Comparison of traditional measurements with macroglycogen and proglycogen analysis of muscle glycogen K. B. ADAMO AND T. E. GRAHAM Human Biology and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada N1G 2W1 metabolic pools; glycogenin; measurement techniques; carbohydrate; biopsy has been used for many years to measure muscle metabolites, including glycogen, and it is vital that the methods employed give an accurate representation of the muscle glycogen stores. Glycogen is found in granules, and thus there is the potential for a high degree of variability among biopsy samples. An electron-microscopic study of glycogen granules by Friden et al. (5) demonstrated that there are two different particle-sized populations in human skeletal muscle. These two separate populations of glycogen particles were stored in five different locations within the muscle cell, and the authors speculated that these populations could be two forms of the glycogen molecule that were utilized at different times from distinct locations. Despite these potential variables, Essen and Henriksson (4), Harris et al. (6), and Hultman (9) have shown that, in human muscle, the procedure is very reliable and that muscle biopsy samples are representative of the whole muscle. Traditionally, there have been two methods for measuring glycogen, either by acid hydrolysis (AC) (15) or by enzymatic hydrolysis (EZ) (3). Although it has been stated that the variability of the analytic technique is about 610–13 mmol glucosyl units/kg dry weight (dw) THE BIOPSY TECHNIQUE 908 (6), no detailed comparison of AC vs. EZ has been published determining whether the methods are comparable. Bergmeyer (3) has suggested that EZ analysis of purified glycogen gives values that are 5% higher than those obtained by using AC, whereas Passonneau and Lauderdale (15) claimed that the two methods give equivalent results. None of above-mentioned authors provided data to substantiate his claim. In the only direct comparison of AC and EZ that we are aware of, Jansson (10) performed the AC and EZ methods in human muscle over a wide concentration range and stated that there was no systematic difference between the values obtained by using either method. However, no data were provided to validate this finding. Before Jansson’s study (10) it was common for glycogen measurements to be made in the precipitate that had been pretreated with perchloric acid (PCA) (11, 15, 16). This method was thought to make the most efficient use of a muscle sample by allowing for the precipitation of proteins and extraction of PCA-soluble metabolites while also permitting the determination of glycogen in the same piece of tissue. However, it has been reported that only a portion of the total glycogen was extracted during PCA treatment (7, 9, 11, 17). Jansson (10) compared this method to AC and EZ and documented that ,15–25% of the glycogen was PCA soluble and hence any measurement of glycogen only from the precipitate would underestimate the total. Jansson’s findings discouraged the analysis of PCA precipitate to determine total glycogen but did not stimulate further research regarding the possibility that these two fractions represented two physiological pools. Recently, investigators (1, 12, 14), while identifying and studying glycogenin, the protein core of the glycogen molecule, realized that there were two pools of glycogen in rodent skeletal muscle and other tissues such as liver and heart. This work used only rodent resting muscle and had not investigated exercise metabolism or human tissue. The above-mentioned studies determined that one of the fractions was of smaller molecular weight (400,000) and was relatively rich in protein, prompting use of the name proglycogen (PG). The other type, a larger molecule, was what is recognized as ‘‘classic’’ glycogen or macroglycogen (MG; mol wt 10,000,000). The two forms differ in the ratio of protein to carbohydrate. PG was found to precipitate in trichloracetic acid because of its 10% protein component (12). MG, with a protein content of only 0.35%, was soluble. No one has systematically compared the two traditional methods, nor have these methods ever been compared with the MG/PG determination for glycogen. 0161-7567/98 $5.00 Copyright r 1998 the American Physiological Society http://www.jap.org Downloaded from http://jap.physiology.org/ by 10.220.33.5 on June 18, 2017 Adamo, K. B., and T. E. Graham. Comparison of traditional measurments with macroglycogen and proglycogen analysis of muscle glycogen. J. Appl. Physiol. 84(3): 908–913, 1998.—Traditionally, there have been two methods for measuring total muscle glycogen (Glytot ), either by acid hydrolysis (AC) or by enzymatic hydrolysis (EZ). As well, it has been determined that rodent muscle contains two pools of glycogen, macroglycogen (MG) and proglycogen (PG). This MG/PG determination of Glytot has never been compared with AC or EZ methods, nor has it been determined whether the two pools exist in human skeletal muscle. A detailed comparison of the three methods was performed by using both rodent and human muscle. It was found that repeated analysis of independent portions of muscle generally gave coefficients of variation of ,10%. The PG fraction was always in excess of MG, which was 6–10% of Glytot in rodent muscle and in human samples when Glytot was low but increased to ,40% when Glytot was high. It was found that AC and EZ Glytot were not statistically different (P , 0.05), nor was there a difference between the MG1PG Glytot and that determined by AC or EZ. The Glytot from MG1PG extraction had a strong correlation with the values obtained by either AC (r 5 1.0) or EZ (r 5 0.96). These data suggest that MG1PG do exist in human skeletal muscle and can be measured reliably in biopsy-sized samples. All three methods give an accurate representation of human Glytot and are comparable in their precision. MACROGLYCOGEN AND PROGLYCOGEN IN HUMAN SKELETAL MUSCLE Furthermore, PG and MG concentrations have not been examined in human muscle under any circumstances. However, before studies into the physiological response and regulation of these pools can be undertaken, a thorough evaluation of these methods is required. The purposes of this study were 1) to compare AC and EZ determinations for total glycogen; 2) to establish whether MG and PG exist in human muscle and whether they can be measured in a ‘‘biopsy-sized’’ sample; 3) to evaluate the reproducibility of the AC, EZ, PG, and MG determinations; and, finally, 4) to compare the AC, EZ, and MG1PG values for total muscle glycogen. METHODS tracted from the total concentration determined for the exogenous plus muscle sample. To find the percent recovery, this value was divided by the exogenous glycogen concentration and then multiplied by 100. Analysis. The AC glycogen method used was adopted from Passonneau and Lauderdale (15) and is described as follows. Freeze-dried muscle samples of between 2 and 3 mg were hydrolyzed with 2 M HCl and then were heated for 2 h at 85–90°C, followed by neutralization with 2 M NaOH. The extracts were then analyzed in duplicate fluorometrically by using the Bergmeyer (3) method for determining glucosyl units. The EZ method used was the amyloglucosidase method; 0.1 M NaOH was added to 2–3 mg dry muscle, and samples were incubated for 10 min at 80°C to destroy ‘‘background’’ glucose and hexose monophosphates. Then, the samples were neutralized by a combination of 0.1 M HCl, 0.2 M citric acid, and 0.2 M Na2HPO4. Amyloglucosidase was added, and samples were incubated for 1 h at room temperature while glycogen degradation took place. The samples were analyzed in duplicate spectrophotometrically at 340 nm by using the method of Passonneau and Lowry (16). The method for determination of PG and MG fractions was based on that described by Alonzo et al. (1) and Lomako et al. (12, 14) and is also similar to that described by Jansson (10) for acid-soluble, and -insoluble, glycogen. Ice-cooled 1.5 M PCA (200 ul) was added to 1.5–3 mg of freeze-dried muscle samples in 5-ml Pyrex tubes. The muscle was pressed against the glass tubes with a plastic rod to ensure that all the muscle was exposed to acid. The extraction continued on ice for 20 min. The samples were centrifuged at 3,000 revolutions/min for 15 min, after which 100 µl of the PCA supernatant were removed, placed in Pyrex tubes, and used for the determination of MG. The remaining PCA was discarded, and the pellet was kept for the determination of PG. One milliliter of 1 M HCl was added to the MG and to the PG sample; the former was vortexed, whereas the pellet of the latter was pressed against the glass with a plastic rod. The tube weights were then recorded. The tubes were sealed with fitted glass stoppers, and all of the samples were placed in the water bath (100°C) for 2 h, after which the tubes were reweighed and any change of .50 µl was rectified with the addition of deionized water. The samples were then neutralized with 2 M Trizma base, vortexed, centrifuged at 3,000 revolutions/min for 5 min, and transferred to Eppendorf tubes for analysis of glucosyl units by using the method of Bergmeyer (3) or stored at 280°C. Subsequent determination (within 1 wk) of muscle glycogen in frozen MG or PG extract gave the same values as fresh extract. Statistics. The total glycogen for the MG/PG determination was obtained by summing the two fractions. The fraction of MG to PG was determined by dividing the concentration of the MG by the summed total (MG/MG1PG) and reporting it as a percent (3100%). The coefficient of variation (CV) was obtained by the formula SD/mean. Linear regression analysis was performed within comparison sections, and 95% confidence intervals were used to determine agreement among analysis methods. T-tests were used to determine difference between means of total glycogen for each of the three methods. In all comparisons, differences were accepted as significant at the 0.05 probability level. RESULTS Comparison I. The important findings of this section were that the three measurements were reproducible in rat muscle and that MG1PG was reliable for biopsy- Downloaded from http://jap.physiology.org/ by 10.220.33.5 on June 18, 2017 To evaluate the precision and variability and compare the various methods (AC, EZ, and MG1PG separation) of measuring muscle glycogen, a variety of approaches was employed. The muscle samples had been collected during a number of different studies and conditions ranging from exhaustive exercise to resting muscle. Every sample in each comparison weighed 1–3 mg dw (i.e., a biopsy-sized sample) and was measured in duplicate. Comparison I. The first comparison used rodent muscle because most of the initial MG/PG data are derived from this species and because large muscle samples could be obtained. Muscle samples of various known glycogen concentrations from rodent hindlimb were freeze-dried, combined, and mixed thoroughly to create three large pools for repeated measures. A total of 45 samples was analyzed. Independent samples (n 5 15) from each pool were measured for glycogen by using AC (n 5 5), EZ (n 5 5), or MG1PG (n 5 5). Comparison II. Human muscle has a much wider range of muscle glycogen concentration than does rodent muscle. Hence human muscle samples, which from previous determination were known to have a wide range of total glycogen concentration, were combined and mixed thoroughly to give three pools of distinctly different glycogen concentrations. A total of 18 samples was analyzed for this comparison. Independent samples (n 5 6) from each pool were measured for glycogen by using AC (n 5 3) or MG1PG (n 5 3). Comparison III. Individual human muscle samples were analyzed by using each of the three methods. These were studied to compare the AC, EZ, and MG/PG determinations when total glycogen concentration is measured in small biopsy samples. Because of limited sized, not all samples could be analyzed by using all three methods. MG/PG was performed on every sample (n 5 50), EZ on 43 samples, AC on 20 samples, and, of the latter, 15 were analyzed by EZ as well. Comparison IV. Human muscle samples (n 5 28) were obtained from an independent laboratory, in which they had previously been analyzed for total glycogen by EZ. These were subsequently measured for MG and PG by a technician blind to the existing data for EZ and then were compared with the prior independent determinations. Comparison V. Rat muscle was used to determine the percent recovery of a given amount of exogenous glycogen by using MG1PG separation. A single pool of muscle was used, and a portion was analyzed for MG1PG. A glycogen solution was made from oyster glycogen (Sigma G-8571), and a portion of this solution was analyzed for glucosyl units. Muscle samples had a known quantity of this exogenous oyster glycogen solution added during the PCA-extraction procedure (n 5 9). After the samples were assayed for glucosyl units, the previously determined MG1PG concentration was sub- 909 910 MACROGLYCOGEN AND PROGLYCOGEN IN HUMAN SKELETAL MUSCLE Table 2. Comparison of MG1PG and AC determinations in 3 pools of human skeletal muscle glycogen Measurement MG Low Medium High PG Low Medium High MG1PG Low Medium High AC Low Medium High Mean SD SE CV 5.8 34.1 85.7 0.2 7.2 5.4 0.1 4.1 3.1 3.7 21.0 6.3 38.1 147.7 254.5 0.1 10.1 15.2 0.03 5.9 8.7 0.2 6.9 6.0 43.8 181.8 340.2 0.2 11.5 10.2 0.1 6.7 5.9 0.5 6.3 3.0 48.8 198.5 350.2 6.9 4.8 12.6 4.0 2.7 7.3 14.0 2.4 3.6 All values are mmol/kg dw, except CV, which is reported as a percent; n 5 3, with each determination performed in duplicate. 0.99, and 0.97, respectively. The ratio of MG to PG varied greatly in these individual samples, with MG representing from 6 to 38% depending on total glycogen concentration. The percentage of MG relative to PG is not constant. With increases in total glycogen (MG1PG), the percentage of MG increases as well. The relationship is curvilinear (Fig. 5). There appears to be a cluster of MG concentrations ranging from 4 to ,50 mmol glucosyl units/kg dw when the total glycogen concentration is ,300. At higher glycogen concentrations, the PG concentration does not increase a great deal, but the Table 1. Comparison of EZ, AC, and MG/PG concentrations in 3 pools of rodent muscle glycogen Measurement MG Low Normal Normal PG Low Normal Normal MG1PG Low Normal Normal EZ Low Normal Normal AC Low Normal Normal Mean SD SE CV 3.9 11.7 12.6 0.9 1.6 1.4 0.4 0.7 0.6 22.0 13.3 10.7 54.1 128.6 116.6 3.3 14.9 12.4 1.5 6.7 5.5 6.1 11.6 10.6 58.0 138.8 129.2 4.0 15.8 12.9 1.8 7.1 5.8 6.9 11.4 10.0 58.3 110.9 121.3 4.3 4.0 3.7 1.9 1.8 1.7 7.4 3.6 3.1 53.9 114.4 122.8 6.3 14.3 29.6 2.8 6.4 13.2 11.6 12.5 24.1 All values are in mmol/kg dry weight (dw), except for coefficient of variation (CV), which is reported as a percent; n 5 5, with each determination performed in duplicate. EZ, enzymatic hydrolysis; AC, acid hydrolysis; MG, macroglycogen; PG, proglycogen. Fig. 1. A comparison of total muscle glycogen in 3 pools of human muscle by using acid hydrolysis (AC) and macroglycogen (MG)1proglycogen (PG) methods (comparison II) Each point is a single sample from 1 of the 3 pools of muscle. dw, Dry wt. Solid line, linear regression analysis: y 5 1.01x 1 8.38, r 5 1.0, n 5 9; dashed line, line of identity with slope 5 1; dotted lines, 95% confidence interval. Downloaded from http://jap.physiology.org/ by 10.220.33.5 on June 18, 2017 sized samples. Generally, CVs were within the published range, although the CV increased with lower total glycogen concentration (Table 1). However, SE values were small, and the higher CV was a reflection of the low glycogen concentration. One of the ‘‘normal’’ glycogen pools had a high CV for AC because the value for one of the five samples was unusually high. In a comparison of the AC and EZ methods, a positive, linear relationship was found (r 5 1.0), and there was no significant difference between the values determined by the two methods. Values from the MG1PG determination were not significantly different from those from either the EZ or the AC methods. Comparison II. In the pooled human muscle, the repeatability was similar to that in comparison I (Table 2). Over a wide range of total glycogen concentrations, the SD and CV of the MG/PG determination in human muscle were within the range reported by Harris et al. (6). The MG/PG determination demonstrated a strong correlation with the AC method (r 5 1.0), and the line of identity with a slope equal to 1 fell within the 95% confidence interval, illustrating that there was no difference between the two methods. (Fig. 1) There was no significant difference in the total glycogen values determined by AC and by MG1PG. Comparison III. The third comparison of muscle glycogen for individual biopsy samples of human muscle presents evidence that the MG/PG determination is comparable to the AC and EZ methods (Figs. 2–4). The correlation coefficients as well as the line of identity and regression line not being significantly different demonstrate how similar the three methods were in giving a precise measurement of total glycogen. The correlation coefficients for EZ vs. MG1PG (n 5 43), AC vs. MG1PG (n 5 20), and EZ vs. AC (n 5 15) are 0.96, MACROGLYCOGEN AND PROGLYCOGEN IN HUMAN SKELETAL MUSCLE MG fraction becomes a greater contributor, although never the equal of the PG fraction. Comparison IV. In this comparison human biopsy samples were analyzed for MG/PG and then compared with EZ determinations made by an independent laboratory. Again, the MG1PG total glycogen correlated well (r 5 0.97) with the values previously measured by Fig. 3. A comparison of total muscle glycogen in human muscle by using enzymatic (EZ) and MG1PG methods (comparison III). Points and lines are defined as in Fig. 1. Linear regression analysis: y 5 0.84x 1 30.0, r 5 0.96, n 5 43. Fig. 4. A comparison of total muscle glycogen in human muscle by using EZ and AC methods (comparison III). Points and lines are defined as in Fig. 1. Linear regression analysis: y 5 0.87x 1 14.6, r 5 0.97, n 5 15. using the EZ method (Fig. 6). Again, there was no significant difference between the line of identity and regression line. Comparison V. This part of the study was designed to test how much of a given amount of glycogen is actually recovered by using the MG and PG extraction procedure. A 10-µl sample of a 43 µM solution of exogenous glycogen was added to a measured amount of rat muscle, and the glycogen concentration was compared with the concentration of an independent aliquot from the same pool. The percent recovery averaged 105 6 8.5% (n 5 9), and the exogenous glycogen was entirely recovered in the MG portion. Fig. 5. A comparison of MG values and MG1PG total values obtained in n 5 50 individual muscle samples. Downloaded from http://jap.physiology.org/ by 10.220.33.5 on June 18, 2017 Fig. 2. A comparison of total muscle glycogen in human muscle by using AC and MG1PG methods (comparison III). Points and lines are defined as in Fig. 1. Linear regression analysis: y 5 0.92x 1 3.8, r 5 0.99, n 5 20. 911 912 MACROGLYCOGEN AND PROGLYCOGEN IN HUMAN SKELETAL MUSCLE DISCUSSION This study was designed to compare the two wellaccepted methods of measuring the total glycogen in a muscle biopsy sample over a wide range of total glycogen concentrations. It was also conducted to determine whether MG and PG can be measured in biopsy-sized samples and whether this method can be applied to human tissue. The precision of this new technique was also evaluated and compared with that of the two accepted methods. This study presents the first determinations of MG1PG for human muscle and strongly suggests that there are two forms, and probably two metabolic pools, of glycogen in human muscle. In rat muscle (comparison I), there was no statistical significance in total glycogen between the AC and EZ methods. In addition, the AC and EZ methods were found to be equivalent in reproducibility (Table 1). Similarly, in human muscle we found that there was no systematic difference in the two measurements because the line of identity with a slope of 1 was within the limits of the 95% confidence interval (Fig. 1). This is in agreement with a comment made by Jansson (10). Harris and Hultman (6) determined that in the measurement of muscle glycogen, there was a variation of 8.43 mmol glucosyl units/kg dw because of analytic procedure error alone. The SD for routine analysis of muscle glycogen samples taken during exercise experiments was found to be between 10 and 13 mmol glucosyl units/kg dw (6). Our data for rodent and human muscle glycogen are in agreement with these findings. Therefore, each of the three methods gives low and similar CV values that are comparable with findings in the literature. The reproducibility in the pooled human muscle samples is in agreement with other studies, and the Downloaded from http://jap.physiology.org/ by 10.220.33.5 on June 18, 2017 Fig. 6. A comparison of total glycogen in human muscle by using EZ values previously obtained by an independent laboratory and MG1PG methods (comparison IV). Points and lines are defined as in Fig. 1. Linear regression analysis: y 5 0.93x 1 19.2, r 5 0.97, n 5 26. variances (Table 2) in the present study were within the published range (6). The repeated measurement of MG, PG, and MG1PG in human muscle (n 5 9) had a CV range from 0.2 to 21%. The majority of the CV values displayed in Table 2 lie between 3 and 6%. Essen and Henriksson (4) found that there was a CV of ,6.3% when they measured glycogen within single muscle fibers. In a comparison of the human muscle total glycogen for the MG/PG determination for the low, medium, or high concentrations with those determined by the AC method, there was no statistical significance among the values. The correlation among these methods was 1.0 with slope of 1, and the line of identity was almost identical to the regression line, demonstrating that the MG1PG technique is as precise as the traditional AC and EZ methods (Fig. 1). The MG/PG determination for individual muscle samples (n 5 20) compared with AC also gave extremely high correlations. Thus the three methods are comparable. MG/PG values calculated from comparison II suggest that as the total glycogen concentration rises so does the percentage of MG. We found that at a MG1PG concentration of 43.8 mmol glucosyl units/kg dw the MG/PG was 13:87. As the total increased to 181.8 mmol glucosyl units/kg dw, the ratio increased to 19:81 and to 25:75 as the total concentration reached 340.2 mmol glucosyl units/kg dw. The percentage of MG in the high-concentration pool was significantly higher than the percentage in the low pool. This is in accordance with Jansson’s (10) results, which displayed an increasing percentage of soluble glycogen as the total concentration increased. She found that PCA-soluble muscle glycogen constituted 25% of the total glycogen content, which was #350 mmol/kg dw, and increases in total glycogen above that concentration seemed to be mainly due to the soluble type (MG). In the present study, in the individual muscle sample with the highest total glycogen (529.6 mmol glucosyl units/kg dw), the ratio was 38:62. Alonzo et al. (1) also showed that a greater percentage of PG relative to MG (molar percentage: 85% PG to 15% MG) in resting rabbit muscle. Interestingly, Friden et al. (5) reported that two populations of glycogen particles were clearly distinguished and, of the 144 particles counted in a pool in the intermyofibrillar space, ,76% were of the smaller particle size. This consensus suggests that MG1PG can be detected by electron microscopy. Glucose analyses in the PCA extracts of human muscle before hydrolysis yielded low values (0.11–3.61 mmol/kg dw) (10). This demonstrated that glycogen was not hydrolyzed into glucose residues during the PCA-extraction procedure. Jansson (10) also demonstrated that the relationship between PCA-soluble and -insoluble glycogen was not influenced by strength of the PCA in the range from 0.5 to 3 M or the type of acid (PCA vs. trichloracetic acid). Nor was it affected by the freeze-dry procedure or the weight of the samples in the range from 0.2 to 2 mg. The benefit of using the MG1PG determination is in the ability to separate the two fractions of muscle glycogen and hence to study the metabolism of each one individually. MACROGLYCOGEN AND PROGLYCOGEN IN HUMAN SKELETAL MUSCLE The authors thank Premila Sathasivam for technical assistance and Dr. Mark Tarnopolsky for the contribution of muscle samples for comparison IV. This study was supported by the Natural Sciences and Engineering Research Council (NSERC) of Canada and a NSERC Studentship in collaboration with the Gatorade Sports Science Institute (K. B. Adamo). Address for reprint requests: T. Graham, Human Biology and Nutritional Sciences, Univ. of Guelph, Guelph, Ontario, Canada N1G 2W1 (E-mail: [email protected]). Received 30 June 1997; accepted in final form 6 November 1997. REFERENCES 1. Alonzo, M., J. Lomako, W. Lomako, and W. Whelan. A new look at the biogenesis of glycogen. FASEB J. 9: 1126–1137, 1995. 2. Beck-Nielsen, H., A. Vaag, P. Damsbo, A. Handberg, O. Nielsen, J. Henriksen, and P. Thye-Ronn. Insulin resistance in skeletal muscle in patients with NIDDM. Diabetes Care 15: 481–428, 1992. 3. Bergmeyer, H. Methods of Enzymatic Analysis New York: Academic, 1974, vol. 3, p. 1128–1131. 4. Essen, B., and J. Henriksson. Glycogen content of individual muscle fibres in man. Acta Physiol. Scand. 90: 645–647, 1974. 5. Friden, J., J. Seger, and B. Ekblom. Topographical localization of muscle glycogen: an ultrahistochemical study in the human vastus lateralis. Acta Physiol. Scand. 135: 381–391, 1989. 6. Harris, R., E. Hultman, and L.-O. Nordesjo. Glycogen, glycolytic intermediates and high energy phosphate determination in biopsy samples of musculus quadriceps femoris of man at rest. Methods and variance of values. Scand. J. Clin. Lab. Invest. 33: 109–120, 1974. 7. Hermansen, L., and O. Vaage. Lactate disappearance and glycogen synthesis in human muscle after maximal exercise. Am. J. Physiol. 233 (Endocrinol. Metab. Gastrointest. Physiol. 2): E422–E429, 1977. 8. Huang, M., C. Lee, R. Lin, and R. Chen. The exchange between proglycogen and macroglycogen and the metabolic role of the protein-rich glycogen in rat skeletal muscle. J. Clin. Invest. 99: 501–505, 1997. 9. Hultman, E. Muscle glycogen in man determined in needle biopsy specimens. Method and normal values. Scand. J. Clin. Lab. Invest. 19: 209–217, 1967. 10. Jansson, E. Acid soluble and insoluble glycogen in human skeletal muscles. Acta Physiol. Scand. 113: 337–340, 1981. 11. Karlsson, J. Lactate and phosphagen concentrations in working muscle of man (Abstract). Acta Physiol. Scand. Suppl. 358: 81, 1971. 12. Lomako, J., W. Lomako, and W. Whelan. Proglycogen: a low-molecular-weight form of muscle glycogen. FEBS Lett. 279: 223–228, 1991. 13. Lomako, J., W. Lomako, and W. Whelan. A self-glucosylating protein is the primer for rabbit muscle glycogen biosynthesis. FASEB J. 2: 3097–3103, 1988. 14. Lomako, J., W. Lomko, W. Whelan, R. Dombro, J. Neary, and M. Norenberg. Glycogen synthesis in the astrocyte: from glycogenin to proglycogen to glycogen. FASEB J. 7: 1386–1393, 1993. 15. Passonneau, J., and V. Lauderdale. A comparison of 3 methods of glycogen measurement in tissues. Anal. Biochem. 60: 405–412, 1974. 16. Passonneau, J., and O. Lowry. Enzymatic Analysis: A Practical Guide. Clifton, NJ: Humana, 1993, p. 177–178. 17. Roe, J., I. Bailey, R. Gray, and I. Robinsson. Complete removal of glycogen from tissues by extraction with cold TCA acid solution. J. Biol. Chem. 236: 1244–1246, 1961. 18. Sabina, R., J. Swain, W. Bradley, and E. Holmes. Quantitation of metabolites in human skeletal muscle during rest and exercise: a comparison of methods. Muscle Nerve 7: 77–82, 1984. 19. Stetten, M., H. Katzen, and D. Stetton. A comparison of the glycogen isolated by acid and alkaline procedure. J. Biol. Chem. 232: 475–488, 1958. 20. Stetten, D., and M. Stetten. Glycogen metabolism. Physiol. Rev. 40: 505–537, 1960. 21. Willstaetter, R., and M. Rhodewald. Protein binding of physiologically important substances. The condition of glycogen in liver, muscle and leukocytes. Z. Physiol. Chem. 225: 103–124, 1934. Downloaded from http://jap.physiology.org/ by 10.220.33.5 on June 18, 2017 There are reports, with regard to different pools of glycogen, that date back to 1900, when Nerking (20), and later, to 1934, when Willstaetter and Rhodewald (21) concluded that tissue glycogen appeared in two forms: an acid-extractable or free form and an acidnonextractable or protein-fixed form. It was not resolved whether the glycogen-protein complexes were artifacts or whether they constituted a physiological entity. Since then, investigators have shown different sizes, different concentrations, and different solubilities of glycogen molecules. Integrating the results of past studies suggests that data have consistently pointed to the existence of two different pools of muscle glycogen, with the smaller molecular/granular form being most common. Lomako et al. (14) were able to demonstrate the movement of labeled glucose initially into the PG fraction, and then 30 min later the label appeared in the MG fraction while simultaneously falling in the PG fraction. A similar study conducted by Huang et al. (8) in resting rodent muscle demonstrated the incorporation of [3H]glucose into the PG fraction first and then into the MG fraction under conditions of moderate increases in [3H]glycogen synthesis. These results suggest that PG is the plausible precursor and that PG synthesis precedes that of MG. From the limited human data in the present study, it is speculated that PG is the small and dynamic, intermediate form of muscle glycogen, whereas MG is the larger storage form that appears to increase on a relative basis as the total glycogen increases. It is possible that when the glucose environment is favorable and the PG has reached a critical limit, a portion is synthesized into MG, and it is conceivable that the two pools may eventually equilibrate. With this new separation technique, it is now possible to study each pool of glycogen exclusively to understand how the fractions change under conditions of breakdown and resynthesis. In summary, the AC and EZ determinations are not systematically different. MG and PG do exist in human skeletal muscle and can be measured accurately in biopsy-sized samples. The AC, EZ, and MG1PG determinations are reproducible and give the same values for total muscle glycogen. 913
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