PMID- 28477418 OWN - NLM STAT- MEDLINE DCOM- 20180507 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 19 IP - 9 DP - 2017 Sep TI - Sodium-glucose co-transporter (SGLT) and glucose transporter (GLUT) expression in the kidney of type 2 diabetic subjects. PG - 1322-1326 LID - 10.1111/dom.13003 [doi] AB - The sodium-glucose co-transporters (SGLTs) are responsible for the tubular reabsorption of filtered glucose from the kidney into the bloodstream. The inhibition of SGLT2-mediated glucose reabsorption is a novel and highly effective strategy to alleviate hyperglycaemia in patients with type 2 diabetes mellitus (T2DM). However, the effectiveness of SGLT2 inhibitor therapy is diminished due, in part, to a compensatory increase in the maximum reabsorptive capacity (Tm) for glucose in patients with T2DM. We hypothesized that this increase in Tm could be explained by an increase in the tubular expression of SGLT and glucose transporters (GLUT) in these patients. To examine this, we obtained human kidney biopsy specimens from patients with or without T2DM and examined the mRNA expression of SGLTs and GLUTs. The expression of SGLT1 is markedly increased in the kidney of patients with T2DM, and SGLT1 mRNA is highly and significantly correlated with fasting and postprandial plasma glucose and HbA1c. In contrast, our data demonstrate that the levels of SGLT2 and GLUT2 mRNA are downregulated in diabetic patients, but not to a statistically significant level. These important findings are clinically significant and may have implications for the treatment of T2DM using strategies that target SGLT transporters in the kidney. CI - (c) 2017 John Wiley & Sons Ltd. FAU - Norton, Luke AU - Norton L AUID- ORCID: 0000-0002-0231-5722 AD - Diabetes Division, University of Texas Health Science Center, San Antonio, Texas. FAU - Shannon, Christopher E AU - Shannon CE AD - Diabetes Division, University of Texas Health Science Center, San Antonio, Texas. FAU - Fourcaudot, Marcel AU - Fourcaudot M AD - Diabetes Division, University of Texas Health Science Center, San Antonio, Texas. FAU - Hu, Cheng AU - Hu C AD - Shanghai Diabetes Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Wang, Niansong AU - Wang N AD - Shanghai Diabetes Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Ren, Wei AU - Ren W AD - Shanghai Diabetes Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Song, Jun AU - Song J AD - Shanghai Diabetes Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Abdul-Ghani, Muhammad AU - Abdul-Ghani M AUID- ORCID: 0000-0003-4556-1787 AD - Diabetes Division, University of Texas Health Science Center, San Antonio, Texas. FAU - DeFronzo, Ralph A AU - DeFronzo RA AD - Diabetes Division, University of Texas Health Science Center, San Antonio, Texas. FAU - Ren, Jimmy AU - Ren J AD - Janssen Pharmaceuticals Inc, Raritan, New Jersey. FAU - Jia, Weiping AU - Jia W AD - Shanghai Diabetes Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China. LA - eng GR - K01 DK098314/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170713 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (Glucose Transporter Type 1) RN - 0 (Glucose Transporter Type 2) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (RNA, Messenger) RN - 0 (SLC2A1 protein, human) RN - 0 (SLC2A2 protein, human) RN - 0 (SLC5A1 protein, human) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 1) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Adult MH - Biopsy MH - Blood Glucose/analysis MH - China MH - Diabetes Mellitus, Type 2/blood/drug therapy/*metabolism/pathology MH - Fasting MH - Female MH - *Gene Expression Regulation/drug effects MH - Glucose Transporter Type 1/genetics/metabolism MH - Glucose Transporter Type 2/genetics/*metabolism MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Kidney/drug effects/*metabolism/pathology MH - Male MH - Postprandial Period MH - RNA, Messenger/*metabolism MH - Reproducibility of Results MH - Sodium-Glucose Transporter 1/genetics/*metabolism MH - Sodium-Glucose Transporter 2/genetics/*metabolism OTO - NOTNLM OT - glucose transporters (GLUT) OT - kidney OT - sodium-glucose co-transporters (SGLT) OT - type 2 diabetes EDAT- 2017/05/10 06:00 MHDA- 2018/05/08 06:00 CRDT- 2017/05/07 06:00 PHST- 2017/02/09 00:00 [received] PHST- 2017/04/18 00:00 [revised] PHST- 2017/04/30 00:00 [accepted] PHST- 2017/05/10 06:00 [pubmed] PHST- 2018/05/08 06:00 [medline] PHST- 2017/05/07 06:00 [entrez] AID - 10.1111/dom.13003 [doi] PST - ppublish SO - Diabetes Obes Metab. 2017 Sep;19(9):1322-1326. doi: 10.1111/dom.13003. Epub 2017 Jul 13.