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From Medizinische Universitäts-Poliklinik (M.T., R.S., M.B., K.K., T.K., C.S., W.Z.) and Institut für Klinische Chemie und Laboratoriumsmedizin (M.W.), University of Münster (Germany), and Medizinische Klinik und Poliklinik (C.M., R.G.B.), University of Giessen (Germany).
Correspondence to Prof W. Zidek, Med. Univ.-Poliklinik, Albert-Schweitzer-Str. 33, D-48129 Münster, Germany.
Abstract The effects of oral glucose challenge on plasma glucose concentration, plasma insulin concentration, arterial blood pressure, cytosolic pH (pHi), cytosolic free Na+ concentration ([Na+]i), and cellular Na+-H+ exchange activity were investigated in 16 healthy subjects. The pHi, [Na+]i, and Na+-H+ exchange activity were measured in intact lymphocytes by using the fluorescent dye technique. The oral glucose challenge significantly increased plasma glucose, plasma insulin, and the lymphocytic Na+-H+ exchange activity, measured as change of pHi per second (control [0 hours], 5.20±0.53x10-3 dpHi/s; 1 hour after glucose administration, 8.28±1.07x10-3 dpHi/s; 2 hours after glucose administration, 8.15±1.18x10-3 dpHi/s; P=.002). The lymphocytic Na+-H+ exchange was significantly correlated with plasma glucose concentration (r=.357, P=.041). During steady state euglycemic hyperinsulinemic clamp, the Na+-H+ exchange activity was not significantly changed compared with baseline values. The study shows that changes of blood glucose levels can induce an acute increase in Na+-H+ exchange activity. Systolic blood pressure and Na+-H+ exchange activity were significantly (P<.001) but weakly correlated during an oral glucose challenge.
Key Words: Na+-H+ exchange glucose insulin
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