Assessing Pyruvate Carboxylase Flux as a Mechanistic Biological Marker in Fasting

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Biomarkers in Nutrition
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Abstract

Pyruvate carboxylase (PC) is an enzyme that catalyzes pyruvate carboxylation for the formation of a tricarboxylic acid (TCA) cycle intermediate, oxaloacetate. It plays a major role in the regulation of gluconeogenesis and replenishment of the TCA cycle for biosynthesis. In particular, fasting promotes gluconeogenesis from pyruvate, increasing PC flux. PC is under complex regulation by hormones, substates, and cofactors, in response to nutrient changes. Therefore, metabolic changes associated with PC need to be understood in the context of nutritional and physiological conditions. This chapter discusses currently available methods, from conventional approaches to state-of-the-art noninvasive in vivo imaging techniques, used in human and animal models to assess PC activity, particularly in fasting condition. Quantification of PC activity through in vitro or ex vivo isotopomer analysis and monitoring PC in vivo using hyperpolarized substrates are reviewed.

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Abbreviations

Acetyl-CoA:

Acetyl coenzyme A

ALT:

Alanine aminotransferase

DNP:

Dynamic nuclear polarization

HP:

Hyperpolarized

IV:

Intravenous

LDH:

Lactate dehydrogenase

LPCKO:

Liver-specific knockout of Pcx gene

MS:

Mass spectrometry

NAFLD:

Nonalcoholic fatty liver disease

NMR:

Nuclear magnetic resonance

PC:

Pyruvate carboxylase

PDH:

Pyruvate dehydrogenase

PEP:

Phosphoenolpyruvate

PEPCK:

Phosphoenolpyruvate carboxykinase

T1:

Spin-lattice relaxation times

TBI:

Traumatic brain injury

TCA cycle:

Tricarboxylic acid cycle

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Correspondence to Jae Mo Park .

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Chen, J., Park, J.M. (2022). Assessing Pyruvate Carboxylase Flux as a Mechanistic Biological Marker in Fasting. In: Patel, V.B., Preedy, V.R. (eds) Biomarkers in Nutrition . Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Cham. https://doi.org/10.1007/978-3-031-07389-2_27

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