TCA Cycle Turnover And Serum Glucose Sources By Automated Bayesian Analysis Of NMR Spectra

Changes in sources of serum glucose are indicative of a variety of pathological metabolic states. It is possible to measure the sources of serum glucose by the administration of deuterated water to a subject followed by analysis of the 2H enrichment levels in glucose extracted from plasma from a single blood draw by 2H NMR. Markov Chain Monte Carlo simulations of the posterior probability densities may then be used to evaluate the contribution of glycogenolysis, glycerol, and the Kreb's cycle to serum glucose. Experiments with simulated NMR spectra show that in spectra with a S/N of 20 to 1, the resulting metabolic information may be evaluated with an accuracy of about 4 percent.