Document Detail

The role of the lymphoid system in the regulation of the blood glucose level.
MedLine Citation:
PMID:  17952835     Owner:  NLM     Status:  MEDLINE    
Recent findings have led to a new hypothesis in which it is proposed that the immune system plays a role in regulating the increase in blood glucose levels after a meal. The relevant findings are: (1) the primary lymphoid tissue, the lymph nodes are mostly present within adipose tissue depots throughout the body (there are at least 12 such depots and about 10 (12) lymphocytes, 99% of which are present in lymph nodes); (2) lymphocytes and other immune cells utilize glucose at a high rate but almost all of it is converted to lactate which accumulates in the cells prior to release; (3) glutamine, some of which is synthesized in muscle from glucose, is utilized at a high rate by immune cells, the end-product of which is mainly aspartate, which also accumulates in the cells prior to release; and (4) finally, there is a common blood supply to the lymph node and the adipose tissue depot and the blood flow through the depot and hence the node is increased after a meal. It is proposed that, after a meal, some of the absorbed glucose is taken up from the blood by the lymphocytes and converted to lactate and glutamine is converted to aspartate. These are released slowly into the blood from where they are removed and converted to glycogen by the liver. Hence the immune cells provide a temporary buffer for glucose in the form of lactate and aspartate and, in this way, restrict the rise in blood glucose during and after a meal.
E A Newsholme; G Dimitriadis
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et métabolisme     Volume:  39     ISSN:  0018-5043     ISO Abbreviation:  Horm. Metab. Res.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-22     Completed Date:  2008-01-16     Revised Date:  2009-02-19    
Medline Journal Info:
Nlm Unique ID:  0177722     Medline TA:  Horm Metab Res     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  730-3     Citation Subset:  IM    
Merton College, Oxford, UK.
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MeSH Terms
Aspartic Acid / metabolism
Blood Glucose / metabolism*
Eating / physiology
Glutamine / metabolism
Lactic Acid / metabolism
Lymphatic System / physiology*
Metabolic Networks and Pathways
Models, Biological
Postprandial Period / physiology
Reg. No./Substance:
0/Blood Glucose; 50-21-5/Lactic Acid; 56-84-8/Aspartic Acid; 56-85-9/Glutamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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