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Cited by 348

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Physiology of renal glucose handling via SGLT1, SGLT2 and GLUT2

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Ghezzi, Chiara, Loo, Donald D. F., Wright, Ernest M.·2018·Diabetologia

Abstract

The concentration of glucose in plasma is held within narrow limits (4-10 mmol/l), primarily to ensure fuel supply to the brain. Kidneys play a role in glucose homeostasis in the body by ensuring that glucose is not lost in the urine. Three membrane proteins are responsible for glucose reabsorption from the glomerular filtrate in the proximal tubule: sodium-glucose cotransporters SGLT1 and SGLT2, in the apical membrane, and GLUT2, a uniporter in the basolateral membrane. 'Knockout' of these transporters in mice and men results in the excretion of filtered glucose in the urine. In humans, intravenous injection of the plant glucoside phlorizin also results in excretion of the full filtered glucose load. This outcome and the finding that, in an animal model, phlorizin reversed the symptoms of diabetes, has stimulated the development and successful introduction of SGLT2 inhibitors, gliflozins, in the treatment of type 2 diabetes mellitus. Here we summarise the current state of our knowledge about the physiology of renal glucose handling and provide background to the development of SGLT2 inhibitors for type 2 diabetes treatment.

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Metadata

Authors
Ghezzi, C., Loo, D. D. F., & Wright, E. M.
Venue
Diabetologia
Published
2018-08-22
Volume
61
Issue
10
Pages
2087-2097
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
OpenAlex
W2883722299
Cited by
348
References
48
FWCI
20.64
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Physiology of renal glucose handling via SGLT1, SGLT2 and GLUT2. https://app.cochat.ai/papers/10.1007/s00125-018-4656-5
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Ghezzi, C., Loo, D. D. F., & Wright, E. M. (2018). Physiology of renal glucose handling via SGLT1, SGLT2 and GLUT2. Diabetologia. https://doi.org/10.1007/s00125-018-4656-5

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