Enrichment of hepatic glycogen and plasma glucose from H₂ O informs gluconeogenic and indirect pathway fluxes in naturally feeding mice.

Deuterated water ( H O) is a widely used tracer of carbohydrate biosynthesis in both preclinical and clinical settings, but the significant kinetic isotope effects (KIE) of H can distort metabolic information and mediate toxicity. O-water (H O) has no significant KIE and is incorporated into specific carbohydrate oxygens via well-defined mechanisms, but to date it has not been evaluated in any animal model. Mice were given H O during overnight feeding and O-enrichments of liver glycogen, triglyceride glycerol (TG), and blood glucose were quantified by C NMR and mass spectrometry (MS). Enrichment of oxygens 5 and 6 relative to body water informed indirect pathway contributions from the Krebs cycle and triose phosphate sources. Compared with mice fed normal chow (NC), mice whose NC was supplemented with a fructose/glucose mix (i.e., a high sugar [HS] diet) had significantly higher indirect pathway contributions from triose phosphate sources, consistent with fructose glycogenesis. Blood glucose and liver TG O-enrichments were quantified by MS. Blood glucose O-enrichment was significantly higher for HS versus NC mice and was consistent with gluconeogenic fructose metabolism. TG O-enrichment was extensive for both NC and HS mice, indicating a high turnover of liver triglyceride, independent of diet. Thus H O informs hepatic carbohydrate biosynthesis in similar detail to H O but without KIE-associated risks.