralized lactate, and [U-14C]lactate (25,000 dpm/ml). The cell
suspensions from a given liver were then separated into 50-ml plastic flasks
and attached to a 10-lane manifold that allowed for continual gassing with 95%
O2-5% CO2 while the flasks were being gently shaken in a
37°C water bath.
A 10-min preincubation period, to allow for equilibration of lactate and
the reestablishment of basal metabolism and ion gradients
(1,
6), was employed before the
addition of various concentrations of epinephrine (0, 10, 25, 50, 100, 250,
500, 1,000, 5,000, and 10,000 nM) to the cell suspension. The two highest
epinephrine concentrations used were based on a previous study
(20), whereas the lower
epinephrine concentrations were chosen on the basis of preliminary experiments
performed in our laboratory. Once the epinephrine was added, gassing was
immediately restored and the cells were incubated with epinephrine for a total
of 30 min. This incubation time has previously been demonstrated to be well
within steady-state levels of second messengers, enzyme alterations, and
gluconeogenesis (6). After the
30-min incubation, reactions were terminated by placing aliquots of the cell
suspension into tubes containing perchloric acid, potassium hydroxide, and
sodium hydroxide for the subsequent determination of glucose
(29) and lactate
(17), glycogen
(10), and protein
(3), respectively. Bovine serum
albumin was used as the standard for the determination of protein
concentration. In addition, the pH of the cell suspension was checked after
the incubation to ensure a range between 7.35 and 7.45. Samples from the
glucose and lactate tubes were prepared for ion-exchange chromatography for
the determination of glucose- and lactate-specific activity as previously
described (32,
33). Skeletal muscle citrate
synthase (EC 4.1.3.7
[EC]
) activity was determined by using the procedure of Srere
(30).
Calculation and statistics. Hepatic glucose production (HGP) was
calculated as the difference between exogenous glucose production (from
lactate) and endogenous glucose synthesis (no substrate). For all groups, the
glucose production, lactate uptake, and glycogen content were divided by the
cell viability and expressed as the concentration (nmol or, where applicable,
dpm) per milligram of protein. [14C]glucose production (dpm/ml) was
the radioactive glucose appearance in the incubation medium normalized to a
lactate-specific activity of 5,000 dpm/µmol and expressed as dpm per
milligram of protein. Dose-response curves were generated, and Hanes-Woolf
plots were used to determine the maximal epinephrine response
(Vmax) and half-maximal effect (EC50), which
denotes epinephrine sensitivity. Differences between the regressions generated
from Hanes-Woolf plots were determined according to the procedures of Zar
(36). For all other
comparisons, a two-way (age vs. training status) ANOVA was employed. A
significant F ratio was analyzed by using a Student-Newman-Keuls post
hoc test. The level of significance was set at P < 0.05, and the
values are expressed as means ± SE.
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RESULTS
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The body weights between control and trained young animals were not
significantly different after the 24-h fast
(Table 1). Similarly, the body
weight for the old animals was not significantly different between control and
trained groups after the 24-h fast (Table
1). As a reflection of age, the body weight for the young animals
(231.5 ± 4.2 g) was significantly lower than for the old animals (369.7
± 6.1 g) after the 24-h fast. To support the effectiveness of the
training regimen, the skeletal muscle citrate synthase activities were
significantly greater for trained vs. control animals for both age groups
(Table 1).
After the hepatocyte incubation, the pH of the cell suspensions did not
significantly differ between young and old animals, nor did it differ between
trained and control groups (Table
2). In addition, the protein content from the cell suspensions was
not significantly different between young or old animals or between groups
(Table 2). The initial lactate
concentration for each hepatocyte suspension did not vary for any of the
groups (Table 2). The initial
glycogen content in the liver cells before the addition of lactate was not
significantly different between control and trained groups, or between young
and old groups (Table 2).
Furthermore, there was no significant difference in postglycogen content after
the incubation with each epinephrine concentration compared with the initial
glycogen content within any of the groups (for brevity, the results of the
postglycogen content at the highest epinephrine incubation, i.e., 10,000 nM,
are presented in Table 2).
There was no difference in cell viability between the prewash and final wash
procedure within a group (for brevity, the results from the final wash are
reported; Table 2). In
contrast, the cell viability was significantly greater from young (88.5
± 1.2%) compared with old animals (68.8 ± 1.1%) but was
unaffected by training status (Table
2).
Although the [14C]glucose data mirrored the relationships
observed for glucose, for clarity, the major focus will be the nonradioactive
data because the radioactive data merely serve to support the glucose
production from the liver. Furthermore, the kinetic analyses (Hanes-Woolf
plots) were determined from the nonradioactive data. In this regard, age did
not affect the basal gluconeogenic capacity within a group (i.e., control vs.
trained). Adjustment of the gluconeogenic rates to reflect 100% cell viability
resulted in no difference between young (78.2 ± 6.0 nmol/mg protein)
and old control animals (72.2 ± 3.9 nmol/mg protein) when incubation
was with lactate only and in the absence of epinephrine. Similarly, basal HGP
after the adjustment to reflect 100% cell viability failed to reveal
differences between young (99.6 ± 6.2 nmol/mg protein) and old trained
animals (97.3 ± 5.9 nmol/mg protein) when incubation was with lactate
only and in the absence of epinephrine. Although age did not affect the basal
gluconeogenic capacity within control or trained groups, the basal HGP was
significantly greater for trained animals compared with controls in both young
and old animals (Fig. 1). In
support, the adjusted lactate uptake (reflecting 100% cell viability) was
greater in trained compared with control hepatocytes in both young and old
animals (Fig. 2). Furthermore,
the basal [14C]glucose production
(Fig. 2) was also significantly
greater in young and old trained animals (483.1 ± 32.0 dpm/mg protein)
vs. controls (377.2 ± 22.7 dpm/mg protein).

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Fig. 1. Effects of endurance training on epinephrine-stimulated hepatic glucose
production (HGP) from lactate, expressed as nmol of glucose per mg of protein,
from isolated hepatocytes of young control (YC), young trained (YT), old
control (OC), and old trained (OT) animals. Values are means ± SE at
each epinephrine concentration (nM); n = 5 for young and n =
6 for old animals.
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Fig. 2. Effects of endurance training on lactate (LA) uptake and
[14C]glucose (14C-Gluc) production from epinephrine-stimulated
isolated hepatocytes of YC, OC, YT, and OT animals. La uptake is expressed as
nmol of lactate per mg of protein in the basal (no epinephrine) and maximal
[Max; maximal epinephrine (10,000 nM)] epinephrine-stimulated conditions.
14C-Gluc production is expressed as dpm per mg of protein in the basal and Max
conditions. Values are means ± SE for each group; n = 5 for
young and n = 6 for old animals. *Significant difference
between trained and control groups for a given condition (i.e., basal or Max)
for both young and old animals, P < 0.05.
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Epinephrine-stimulated HGP demonstrated saturation kinetics in both trained
and control groups (Fig. 1).
Training elevated the maximal response to epinephrine in both young and old
animals (Fig. 1). Hanes-Woolf
plots demonstrated significantly different slopes for trained vs. control
animals in both young and old groups (Fig.
3). As such, endurance training significantly elevated the basal
HGP, and this elevation was maintained at all epinephrine concentrations. In
support, maximal epinephrine-stimulated [14C]glucose production
(Fig. 2) was significantly
greater in trained animals (682.9 ± 43.2 dpm/mg protein) vs. controls
(541.2 ± 23.8 dpm/mg protein). Although training status elevated the
maximal response, it did not affect the EC50 within a group (i.e.,
young or old). In contrast, whereas age did not have any impact on maximal
hormone stimulation within a group, it significantly elevated the half-maximal
effect, which was independent of the training status
(Table 3).

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Fig. 3. Hanes-Woolf plot of epinephrine concentration (nM)/hepatic glucose
production (HGP; nmol/mg protein) as a function of the epinephrine
concentration (nM) for YC, YT, OC, and OT animals. Values are means ±
SE; n = 5 for young and n = 6 for old animals.
*Significant difference in slope from hepatocytes between YT vs. YC
and between OT vs. OC, P < 0.05.
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DISCUSSION
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In contrast to prior studies
(2527),
but in support of others (20,
31), there was no age-related
decline in basal gluconeogenic capacity from lactate, nor was there any change
in the maximal response to epinephrine. That the glucose production reflects
gluconeogenic capacity is supported by the depletion of hepatic glycogen after
the 24-h fast, the minimal glycogenolysis after the incubation with lactate,
and the [14C]glucose production. As it pertains to chronic
exercise, there was a training-induced increase in the basal hepatic
gluconeogenic capacity. As before, this is supported by the depletion of
hepatic glycogen, the minimal glycogenolysis, and the significant increases in
[14C]glucose production and lactate uptake. Furthermore, the
training-induced increase in glucose production was maintained in response to
epinephrine. Finally, age did not affect the training-induced increase in
basal hepatic glucose production, nor did it change the liver's ability to
respond to maximal epinephrine stimulation; however, senescence lowered the
EC50, and training did not prevent the decline in epinephrine
sensitivity.
Endurance training has been associated with an enhanced ability to resist
the decrements in blood glucose levels during exercise
(4,
7) despite lower concentrations
of glucagon, epinephrine, and norepinephrine
(15). An elevation in basal
glucose production capacity after endurance training has previously been
observed in rats with the use of the perfused liver technique
(32,
33) and perifused hepatocytes
(5). This study supports the
training-induced increase in basal hepatic gluconeogenesis with use of
isolated hepatocytes. In addition, several studies have reported elevations in
liver glucose production capacity in response to various hormones after
endurance training (9,
25,
26). Drouin et al.
(9) observed an increase in
hepatic glucose production response in trained subjects vs. controls when
glucagon and insulin were clamped at equivalent levels. They attributed the
increase in glucose appearance to be due to an elevation in glucagon
sensitivity on hepatic glycogenolysis
(9). In support, Legare et al.
(21) examined the binding
properties of glucagon receptors in plasma membranes isolated from the livers
of trained vs. control animals. They reported an increase in liver
glucagon-receptor density from endurance-trained rats. Nieto et al.
(24) also observed an adaptive
response to endurance exercise with the use of rat liver plasma membranes.
They reported that endurance exercise enhanced the adenylyl cyclase system via
the stimulation of the enzyme catalytic subunit and the stimulatory G protein
(24). This observation has
recently been supported by Podolin et al.
(28), who demonstrated that
endurance-training resulted in greater binding affinity for glucagon receptors
from the livers of trained animals compared with sedentary counterparts. Given
the training-induced increase in glucagon receptor density and the efficacy in
stimulating the adenylyl cyclase system, it remains a possibility that other
hormones (i.e., catecholamines) could similarly augment the liver's capacity
for glucose production after a chronic program of endurance training.
Collectively, this could explain the lower hormonal milieu observed in trained
individuals (15).
This potential has been partially addressed by Podolin et al.
(25), who demonstrated
significant elevations in gluconeogenic capacity in liver slices from trained
animals compared with controls from various concentrations of norepinephrine.
In their incubation medium, they also included glucagon and insulin. In this
regard, it is possible that the combination of norepinephrine and the other
hormones is required to elicit an effect. In a subsequent report, Podolin et
al. (26) specifically examined
the effects of training with use of three distinct gluconeogenic stimulators:
glucagon, phenylephrine (
-adrenergic agonist), and isoproterenol
(
-adrenergic agonist). They observed greater hepatic glucose production
in response to maximal levels of glucagon and phenylephrine in liver slices
from trained vs. control rats
(26). However, they failed to
observe any training effect from isoproterenol
(26). Whereas catecholamines
can stimulate both
- and
-adrenergic receptors, it is generally
agreed that the control of glucose production by epinephrine in the liver is
primarily mediated by
1-receptors
(23). As such, that endurance
training resulted in an elevation in Vmax from epinephrine
compared with controls in the present study is consistent with the findings of
Podolin et al. However, we also observed no alteration in the EC50.
This observation was in contrast to our hypothesis. Nevertheless, Mazzeo et
al. (22) observed that
endurance training had no effect on liver
-receptor number or affinity
in rats. Whether there is a similar absence in hepatic
1-receptor affinity or maximal binding number after training
has yet to be determined. In like manner, whether the training-induced
epinephrine responsiveness in the liver is attributable to changes in
second-messenger signaling and/or response is unknown.
The preservation of basal hepatic gluconeogenic capacity with age is
consistent with prior reports
(20,
31). In addition, our
laboratory previously observed the maintenance of hepatic glucose production
rates in hepatocytes from young and old animals with the use of various
precursors entering the gluconeogenic pathway at distinct sites
(31). However, this
observation is in contrast to the studies of Podolin et al.
(2527),
where they consistently reported age-related declines in glucose production
capacity with the use of liver slices. An explanation for this discrepancy
remains to be elucidated, but it is conceivable that the age-related decline
in cell viability, as observed in the present study, represents an overall
loss in organ function (at any given time there are less viable cells) and/or
the fragile integrity of older hepatocytes that is exacerbated with the use of
liver slices (a technique that can result in further damage to cells). When
the cell viability is normalized for all groups (i.e., corrected to 100%
viability) the hepatic gluconeogenic capacity is maintained with age. In
addition, the finding that the remaining viable cells from the old animals
demonstrate saturation kinetics to epinephrine suggests that these cells are
able to maintain their integrity.
In the present study, maximal epinephrine-stimulated glucose production was
also unaltered with age. This observation is consistent with Kmiec and
Mysliwski (20), who reported
similar gluconeogenic rates from young and old rat hepatocytes incubated with
18 mM lactate and 2 mM pyruvate and stimulated with maximal epinephrine
concentrations. They also observed no age-related decline in the gluconeogenic
response with maximal norepinephrine levels
(20). We have extended the
observation to include an increase in the EC50 that suggests an
age-related alteration in the sensitivity to epinephrine (irrespective of
training status). Furthermore, the loss in epinephrine sensitivity
attributable to age may in fact be greater than we report because at any given
epinephrine concentration there are fewer viable cells from old compared with
young animals. Borst et al. (2)
previously reported that
1-receptor density, expressed as
binding sites per cell, is unchanged with senescence. In addition, they
observed that epinephrine response and sensitivity, as determined by
phosphoinositide hydrolysis, was also unchanged with age
(2). Although the preservation
of maximal epinephrine response with advanced age is consistent with Borst et
al. (2), the discrepancy as it
pertains to sensitivity remains unknown, but it does support the contention
that senescence retards the metabolic response to a given stress. The decline
in the EC50 may be related to events distal to phosphoinositide
hydrolysis (i.e., an alteration in calcium release, calmodulin, and/or enzyme
phosphorylation) that can eventually be obviated, but only at maximal hormone
concentrations.
Although we recognize the caution in extrapolating the present results to
in vivo conditions, our findings are consistent with the lower catecholamine
levels observed in trained individuals during exercise
(15,
35). Specifically, our results
indicate that the maximal epinephrine-stimulated glucose production from
controls was only
10% higher than what is observed at basal from trained
livers in both young and old animals. Under these conditions, trained
individuals could secrete substantially less epinephrine to evoke the same
hepatic response for gluconeogenesis. An additional interpretation of our
results involves the following. In both humans
(14) and rats
(4,
7), in vivo glucose production
is tightly regulated to support glucose disposal so that euglycemia is
maintained. In skeletal muscle, epinephrine stimulation has recently been
observed to increase glycogenolysis and glycolysis but to decrease glucose
disposal (34). In addition,
Mazzeo et al. (22) did not
observe any change in
-adrenergic receptor characteristics in the soleus
muscle after endurance training in rats. Taken together, these observations
suggest that the lower catecholamine secretion in trained individuals would
attenuate skeletal muscle glycogenolysis and elevate glucose disposal. The
training-induced sparing of skeletal muscle glycogen during exercise is a
consistent observation (18).
Conversely, the potential increase in skeletal muscle glucose disposal could
be tempered by a training-induced increase in the use of free fatty acids from
adipose tissue (11) and
intramuscular triglycerides
(19). However, because the
exercise is prolonged resulting in a depletion of muscle and eventually liver
glycogen, blood glucose utilization would elevate. Catecholamine secretion
would now be augmented, which increases gluconeogenic precursor availability
(35), and the training-induced
elevation in hepatic glucose production capacity would now play a pivotal role
in the maintenance of euglycemia. Thus our results suggest that, after
training, the increased capacity for epinephrine-stimulated liver
gluconeogenesis is propitious for the maintenance of euglycemia during
exercise specifically when blood glucose homeostasis is markedly challenged.
The fact that a senescent liver retains its capability to adapt to endurance
training would be efficacious for glucose homeostasis and help to counteract
other age-related declines associated with glucose metabolism.
Finally, we note the age-related decline in liver cell viability. It is
unknown whether the lower cell viability from the old animals is an inherent
loss in organ function (again, at any given time there are less viable cells)
or whether it is another aspect of the isolation procedure we employed that
compromises the integrity of senescent cells. However, the same solutions were
used on both young and old hepatocytes on a given day, yet the cell viability
from the young animals was greater than their older counterparts. In addition,
the loss of cell viability from old animals was not due to the washing
procedure (the protocol where the greatest damage to cells can occur). We have
no explanation for the difference in cell viability between young and old
animals and can only speculate that the perfusate flow rate for the old
animals may have been a factor. We employed a common procedure using a rapid
washout (initial perfusate flow of 35 ml/min) and then established a flow of
2 ml · min-1 · g liver-1 to ensure
adequate oxygenation during the perfusion with collagenase. Because the livers
from old animals were significantly larger (due to their size) this required a
greater absolute flow rate. It is possible that this constant high flow rate
from the rapid washout and perfusion with collagenase may have inadvertently
damaged the cells from old animals. Alternatively, if we had lowered the
absolute flow during the perfusion with collagenase, then inadequate
oxygenation could have similarly damaged the cells. We know of only one study
(13) that similarly reported
low viability (
75%) in isolated hepatocytes from old (24 mo) rats on a
food-restricted diet.
In summary, the present results indicate that basal glucose production
capacity from lactate is augmented in the liver after endurance training and
that the hepatic training adaptation is not lost with age. In addition, the
enhanced hepatic gluconeogenic capacity after training is maintained at all
epinephrine concentrations. Although endurance training elevated the basal (no
epinephrine) and maximal epinephrine response, it did not alter the
EC50. Furthermore, basal glucose production capacity did not
decline with advanced age. Senescence did not alter the maximal epinephrine
response; however, the half-maximal effect was elevated in the hepatocytes
from old compared with young animals, irrespective of training status. Thus,
whereas the hepatic gluconeogenic capacity in response to endurance training
and maximal epinephrine stimulation is maintained with advanced age, exercise
training has no effect on epinephrine sensitivity.
 |
DISCLOSURES
|
|---|
This study was supported by National Institute on Aging Grant
AG-14565-01.
 |
ACKNOWLEDGMENTS
|
|---|
The authors thank Suzanne Crandall, David Framptom, Todd Van Etten, and
Eric Hanson for valuable assistance in the training of animals and assistance
in the collection of data. In addition, we express special thanks to Dr.
Timothy Chan for the hepatocyte isolation procedure and continual support and
guidance.
 |
FOOTNOTES
|
|---|
Address for reprint requests and other correspondence: K. D. Sumida, Chapman
Univ., Dept. of Biological Sciences, One Univ. Dr., Orange, CA 92866 (E-mail:
sumida{at}chapman.edu).
The costs of publication of this article were defrayed in part by the
payment of page charges. The article must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section 1734
solely to indicate this fact.
 |
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