Summary:The blood-brain barrier (BBB) transport and brain phosphorylation of glucose were assessed in con scious rats subjected to 2 days of starvation. Although plasma glucose decreased, no significant changes in brain blood flow, BBB glucose transport, or 2-deoxy-o-glucose The brain adjusts to starvation by utilizing ketone bodies as they appear in the circulation (Owen et aI. , 1967), aided by an increase in the activity of both the blood-brain barrier (BBB) transport of ke tone bodies (Gjedde and Crone, 1975;Pollay and Stevens, 1980) and brain l3-hydroxybutyrate dehy drogenase (Smith et aI. , 1969). Whereas brain oxi dation of glucose falls with the increased utilization of ketones during starvation (Owen et aI. , 1967;de la Monte, 1977), it is not yet clear whether the overall rate of glucose utilization is decreased in the brain in fasting. Owen et al. (1967) showed that the efflux of lactate from the brain increases in fasting, suggesting that the major metabolic adaptation in the fasting brain is a depression of pyruvate oxi dation, not a decrease in glucose phosphorylation. Indeed, Corddry et al. (1982)
40phosphorylation were observed. The data suggest that adaptive changes of brain glucose metabolism previously observed in starvation are located beyond the initial steps of brain entry and phosphorylation.