Insulin-stimulated glucose transport is dependent on golgi function in isolated working rat heart

Insulin and epinephrine stimulate glucose uptake through distinct mechanisms. We tested the hypothesis that the golgi apparatus is involved in insulin-stimulated but not epinephrine-stimulated glucose transport and phosphorylation. Methods: We perfused isolated working rat hearts with Krebs-Henseleit buffer containing [2-³H]glucose (5 mmol/l, 0.05 μCi/ml) and Na-oleate (0.4 mmol/l). In the absence or presence of the inhibitor of golgi function, brefeldin A (30 μmol/l), either insulin (1 mU/ml), epinephrine (1 μmol/l), or phenylephrine (100 μmol/l) plus propranolol (10 μmol/l, selective α-adrenergic stimulation) were added to the perfusate. Results: Cardiac power was stable in all groups (between 8.56 ± 0.61 and 10.4 ± 1.11 mW) and increased (34%) with addition of epinephrine, but not with selective α-adrenergic stimulation. Insulin, epinephrine, and selective α-receptor stimulation increased glucose transport and phosphorylation (μmol/min/g dry wt, basal: 1.19 ± 0.13, insulin: 3.89 ± 0.36, epinephrine: 3.46 ± 0.27, α-stimulation: 4.08 ± 0.40). Brefeldin A increased basal glucose transport and phosphorylation and blunted insulin-stimulated but not epinephrine-stimulated glucose transport and phosphorylation. Selective α-stimulated glucose transport and phosphorylation was also blunted by brefeldin A. Conclusions: Both insulin and α-adrenergic stimulation result in glucose transporter translocation from a pool that requires golgi function. Stimulation with epinephrine results in glucose transporter translocation from a pool that does not require golgi function. The stimulating effects of the α-adrenergic pathway on glucose transport and phosphorylation are independent of changes in cardiac performance. (C) 2000 Academic Press.