Aldose reductase (AR) is implicated in the pathogenesis of the diabeti
c complications and osmotic cataract. AR has been identified as an osm
oregulatory protein, at least in the renal medulla. An outstanding que
stion relates to the response of AR gene expression to diet-induced ga
lactosemia in extrarenal tissues. This paper shows that AR gene expres
sion in different tissues is regulated by a complex multifactorial mec
hanism. Galactose feeding in the rat is associated with a complex and,
on occasions, multiphasic pattern of changes in AR mRNA levels in kid
ney, testis, skeletal muscle, and brain. These changes are not in sync
hrony with the temporal sequence of changes in tissue galactitol, gala
ctose, and myoinositol concentrations. Moreover, galactose feeding res
ults in changes in tissue AR activities that are not related, temporal
ly or quantitatively, to the alterations in tissue AR mRNA or galactit
ol levels. It is concluded that AR gene expression and tissue AR activ
ities are regulated by mechanisms that are not purely dependent on non
specific alterations in intracellular metabolite concentrations. This
conclusion is supported by the finding that chronic xylose feeding, de
spite being associated with intracellular xylitol accumulation, does n
ot result in alterations in AR mRNA levels, at least in the kidney.