Effect of luminal perfusion on glucose production by isolated proximal tubules

The effects of luminal perfusion on glucose production by the proximal tubule were examined by use of the technique of in vitro microperfusion with an ultramicroassay for glucose to measure the net glucose production rates in isolated mouse midproximal tubule segments. Tubules bathed in Krebs-Ringer bicarbonate (KRB) buffer containing L-glutamine and acetate and perfused with KRB buffer at a high flow rate produced glucose at a lower rate (0.12 +/- 0.02 pmol.min-1.mm-1) than unperfused segments (0.40 +/- 0.03) or segments perfused at a lower flow rate (0.24 +/- 0.03). In contrast, the estimated rates of glucose utilization were not affected by luminal perfusion. The inhibition of net fluid reabsorption by perfusion with a modified KRB buffer containing amiloride or by addition of ouabain to the bath medium raised glucose production rates to levels equaling or exceeding those observed in unperfused tubules. The inhibition of glucose production by luminal perfusion occurred in the presence of multiple substrates (i.e., glutamine, acetate, lactate, pyruvate, alanine, and valerate) or nonammoniagenic substrates (i.e., lactate and pyruvate) in the bath medium. Thus net glucose production is inhibited by luminal perfusion and the inhibitory effect is dependent on intact fluid reabsorption. The reduction in net glucose production observed with perfusion does not result from increased glucose utilization and is not dependent on the presence of specific substrates.