Polakof S, Moon TW, Aguirre P, Skiba-Cassy S, Panserat S. Glucose homeostasis in rainbow trout fed a high-carbohydrate diet: metformin and insulin interact in a tissue-dependent manner. Am J Physiol Regul Integr Comp Physiol 300: R166 -R174, 2011. First published November 10, 2010; doi:10.1152/ajpregu.00619.2010.-Carnivorous fish species such as the rainbow trout (Oncorhynchus mykiss) are considered to be "glucose intolerant" because of the prolonged hyperglycemia experienced after intake of a carbohydrateenriched meal. In the present study, we use this species to study glucose homeostasis in fish chronically infused with the hypoglycemic agents, insulin, and metformin, and fed with a high proportion of carbohydrates (30%). We analyzed liver, skeletal muscle, and white adipose tissue (WAT), which are insulin-and metformin-specific targets at both the biochemical and molecular levels. Trout infused with the combination of insulin and metformin can effectively utilize dietary glucose at the liver, resulting in lowered glycemia, increased insulin sensitivity, and glucose storage capacity, combined with reduced glucose output. However, in both WAT and skeletal muscle, we observed decreased insulin sensitivity with the combined insulin ϩ metformin treatment, resulting in the absence of changes at the metabolic level in the skeletal muscle and an increased potential for glucose uptake and storage in the WAT. Thus, the poor utilization by rainbow trout of a diet with a high proportion of carbohydrate can at least be partially improved by a combined treatment with insulin and metformin, and the glucose intolerance observed in this species could be, in part, due to some of the downstream components of the insulin and metformin signaling pathways. However, the predominant effects of metformin treatment on the action of insulin in these three tissues thought to be involved in glucose homeostasis remain exclusive in this species.fish; glucose homeostasis; muscle; liver; white adipose tissue; insulin; metformin COMMERCIAL AQUACULTURE OF most carnivorous fish species requires feeding these species a high-protein diet that currently is met with fish meal-based diets. The sustainability of this practice, which requires high quantities of wild fish is accepted today but not for the long term. Thus, it is recognized that the replacement of fish meal with plant raw materials represents a sustainable alternative for the stability and further expansion of aquaculture. However, such substitution remains problematic since feedstuffs of plant origin are naturally rich in carbohydrates, and species like the rainbow trout Oncorhynchus mykiss are considered to be "glucose intolerant" (21, 42) due mainly to the prolonged hyperglycemia experienced after a glucose load or intake of a carbohydrate-enriched meal (3, 24). This intolerance is not thought to be related to the absence of insulin, but, nonetheless, the mechanism(s) by which insulin regulates plasma glucose levels in fish remain speculative, and the relative contribution of the main...