DIRECT MEASUREMENT OF BRAIN GLUCOSE-CONCENTRATIONS IN HUMANS BY C-13 NMR-SPECTROSCOPY

Glucose is the main fuel for energy metabolism in the normal human brain. It is generally assumed that glucose transport into the brain is not rate-limiting for metabolism. Since brain glucose concentrations cannot be determined directly by radiotracer techniques, we used C-13 NMR spectroscopy after infusing enriched D[1-C-13]glucose to measure brain glucose concentrations at euglycemia and at hyperglycemia (range, 4.5-12.1 mM) in six healthy children (13-16 years old). Brain glucose concentrations averaged 1.0 +/-0.1-mu-mol/ml at euglycemia (4.7 +/- 0.3 mM plasma) and 1,8-2.7-mu-mol/ml at hyperglycemia (7.3-12.1 mM plasma). Michaelis-Menten parameters of transport were calculated to be K(t) = 6.2 +/- 1.7 mM and T(max) = 1.2 +/- 0.1-mu-mol/g-min from the relationship between plasma and brain glucose concentrations. The brain glucose concentrations and transport constants are consistent with transport not being rate-limiting for resting brain metabolism at plasma levels > 3 mM.