Table 1

Metabolic flux data from 1H-NMR spectroscopy after RBC incubation with [2-13C] D-glucose

Positional 13C enrichment (lactate)Normal
SS
Oxygenated
Deoxygenated
Oxygenated
Deoxygenated
− MB+ MB− MB+ MB− MB+ MB− MB+ MB
Raw data 
    Carbon 2 0.29 ± 0.01 0.16 ± 0.02 0.31 ± 0.01 0.24 ± 0.02 0.31 ± 0.00 0.25 ± 0.01§ 0.31 ± 0.01 0.27 ± 0.01 
    Carbon 3 0.03 ± 0.00 0.10 ± 0.00 0.03 ± 0.00 0.06 ± 0.01 0.04 ± 0.01 0.08 ± 0.00§ 0.01 ± 0.00§ 0.05 ± 0.01 
Corrected* 
    Carbon 2 0.29 ± 0.01 0.16 ± 0.02 0.31 ± 0.01 0.24 ± 0.02 0.31 ± 0.00 0.25 ± 0.01§ 0.31 ± 0.01 0.27 ± 0.01 
    Carbon 3 0.03 ± 0.00 0.09 ± 0.00 0.02 ± 0.00 0.06 ± 0.01 0.03 ± 0.01 0.07 ± 0.01§ 0.00 ± 0.00§ 0.05 ± 0.01 
Flux estimates 
    Proportional [2-13C] D-glucose flux through HMP 0.05 ± 0.00 0.76 ± 0.16 0.04 ± 0.01 0.18 ± 0.06 0.06 ± 0.01 0.19 ± 0.01§ 0.00 ± 0.00§ 0.11 ± 0.02 
    Maximum NADPH generation per glucose, mol/mol 0.31 ± 0.03 4.54 ± 0.95 0.23 ± 0.06 1.10 ± 0.38 0.36 ± 0.08 1.13 ± 0.04§ 0.03 ± 0.02§ 0.65 ± 0.10 
Positional 13C enrichment (lactate)Normal
SS
Oxygenated
Deoxygenated
Oxygenated
Deoxygenated
− MB+ MB− MB+ MB− MB+ MB− MB+ MB
Raw data 
    Carbon 2 0.29 ± 0.01 0.16 ± 0.02 0.31 ± 0.01 0.24 ± 0.02 0.31 ± 0.00 0.25 ± 0.01§ 0.31 ± 0.01 0.27 ± 0.01 
    Carbon 3 0.03 ± 0.00 0.10 ± 0.00 0.03 ± 0.00 0.06 ± 0.01 0.04 ± 0.01 0.08 ± 0.00§ 0.01 ± 0.00§ 0.05 ± 0.01 
Corrected* 
    Carbon 2 0.29 ± 0.01 0.16 ± 0.02 0.31 ± 0.01 0.24 ± 0.02 0.31 ± 0.00 0.25 ± 0.01§ 0.31 ± 0.01 0.27 ± 0.01 
    Carbon 3 0.03 ± 0.00 0.09 ± 0.00 0.02 ± 0.00 0.06 ± 0.01 0.03 ± 0.01 0.07 ± 0.01§ 0.00 ± 0.00§ 0.05 ± 0.01 
Flux estimates 
    Proportional [2-13C] D-glucose flux through HMP 0.05 ± 0.00 0.76 ± 0.16 0.04 ± 0.01 0.18 ± 0.06 0.06 ± 0.01 0.19 ± 0.01§ 0.00 ± 0.00§ 0.11 ± 0.02 
    Maximum NADPH generation per glucose, mol/mol 0.31 ± 0.03 4.54 ± 0.95 0.23 ± 0.06 1.10 ± 0.38 0.36 ± 0.08 1.13 ± 0.04§ 0.03 ± 0.02§ 0.65 ± 0.10 

Values are reported as mean ± SEM; for all groups, n = 3-5.

MB indicates methylene blue; HMP, hexose monophosphate shunt; G6P, glucose 6-phosphate; and NADPH, nicotinamide adenine dinucleotide phosphate.

*

With a natural abundance of [2-13C] lactate of 1.1% and an assumed random distribution of natural 13C among lactate carbons, the relative intensities of the signals are: [12C] lactate (D-peak): 97.8%; [2-13C] lactate (Q2): 1.1%; and [3-13C] lactate (Q3): 1.1%. Values for carbon 2 and 3 enrichment in the lactate methyl signal, corrected for natural 13C abundance, were therefore calculated as follows25 : Q2corr = Q2 − ((D × 0.011)/0.978)).

The equation for estimating the proportion of [2-13C] D-glucose metabolized by the HMP relative to total (eg, HMP + EMP) was as follows25 : Q3corr/Q2corr = 2(HMP fraction)/(1 + 2[HMP fraction]).

Moles of NADPH that may be generated per mole [2-13C] D-glucose metabolized were determined according to known stoichiometry for NADPH generation from glucose: due to pentose- and hexose-phosphate recycling within the HMP, each glucose molecule may be functionally recycled 3 times through the oxidative HMP branch. Because each molecule of G6P oxidized to ribose-P generates 2 NADPH, the maximum NADPH generation (and glutathione recycling) may reach 6 times the HMP flux estimate.32 

§

Significant difference between normal and sickle cell (P < .05).

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