Moore MC, DiCostanzo CA, Smith MS, Farmer B, Rodewald TD, Neal DW, Williams PE, Cherrington AD. Hepatic portal venous delivery of a nitric oxide synthase inhibitor enhances net hepatic glucose uptake. Am J Physiol Endocrinol Metab 294: E768-E777, 2008. First published January 22, 2008 doi:10.1152/ajpendo.00184.2007.-Hepatic portal venous infusion of nitric oxide synthase (NOS) inhibitors causes muscle insulin resistance, but the effects on hepatic glucose disposition are unknown. Conscious dogs underwent a hyperinsulinemic (4-fold basal) hyperglycemic (hepatic glucose load 2-fold basal) clamp, with assessment of liver metabolism by arteriovenous difference methods. After 90 min (P1), dogs were divided into two groups: control (receiving intraportal saline infusion; n ϭ 8) and LN [receiving N G -nitro-Larginine methyl ester (L-NAME), a nonspecific NOS inhibitor; n ϭ 11] intraportally at 0.3 mg ⅐ kg Ϫ1 ⅐ min Ϫ1 for 90 min (P2). During the final 60 min of study (P3), L-NAME was discontinued, and five LN dogs received the NO donor SIN-1 intraportally at 6 g ⅐ kg Ϫ1 ⅐ min 138 Ϯ 11 mg/dl (P Ͻ 0.05) in LN vs. control to compensate for L-NAME's effect on blood flow. Therefore, another group (LNlow; n ϭ 4) was studied in the same manner as LN/SAL, except that arterial glucose was clamped at the same concentrations as in control. NHFE in LNlow was 0.052 Ϯ 0.008, 0.093 Ϯ 0.023, and 0.122 Ϯ 0.021 during P1, P2, and P3, respectively (P Ͻ 0.05 vs. control during P2 and P3), with no significant difference in glucose infusion rates. Thus, NOS inhibition enhanced NHFE, an effect partially reversed by SIN-1.N G -nitro-L-arginine methyl ester; 3-morpholynosydnonimine; dog MODULATION OF LIVER NITRIC OXIDE (NO) levels alters whole body insulin sensitivity in the rat (16,17,22,32). Intraportal administration of the nonspecific NO synthase (NOS) inhibitor N G -nitro-L-arginine methyl ester (L-NAME; 1.0 mg/kg) reduced whole body insulin sensitivity in rats by 55%, whereas the same dose of L-NAME given via a peripheral vein did not cause a significant decrease in insulin sensitivity (32). The NOS inhibitor N-monomethyl-L-arginine (0.73 mg/kg) also reduced insulin sensitivity when administered intraportally, an effect reversed by intraportal injection of the NO donor 3-morpholynosydnonimine (SIN-1) (32).The reduction in insulin sensitivity due to hepatic NOS blockade resulted from inhibition of insulin action in skeletal muscle, with no effect on glucose uptake by the liver, gut, or adipose tissue (21). However, the aforementioned studies (16, 17, 32) were carried out under hyperinsulinemic euglycemic conditions, when the skeletal muscle is responsible for much of the glucose disposal and the role of the liver is minimized. Under hyperinsulinemic hyperglycemic conditions, the liver is responsible for a substantial portion of total glucose uptake [ϳ25-33%, depending on the conditions of study (7)]. This raises the question of what effect NO has on net hepatic glucose uptake (NHGU).The regulation of NHGU is particularly relevant because h...