Glucose transporters in the small intestine in health and disease
Open accessAbstract
Absorption of monosaccharides is mainly mediated by Na + - d -glucose cotransporter SGLT1 and the facititative transporters GLUT2 and GLUT5. SGLT1 and GLUT2 are relevant for absorption of d -glucose and d -galactose while GLUT5 is relevant for d -fructose absorption. SGLT1 and GLUT5 are constantly localized in the brush border membrane (BBM) of enterocytes, whereas GLUT2 is localized in the basolateral membrane (BLM) or the BBM plus BLM at low and high luminal d -glucose concentrations, respectively. At high luminal d -glucose, the abundance SGLT1 in the BBM is increased. Hence, d -glucose absorption at low luminal glucose is mediated via SGLT1 in the BBM and GLUT2 in the BLM whereas high-capacity d -glucose absorption at high luminal glucose is mediated by SGLT1 plus GLUT2 in the BBM and GLUT2 in the BLM. The review describes functions and regulations of SGLT1, GLUT2, and GLUT5 in the small intestine including diurnal variations and carbohydrate-dependent regulations. Also, the roles of SGLT1 and GLUT2 for secretion of enterohormones are discussed. Furthermore, diseases are described that are caused by malfunctions of small intestinal monosaccharide transporters, such as glucose-galactose malabsorption, Fanconi syndrome, and fructose intolerance. Moreover, it is reported how diabetes, small intestinal inflammation, parental nutrition, bariatric surgery, and metformin treatment affect expression of monosaccharide transporters in the small intestine. Finally, food components that decrease d -glucose absorption and drugs in development that inhibit or downregulate SGLT1 in the small intestine are compiled. Models for regulations and combined functions of glucose transporters, and for interplay between d -fructose transport and metabolism, are discussed.
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SGLT1 is a secondary active transporter that translocates two Na ions coupled with one glucose molecule into cells and is the most abundant glucose transporter in the small intestinal brush border membrane.
“SGLT1 is a secondary active transporter that translocates two Na ions coupled with one glucose molecule into cells and is also the most abundant glucose transporter in the small intestinal BBM [21].”
From Regulation of Enterocyte Brush Border Membrane Primary Na-Absorptive Transporters in Human Intestinal Organoid-Derived Monolayers (2024) · cites this paper as [21]
The SGLT1 section states that SGLT1 is a secondary active transporter that carries one glucose molecule with two sodium ions into cells, and it locates SGLT1 in the brush border membrane (BBM). It reports Sglt1 as the most abundant plasma-membrane protein in mouse small intestine, but does not establish that SGLT1 is the most abundant glucose transporter specifically in the BBM across species. (LLM, conf=0.87)
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Sorted by citations
Haynes, J., Palaniappan, B., Crutchley, J. M., & Sundaram, U. (2024) · Cells · doi:10.3390/cells13191623 · Cited by 2 · see citing works
“SGLT1 is a secondary active transporter that translocates two Na ions coupled with one glucose molecule into cells and is also the most abundant glucose transporter in the small intestinal BBM [21].”
Background
- Authors
- Koepsell, H.
- Affiliations
- University of Würzburg (DE)
- Corresponding author
- Koepsell, Hermann
- ORCID
- Koepsell, Hermann
- Venue
- Pflügers Archiv - European Journal of Physiology
- Published
- 2020-08-23
- Volume
- 472
- Issue
- 9
- Pages
- 1207-1248
- ISSN
- 0031-6768 (ISSN-L)
- 1432-2013
- PMC
- PMC7462918
- OpenAlex
- W3081351755
- Cited by
- 290
- References
- 22
- Citations by year
- 2026: 48 · 2025: 53 · 2024: 62 · 2023: 39 · 2022: 54 · 2021: 28 · 2020: 6
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Pflügers Archiv - European Journal of Physiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- Online Publication Service of Würzburg University (Würzburg University) (submittedVersion, cc-by)
- Funders
- Julius-Maximilians-Universität Würzburg
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Digestive system and related health
- Keywords
- glucose transporters, SGLT1, GLUT2, GLUT5, small intestine, monosaccharide absorption, brush border membrane, basolateral membrane, glucose-galactose malabsorption, Fanconi syndrome, fructose intolerance, diabetes mellitus, small bowel inflammation, bariatric surgery, metformin, SGLT1 inhibitors, diurnal variation, fructose metabolism
- MeSH terms
- Animals, Humans, Intestinal Absorption, Intestinal Diseases, Intestine, Small, Glucose Transport Proteins, Facilitative, Sodium-Glucose Transporter 1
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