2. Results
In all shared-origin diet groups, the rats increased their body weights along the 30-day study in a similar way, as previously published [
2] (
Figure S1), the only exception being the CF group, which showed higher increased rates for both sexes.
Figure 2 shows that in HF and HP groups, plasma E2 values increased, irrespective of sex; and total plasma glucose was well maintained along the whole study, except for HF females, which showed lower mean values than ST, in parallel with higher plasma testosterone. Plasma lactate was higher in HP and HF groups (but not in CF) compared with ST.
Figure 2.
Metabolite and hormone levels. Male (m, clear columns) and female (f, dashed) values for glucose, lactate, estradiol and testosterone are placed shown for HP (brown), ST (white), HF (blue) and CF (red) groups. Statistical differences between groups: two-way ANOVA (D, diet; S, sex). Bonferroni’s post hoc test: different letters represent statistically significant differences between groups of the same sex; NS: non-significant difference.
Figure 2.
Metabolite and hormone levels. Male (m, clear columns) and female (f, dashed) values for glucose, lactate, estradiol and testosterone are placed shown for HP (brown), ST (white), HF (blue) and CF (red) groups. Statistical differences between groups: two-way ANOVA (D, diet; S, sex). Bonferroni’s post hoc test: different letters represent statistically significant differences between groups of the same sex; NS: non-significant difference.
Plasma lactate was directly correlated with E2 (
Figure 3), whereas no significant results were obtained for the correlation between lactate and testosterone levels in plasma (p=0.0994). The direct correlation between L-lactate dehydrogenase (EC 1.1.1.27) activity in liver (LDHa) or muscle (LDHb) vs. plasma lactate became significant when all the groups were considered as a combination of all, especially in muscle.
Figure 3.
Correlation between plasma lactate levels and lactate dehydrogenase in muscle and liver. Male (squares) and female (dots) values from HP (brown), ST (black), HF (green) and CF (red) groups. Black line indicate correlation for all groups.
Figure 3.
Correlation between plasma lactate levels and lactate dehydrogenase in muscle and liver. Male (squares) and female (dots) values from HP (brown), ST (black), HF (green) and CF (red) groups. Black line indicate correlation for all groups.
Figure 4A shows the energy ingested from lipids, proteins, and carbohydrates (shown in two separate groups: sugars –mono- and oligosaccharides– and polysaccharides), presented both in absolute and percentage values. All data were expressed as the ratio of nutrient ingested (in W, i.e., in energy units divided by time) with respect to the mean (for the 30-day treatment) body weight (BW) value adjusted with an allometric factor (BW
0.75) [
56,
57] to allow comparisons between homologous parameters in groups of different body sizes. The CF groups again showed the highest absolute values, with relatively higher levels of food intake for males, except for polysaccharides, in which females took the lead. The same pattern was observed when comparing the relative intake, with protein ingested showing a similar percentage of total energy intake for both sexes.
Figure 4.
A. Energy substrate intake from protein (brown), lipid (yellow), sugars (green) and polysaccharides (white), either in stacked absolute values [MJ/kg mean weight0.75](left) and in stacked relative values [% of ingested](right). Values for two-way ANOVA and Bonferroni post-hoc test are indicated in the inserted tables. B. Energy derivable from substrates’ intake 1C (light green), 2C (yellow), 3C (red), 4C+5C (dark blue), 6C polysaccharide (white) and 6C sugars (green), either in stacked absolute values [MJ/kg mean weight0.75](left) and in stacked relative values [% of ingested](right]. Values for two-way ANOVA and Bonferroni post-hoc test are indicated in the tables.
Figure 4.
A. Energy substrate intake from protein (brown), lipid (yellow), sugars (green) and polysaccharides (white), either in stacked absolute values [MJ/kg mean weight0.75](left) and in stacked relative values [% of ingested](right). Values for two-way ANOVA and Bonferroni post-hoc test are indicated in the inserted tables. B. Energy derivable from substrates’ intake 1C (light green), 2C (yellow), 3C (red), 4C+5C (dark blue), 6C polysaccharide (white) and 6C sugars (green), either in stacked absolute values [MJ/kg mean weight0.75](left) and in stacked relative values [% of ingested](right]. Values for two-way ANOVA and Bonferroni post-hoc test are indicated in the tables.
Figure 4B shows the comparative intake of foods yielding fragments of 1C, 2C, 3C, 4C+5C and 6 C, presented, as in
Figure 3A, both in absolute and percentage values. The data were also expressed as the ratio of nutrient ingested (in W) with respect to the mean ‒of the 30-day treatment‒ body weight allometrically uniformized (BW
0.75). The two CF groups showed the highest global 2C energy intakes, and, obviously, of 6C (sugars); the differences were significant for diet and sex. Fragments of 3C were produced in all groups with no differences between sexes. There was a sizeable production of 1C fragments (of no specified important energy value) in the two HP groups, which also showed a high generation of 4C+5C fragments (KCAI). The 6C units constituted, overall, the main energy nutrient ingested, in percentage of intake; the lowest 6C values were found in the HP groups, and the highest in the ST groups.
Figure 5 depicts the data for 6C intake (largely glucose) in the CF groups, and showed higher values for polysaccharide origin glucose intake in males, whereas in females these values were like those derived from disaccharides. Galactose (derived from lactose) values represented a small proportion of energy compared with those of poly- and disaccharides, but was a nutrient exclusive –in this study– of the CF diet. Fructose (derived from sucrose) represented a substantial part of the 6C fraction of the CF diet, especially in the females.
Figure 5.
Energy derived from carbohydrate intake in CF groups: black bar= glucose from polysaccharides; blue bar = glucose from disaccharides; red bar = fructose from disaccharides; brown bar= galactose from disaccharides. Values for two-way ANOVA: D (diet), S(sex) and I (interaction).
Figure 5.
Energy derived from carbohydrate intake in CF groups: black bar= glucose from polysaccharides; blue bar = glucose from disaccharides; red bar = fructose from disaccharides; brown bar= galactose from disaccharides. Values for two-way ANOVA: D (diet), S(sex) and I (interaction).
The type of diet clearly influenced the energy accrual in the body, in the form of molecules able of primarily yielding 3C or 2C.
Figure 6 shows that in all cases, the mass of 2C fragments deposited in the body carcass was 10 to 20-fold higher than those corresponding to 3C; most of the 2C corresponding to fatty acids and the 3C to amino acids and glycerides-glycerol. The amount of energy deposited was rather uniform between groups when adjusted by the corrected mean body weight. Therefore, the efficiency of deposition was 30-80 times higher for 2C fragments as such than for the 3C. The highest rates of efficiency for 2C storage were detected in the groups receiving the ST diet, while the lowest values.were for HP and CF diets.. The lowest rates of 3C “efficiency” (i.e., deposition vs. intake) were those of HP groups.
Figure 6.
Energy deposited in form of 3C or 2C units in absolute values [W/kg mean weight0.75] (upper row) and as a percentage of efficiency (lower row). Male (m, clear columns) and female (f, dashed) values for HP (brown), ST (white), HF (blue) and CF (red) groups. Statistical differences between groups: two-way ANOVA (D, diet; S, sex). Bonferroni’s post hoc test: different letters represent statistically significant differences between groups of the same sex. A green horizontal dashed line indicates the 100 % of 2C accrued efficiency.
Figure 6.
Energy deposited in form of 3C or 2C units in absolute values [W/kg mean weight0.75] (upper row) and as a percentage of efficiency (lower row). Male (m, clear columns) and female (f, dashed) values for HP (brown), ST (white), HF (blue) and CF (red) groups. Statistical differences between groups: two-way ANOVA (D, diet; S, sex). Bonferroni’s post hoc test: different letters represent statistically significant differences between groups of the same sex. A green horizontal dashed line indicates the 100 % of 2C accrued efficiency.
Nitrogen (massively protein) accrual correlates directly with T levels and inversely with E2 values, as shown in
Figure 7 when all dietary treatments were included, suggesting that the correlations were rather independent of the nutrients-mix in the different groups. In short, T favored the accrual of protein, while E2 diminished it.
Figure 7.
Correlation between protein accrual (expressed as % of ingested protein) and plasma T or E2 levels. Males (squares) and females (dots) values takenfrom HP (brown), ST (black), HF (green) and CF (red) groups.
Figure 7.
Correlation between protein accrual (expressed as % of ingested protein) and plasma T or E2 levels. Males (squares) and females (dots) values takenfrom HP (brown), ST (black), HF (green) and CF (red) groups.
In parallel, the amount of KCAI accrued was directly correlated with circulating T levels, and inversely with those of E2 (
Figure 8). Accrual of KCAI can be also equated (practically) to the deposition of amino acids (protein), and thus coincides with the data on accrual of nitrogen. Conversely, the KCAI oxidized tended to correlate inversely with T levels and directly with E2, in line with the information from accrual data, and showing that the fate of diet amino acids (at least the majority yielding KCAI) was unbalanced towards oxidation by E2 and to preservation/ accrual by T.
Figure 8.
Correlation between KCAI accrued or oxidized in front of plasma levels of T or E2. Males (squares) and females (dots); values taken from HP (brown), ST (black), HF (green) and CF (red) groups.
Figure 8.
Correlation between KCAI accrued or oxidized in front of plasma levels of T or E2. Males (squares) and females (dots); values taken from HP (brown), ST (black), HF (green) and CF (red) groups.
On the other hand, the data for 3C and KCAI fragments deposited were directly correlated with the amount of accrued N, whereas the correlation was lost with 2C fragments (
Figure 9). The main difference between 3C and KCAI as to deposition being that the latter represented practically only amino acids, whereas the 3C was shared by amino acids and glycerides-derived glycerol.
Figure 9.
Correlation plots between protein (amino acid)-related indicators: KCAI or 3C or 2C accrued vs. accrued N. Males (squares) and females (dots); values taken from HP (brown), ST (black), HF (green) and CF (red) groups.
Figure 9.
Correlation plots between protein (amino acid)-related indicators: KCAI or 3C or 2C accrued vs. accrued N. Males (squares) and females (dots); values taken from HP (brown), ST (black), HF (green) and CF (red) groups.
3. Discussion
Studying the differential effects of diets of different food and nutrient composition has been (and remains) an almost impossible task due to the enormous variability of the foods consumed, both in humans and in most animal species in the wild. Every change represents a factor that needs to be either analyzed or adequately shown not to compromise the other results, which is even more difficult to achieve. The differences in protein or lipids, and the varying textures, palatability and, especially, nutrient composition makes difficult to isolate specific factors in order to establish their eventual overall (and specific) influence on health and disease [
58]. In the present study, we used a previously tested model of standard-chow-derived high fat HF and high protein diets HP [
2,
42] compared to the original “standard” food ST from which they were derived, and also including a simplified cafeteria diet that we have used previously ([
40,
45] as a contrasting (and disrupting) factor, in order to be able to establish additional comparisons between the ‘shared-origin’ diets. Therefore, we used rats and diets as similar as possible to our long series of studies, with also comparable rat strain, age (size) and sex [
7,
40,
46]. To establish a way to further compare animals of different sizes, and help ‘discount’ the allometric effect of body weight [
57], we standardized the group data for body mass and diet intake, arbitrarily referred to the half-point of dietary treatment (day 15). This way we calculated mean day-15 values, for every group, of the rate of body composition, growth and the amount of each type of nutrient ingested per day. Since we introduced the factor of time in the comparisons we had, then, to express energy as energy rates (power units, W). These data were made comparable by correcting them by the allometrically adjusted data, as described previously [
59,
60] and widely used in comparative physiology when studying series with individuals of varying size.
As expected, the CF diet induced high intakes of energy (lipid and carbohydrate, including a large proportion of disaccharides), but total protein intake was comparable to that of ST, and the lipid ingestion was comparable to that of HF when the data were made homogeneous. Nevertheless, the carbohydrate proportion of energy intake was higher in CF than in all the other diets analyzed, although the sum of all carbohydrate-derivable energy (as a proportion of energy intake, not in comparable absolute terms) was similar for all groups.
In any case, the fact that the efficiency of lipid accrual (essentially as 2C) was higher for ST diet groups, and was in a comparable range for HP, CF and HF diets, clearly indicates that changes in the proportions of lipid and protein –taken irrespective of the rest of the diet– actually affect energy partition. Lipids being used in a significant proportion for energy, especially in liver [
61], as previously proposed by our group [
2] and confirmed again with the results presented here. The effect in HP and HF groups, however, can be attributed to higher circulating levels of E2.
Our data confirm that, irrespective of the type of diet used, testosterone tends to correlate with protein accrual, whereas E2 (mostly derived from testosterone via aromatization) correlated with oxidation of energy substrates, including the massive amino acid utilization by liver, especially in females [
62]. Since amino acids are an important fraction of potential 3C substrates, the accrual of 3C was largely justified with the accrual of amino acids (but also by a smaller but significant part of 3C from glycerol in the deposition of TAG). The parallel deposition of KCAI was –again– related to amino acid deposition and both (3C and KCAI) again correlated, as expected, with total N accrual.
The diet comparison scheme we designed allows us to relativize the effects of both ingested lipid and protein as main inducers of the CF-increased food intake when compared with the three shared-origin diets, even when their lipid or protein proportions approaches those found in the CF groups. The remaining main bulk nutrient (making an absolute difference between CF and the other diets) being, essentially, the quite different intakes of 6C as [disaccharides and starch] in CF vs. [starch alone] in the ST-derived diets. The effects of comparable intakes of 6C containing (or not) a large proportion of readily assimilated disaccharides resulted in a higher energy intake (appetite) magnified in carbohydrates and lipids [
63], and their derivation towards 2C storage (fat) in CF when compared with oxidation as main fate in the ST-related diets. Sucrose is known to increase food intake in humans and rats [
64] and is a powerful energy partition destabilizer via disruption of glycolytic handling of glucose and its control by insulin [
65].
Our data did not show deviations in food intake rates, within a same group along the 30-day period of study (
Supplemental Figure 2). However, the differences between groups were patent. We can assume that the rapid absorption of disaccharides (already hydrolyzed to their constituting monosaccharides: glucose, fructose, and galactose) represent an immediate energy insult to the already high acute flow of glucose; fructose and galactose being also rapidly released into the intestine (and then absorbed). This bulk dumping of 6C induces a rise in glycaemia necessarily paralleled by a rise in insulin, which elicits hepatic insulin resistance [
66]. The liver responds as best as possible to 6C overload, but it can do so more comfortably when the flow of 2C energy to CO
2 may be enhanced by E2, and by the presence of KCAI [
62], thus progressively lowering the load of excess 6C (finally 2C). The slower pace of release of glucose from the digestion of starch resulted in a higher proportion of their energy being used for oxidative energy rather than TAG deposition. This difference agrees with the critical role of postprandial energy partition in the liver [
67] in addition to the disrupting effect of high glycemic index nutrients such as sucrose. Sex deeply influences this effect, with females being more resistant to the deleterious effect of excess fructose [
68] than males, and they are –also– better adapted to carbohydrate (6C) loads than males. The results of the present study (
Figure 5) agree with these postulates, since the load of 6C in CF male rats was (as % of total energy intake) 53% starch-derived glucose, 23% disaccharide-derived glucose, 22% fructose and 2.5% galactose. Whereas in female rats the intake of fructose and galactose was similar, disaccharide glucose almost represented the same amount than polysaccharide glucose; in all, the females proportionally accrued less energy than the males.
Nevertheless, the excess of glucose and the dumping of disaccharide-6C was not reflected into glycaemia a condition already described in the literature [
69], which clearly indicates that the CF rats were able to dispose of all 6C substrates in real time without reverting to sustained hyperglycemia. The disposal of this huge amount of carbohydrate energy can occur only if the turnover/ metabolism of 6C (and its main intermediate metabolites, 3C) was highly increased with respect to the shared-origin diets. This anomalous ability to handling such excess energy cannot be (easily) justified by increased appetite (i.e., one of the effects of fructose), but may be –instead– a possible consequence of the huge intake of fructose and galactose. Fructose in excess does not follow the canonic glycolytic pathway [
70] and their effects are more related to the complementary glycolysis integration pathways used. The case for galactose is quite different, since its oxidation is slow (in adults being mainly excreted unaltered or used by the microbiota), because the conditions of operation of the Leloir pathway are far from being optimal in a liver under high-load exposure to 6C [
71]. In fact, galactose may become hepatotoxic [
72], affecting the whole carbohydrate metabolism-regulation by insulin and intestinal peptides. This is a question that has not been discusses in depth, despite the presence of lactose in most cafeteria diets (and human Westernized diets [
73]); the focus on dietary perils being mostly fixed on fructose, lipids and the overwhelming excess of energy. The distortion provoked by the ingestion of sugars yielding fructose and galactose in the CF groups, seems to alter the straightforward mechanism of dietary lipid (and carbohydrate) oxidation already observed in many HF diet rats. It must be stated, too, that the type of diet ‘biologically optimized’ for rat experimentation is quite different from that of rats in the wild and from those of humans, which have been more widely exposed to sugars different from polysaccharide-derived glucose in early periods of human evolution.
The fast rise of glucose (from sugars) necessarily spurns the conversion of increasing 3C to 2C thus limiting the near future maintenance of glycaemia, altering the rate of 3C oxidation and promoting the accumulation of lipid reserves. Nevertheless, using our model of shared-origin diets, we were able to present further evidence that rats fed the well-established chow pellets’ compositions use (need?) starch as the main energy staple [
74]. Sugars as such being both uncommon and unnecessary in the adult diets, despite galactose being the only carbohydrate available in the diet during mammal suckling [
71], defining the immediate post-natal period as a high-lipid high-protein high-oligosaccharide fairly ketogenic and markedly obesogenic diet (for a time) of unparalleled successful anabolic efficiency [
75]. In addition, a sustained heavy load of dietary lipids must be combined with even larger sources of 3C to not only sustain energy needs, but to maintain glycemia and the synthesis of TAG (at least its glycerol moiety). Since the need to maintain glycaemia is critical for humans and rodents, we postulate that the maintenance of energy partition requires the inescapable ingestion of hexoses (or enough 3C). The best way to using them appears to be in the form of hydrolysable polysaccharides, since the slow pace of release of glucose from starchy foods (better with low glycemic index) does not elicit the inadequately massive metabolic (often pathogenic) responses such as those described for CF diets [
69]. The effect of lipid as inducer of lipid accrual in rat diets probably can be more related to the additional presence of sugars or other factors (such as sodium) [
9], than to the total energy availability [
1]. And, even more probably to the different testosterone-E2 availability and equilibrium as main co-controllers, with insulin, of energy partition.
The extended use of diets low in carbohydrate (e.g., ketogenic) are supposed to favor the oxidation of lipids, but –instead– they accelerate the breakup of proteins and their amino acids for 3C (and 4C or 5C) fragments [
76], eventually metabolized to 3C to provide substrates for gluconeogenesis or generate more 2C for energy. But this phenomenon of enhanced oxidation of 2C may have another (complementary?) interpretation: as postulated in this study, the accelerated catabolism of amino acids, potentiated by E2, may produce large amounts of KCAI, which act synergistically with E2 promoting the mitochondrial oxidation of 2C, instead of allowing the obesogenic effect provoked by the insufficient flow of carbon though the Krebs cycle. This interpretation may conflict with data that assume that estrogen control of liver amino acids [
32] is constricted to of amino acid availability for protein synthesis. Our interpretation, stresses the need of a regular source of amino acids (or, alternatively, metabolize body proteins to obtain gluconeogenic substrates and/ or KCAI) in the diet further to its N-protein providing specific role. However, the main negative consequence is the need of disposing of the (unneeded, eventually toxic) N-waste, breaking the ‘need to spare N’ rule that has driven most of the nutritional analyses of N needs up to date, based on starvation and malnutrition [
77], and far from the overeating and maladjustments of present day in large groups of population. The tight urea cycle constrictions are perfect for N conservation [
78] as the use of the hydrocarbon skeleton of (scarce) amino acids requires a ready to access mechanism for controlled disposal of the excess N. For a rat (or human) it is metabolically more efficient (limits the need to excrete so much N) to ingest only the amino acids needed, and use the most common plant reserve, glucose, in the natural ‘second most common form’, starch. This type of polysaccharide has a principal place in our diet, being modulated and presented in different ways, but which is eventually translated into a slowly releasing source of 6C, but also provider of 3C (i.e., L-lactate, a critical energy substrate) used by most body tissues [
79], which may also be easily converted into 2C for energy.
The data presented agree with this need to maintain an ‘adequate’ supply of polysaccharide-derived glucose for energy homeostasis, using fatty acids (as in HF) or protein (as in HP) as complementary energy substrates. The ‘rule of metabolic substrate oxidation priorities’ (essentially designed for the management of body reserves under starvation), compels first to oxidize fatty acids and exhaust the glycogen-glucose (if any remaining), and only then began using for energy our protein amino acids [
80]. However, this set of priorities could not be directly applied to situations with excess energy available, quite different from the opposite and more common case of insufficient nutrient availability and neither to the management of external (dietary) sources. Thus, in many cases, protein becomes just another (main) source of energy [
81] for humans, as in carnivores, to be used with the only limitations established by the tight protection of amino-N loss via the urea cycle, essentially designed for survival under low amino-N (and energy) availability [
78]. However, the loss of excess N via an alternative pathway has been proven [
40,
82] and is related to the amount of energy available. It has been found that this N is lost as N
2 [
82], and the possible implication of mitochondria oxidative capabilities has been hinted at but not fully uncovered. This ‘alternative’ system has received little attention because of the intrinsic difficulties of measuring the emission of N
2 by animals breathing air containing, already, more than 70% of this same gas. Nevertheless the measurement of a complete N balance (including urinary and fecal losses, and N accretion) repeatedly results in a N gap [
40,
83], process that has been also found to be related to arginine [
84] and enhanced by E2 [
2].
The increase of circulating E2 in HF and HP groups, is concurrent with maintained levels of testosterone (main precursor of E2) and occurs with practically unaltered basal glucose levels. Testosterone, differently from E2, seems not to respond to gross changes in the rat diet composition (at least during one-month treatment), as observed in this study. The decrease in the intake of 3C metabolite providers, irrespective from their original nutrient form, seems to be a main factor conditioning the observed increase of E2. This increase may reflect a situation opposed to the decrease in circulating estrogens described for rats fed high-fat diets [
85] and also rich in salt and oligosaccharides [
9]. In fact, we did not observe a decrease in E2 even in the CF rats, which suggests that the modulation of E2 levels by diet components needs further analyses, especially in cafeteria and Western-style diets.
In the liver, the excess of glycolysis-produced pyruvate is directed to produce lactate, when gluconeogenesis is not activated. When glucose availability coincides with excess lipids (as in the HF groups), most 3C fragments are derived to the peripheral use of lactate as substrate [
79]. This process does not waste 3C energy in the liver since lactate is oxidized (to 2C and then to CO
2), protractedly, in other tissues. This source of 3C may be –also—recycled to glucose, glycerol, alanine, etc. This distribution of 3C fragments for energy production elsewhere has the advantage of not directly affecting glycemia and circumventing the problems posed by the high reducing potential and isoforms of glucose, despite its effect on the blood pH equilibrium and the inter-organ handling of protons [
86]. In any case, the 3C outlet of ‘predigested-glucose’ is efficient and functional. Under conditions of high 3C/2C availability ratio in the liver, oxidation of pyruvate (3C) to acetyl-CoA (2C) is activated for energy [
87] or eventual lipogenesis [
88], as obvious dump of excess energy accumulation.
The critical effects of E2 on the modulation of liver energy partition can be summarized in three processes:
- a)
E2 activates the glycolytic pathway, i.e., the conversion of glucose to 3C [
89]
- b)
E2 does not favor gluconeogenesis from 3C, either maintaining its activity unaltered [
90] or inhibiting it [
91]: and, last but not least,
- c)
E2 activates the pyruvate dehydrogenase complex via its regulative phosphorylation by PDHK4 [
92].
Excess glucose may result, thus, in higher availability of 3C. However, pyruvate cannot be used for lipogenesis, since E2 downregulates hepatic lipogenesis [
93], regulating the transcription of lipogenic genes through transcription factor XBP1 [
94]; leaving open only the way to mitochondrial oxidation for energy and/or export as fatty acids (enhanced TAG turnover and transport), enhanced ketogenesis and activation of the mevalonate pathway. E2 indirect activation of β-oxidation and the concurrence of KCAI, higher oxidative mode and use of energy by the liver (processes in which E2 acts as enhancer or activator), allow the complete conversion of excess 2C carbon into energy (NADH
+, ATP) and heat, mainly in the liver.
One of the consequences of higher plasma E2 in the HP and HF groups (compared with ST) is the higher circulating lactate levels, directly correlated with E2. In addition, lactate was correlated both with lactate dehydrogenase activities in liver and in the largest peripheral tissue, muscle, showing an intimate relationship with energy partition [
1]. The existence of different isozymes that play towards the production or oxidation of lactate depending on its levels and supply, a reflection of the 3C energy availability, in liver or muscle [
95] adds to its importance as dynamic marker of this same energy partition as a main form of carbohydrate-derived energy substrate. In any case, increased lactate levels are caused by an imbalance between its synthesis and uptake/ oxidation; but this is not only a function restricted to the liver, implying other potential massive lactate producers (from glucose) such as muscle and adipose tissue [
96]. Circulating lactate levels respond not only to the liver-muscle relationships (as in the Cori cycle), but in some way, indicate that the pair 6C-3C (i.e glucose and mostly lactate) is sufficiently maintained, so part of the protected 3C can be converted to 2C and oxidized with the additional advantage of the ready to use metabolites for tissues circumventing the tight and often cumbersome mechanisms of control of glycemia. Evidently, E2 (in fact in cooperation with –and through— insulin) maintain the 3C homeostasis (and hence that of 6C) and allows its oxidation to 2C only when (and if) it is present in excess (as explained above) and the maintenance of basal glycemia is not threatened. This raised lactate levels are comparable to the described upregulation caused by E2 in humans with type 2 diabetes [
97], although in this case, the diet, and not the glycemic status, is the main factor determining the lactate changes.
In our model, testosterone levels do not seem to downregulate lactate levels, as described in diabetic humans [
97]. But high polyunsaturated fatty acid levels (mainly linolenic acid) in ST and HP diets did not affect –either— the levels of testosterone, which conflicts with reported data in humans [
98], in which testosterone is a main factor in the maintenance of glycaemia [
22].
In general terms, we have observed that 3C derived from non-carbohydrate ingested nutrients (as found in the HF and HP groups) promote the active use of other substrates for energy, including fatty acids and –especially-- amino acids in addition to the bulk of energy in the form of 6C carbohydrates. This was, in part, expected, but the twist of the complementary oxidation for energy of amino acids also facilitated the complete oxidation of 6C, circumventing the precarious solution of the lipogenic derivation of 2C, which eventually promotes obesity and other disorders in the context of the metabolic syndrome (MS).
Thus, in the HF group, fatty acids were actively oxidized to 2C to obtain energy (irrespective of sex), sparing the 3C providers, in shorter supply than in ST. In the HP group, the potentially ketogenic amino acids in excess (especially Leu and Lys) are probably used as source of 2C in significant amounts since these amino acids represent ca. 25% of total ingested amino acids [
34]. At the same time, they become a main source of KCAI which help oxidize the excess 2C production from amino acids and 6C. Thus, both ‘supplemented’ diets can produce more 2C metabolites for energy than ST, sparing part of the 3C (lactate) for this purpose and nevertheless efficiently oxidizing most of dietary carbohydrate.
In sum, this study has given further support to the negative effect of large excesses of disaccharides (CF diet) on the tight control of food intake in the rats, favoring a disordered (and excessive) accrual of energy, mainly lipids. The data presented agree with the need (at least for rats, but the corresponding figures for humans could not be too far away) to provide a 50% of the diet energy needs as starch carbohydrates to maintain a well-preserved energy partition. An excessive proportion of carbohydrates in the diet may allow for a faster and more effective anabolic drive, but this includes an (usually) unsought for lipid deposition. The oxidation of protein as energy in the diet helps streamline and adequately use the main load of carbohydrate, a question long time known for which we offer here a plausible experimental analysis based on the transcendence of the KCAI as dietary component and the already explicited critical role of E2 as a main energy partition controller.