An Z, DiCostanzo CA, Moore MC, Edgerton DS, Dardevet DP, Neal DW, Cherrington AD. Effects of the nitric oxide donor SIN-1 on net hepatic glucose uptake in the conscious dog. Am J Physiol Endocrinol Metab 294: E300-E306, 2008. First published November 20, 2007 doi:10.1152/ajpendo.00380.2007.-To determine the role of nitric oxide in regulating net hepatic glucose uptake (NHGU) in vivo, studies were performed on three groups of 42-h-fasted conscious dogs using a nitric oxide donor [3-morpholinosydnonimine (SIN-1)]. The experimental period was divided into period 1 (0 -90 min) and period 2 (P2; 90 -240 min). At 0 min, somatostatin was infused peripherally, and insulin (4-fold basal) and glucagon (basal) were given intraportally. Glucose was delivered intraportally (22.2 mol ⅐ kg Ϫ1 ⅐ min Ϫ1 ) and peripherally (as needed) to increase the hepatic glucose load twofold basal. At 90 min, an infusion of SIN-1 (4 g ⅐ kg Ϫ1 ⅐ min Ϫ1 ) was started in a peripheral vein (PeSin-1, n ϭ 10) or the portal vein (PoSin-1, n ϭ 12) while the control group received saline (SAL, n ϭ 8). Both peripheral and portal infusion of SIN-1, unlike saline, significantly reduced systolic and diastolic blood pressure. Heart rate rose in PeSin-1 and PoSin-1 (96 Ϯ 5 to 120 Ϯ 10 and 88 Ϯ 6 to 107 Ϯ 5 beats/min, respectively, P Ͻ 0.05) but did not change in response to saline. NHGU during P2 was 31.0 Ϯ 2.4 and 29.9 Ϯ 2.0 mol ⅐ kg Ϫ1 ⅐ min Ϫ1 in SAL and PeSin-1, respectively but was 23.7 Ϯ 1.7 in PoSin-1 (P Ͻ 0.05). Net hepatic carbon retention during P2 was significantly lower in PoSin-1 than SAL or PeSin-1 (21.4 Ϯ 1.2 vs. 27.1 Ϯ 1.5 and 26.1 Ϯ 1.0 mol ⅐ kg Ϫ1 ⅐ min Ϫ1 ). Nonhepatic glucose uptake did not change in response to saline or SIN-1 infusion. In conclusion, portal but not peripheral infusion of the nitric oxide donor SIN-1 inhibited NHGU.3-morpholinosydnominine; nitric oxide; net hepatic glucose uptake; hyperglycemia THE LIVER IS A PIVOTAL ORGAN in disposal of ingested glucose and, therefore, in limiting postprandial hyperglycemia. It has been shown that the response to infusion of glucose directly in the hepatic portal vein mimics the response to oral glucose delivery in the conscious dog (5). In comparing the effects of peripheral vs. portal venous glucose delivery on net hepatic glucose uptake (NHGU) during hyperglycemic clamps, we found that NHGU was considerably greater in the presence of intraportal glucose delivery, even when the hepatic glucose loads were well matched and insulin and glucagon levels were equivalent between groups (1, 2, 26, 28). This led us to suggest that a "portal glucose signal" is at least as important as insulin in determining NHGU after an oral glucose load. In addition, the portal glucose signal reduces glucose uptake by nonhepatic tissues, primarily muscle, at the same time as it increases NHGU, thereby ensuring appropriate distribution of glucose to muscle and liver (2). To date, it remains unclear how these coordinated responses of muscle and liver come about.Nitric oxide (NO) is a potent biological mediato...