The goal of this study was to measure flux through pyruvate carboxylation a
nd decarboxylation in the heart in vivo. These rates were measured in the a
nterior wall of normal anesthetized swine hearts by infusing [U-C-13(3)]lac
tate and/or [U-C-13(3)] pyruvate into the left anterior descending (LAD) co
ronary artery. After 1 h, the tissue was freeze-clamped and analyzed by gas
chromatography-mass spectrometry for the mass isotopomer distribution of c
itrate and its oxaloacetate moiety. LAD blood pyruvate and lactate enrichme
nts and concentrations were constant after 15 min of infusion. Under near-n
ormal physiological concentrations of lactate and pyruvate, pyruvate carbox
ylation and decarboxylation accounted for 4.7 +/- 0.3 and 41.5 +/- 2.0% of
citrate formation, respectively. Similar relative fluxes were found when ar
terial pyruvate was raised from 0.2 to 1.1 mM. Addition of 1 mM octanoate t
o 1 mM pyruvate inhibited pyruvate decarboxylation by 93% without affecting
carboxylation. The absence of M1 and M2 pyruvate demonstrated net irrevers
ible pyruvate carboxylation. Under our experimental conditions we found tha
t pyruvate carboxylation in the in vivo heart accounts for at least 3-6% of
the citric acid cycle flux despite considerable variation in the flux thro
ugh pyruvate decarboxylation.