. Effects of fasting and glucocorticoids on hepatic gluconeogenesis assessed using two independent methods in vivo. Am J Physiol Endocrinol Metab 283: E946-E957, 2002; 10.1152/ajpendo.00320.2002The purpose of this study was to compare the assessment of gluconeogenesis (GNG) in the overnight-and prolonged-fasted states and during chronic hypercortisolemia using the arteriovenous difference and [ 14 C]phosphoenolpyruvate-liver biopsy techniques as well as a combination of the two. Two weeks before a study, catheters and flow probes were implanted in the hepatic and portal veins and femoral artery of dogs. Animals were studied after an 18-h fast (n ϭ 8), a 42-or 66-h fast (n ϭ 7), and an 18-h fast plus a continuous infusion of cortisol (3.0 g⅐kg Ϫ1 ⅐min
Ϫ1) for 72 h (n ϭ 7). Each experiment consisted of an 80-min tracer ([3-3 H]glucose and [U-14 C]alanine) and dye equilibration period (Ϫ80 to 0 min) and a 45-min sampling period. In the cortisoltreated group, plasma cortisol increased fivefold. In the overnight-fasted group, total GNG flux rate (GNG flux), conversion of glucose 6-phosphate to glucose (GNG G-6-P3 Glc), glucose cycling, and maximal GNG flux rate (GNG max) were 0.95 Ϯ 0.14, 0.65 Ϯ 0.06, 0.62 Ϯ 0.06, and 0.70 Ϯ 0.09 mg⅐kg Ϫ1 ⅐min
Ϫ1, respectively. In the prolonged-fasted group, they were 1.50 Ϯ 0.18, 1.18 Ϯ 0.13, 0.40 Ϯ 0.07, and 1.28 Ϯ 0.10 mg⅐kg Ϫ1 ⅐min
Ϫ1, whereas in the cortisol-treated group they were 1.64 Ϯ 0.33, 0.99 Ϯ 0.29, 1.32 Ϯ 0.24, and 0.91 Ϯ 0.13 mg⅐kg Ϫ1 ⅐min
Ϫ1. These results demonstrate that GNG G-6-P3 Glc and GNGmax were almost identical. However, these rates were 15-38% lower than GNG flux generated by a combination of the two methods. This difference was most apparent in the steroid-treated group, where the combination of the two methods (GNG flux ) detected a significant increase in gluconeogenic flux.fasting; cortisol THE QUEST TO DEVELOP accurate methods for determining the rate of gluconeogenesis in vivo is ongoing. Many early studies used tracer methods or arteriovenous (a-v) difference techniques to assess the gluconeogenic rate in vivo (12,23,27,28). In 1977, Chiasson et al. (5) combined these two approaches for the assessment of gluconeogenesis in the dog. The latter approach yielded two estimates of gluconeogenesis, the gluconeogenic efficiency (percent extracted gluconeogenic carbon converted to glucose) and the gluconeogenic conversion rate (the rate of glucose production from the gluconeogenic precursor given). Both represented minimal estimates of gluconeogenesis due largely to dilution of the tracer in the oxaloacetate (OAA) pool of the liver (25). This approach was further extended by calculating the minimal and maximal rates of gluconeogenesis from circulating gluconeogenic precursors (3, 16, 51). The maximal rate was derived by measuring the net hepatic uptakes of all gluconeogenic precursors using the a-v difference technique and assuming that they were quantitatively converted to glucose. The minimal rate was derived by multiplying the maximal rate of gluconeog...