PMID- 37762353 OWN - NLM STAT- MEDLINE DCOM- 20231004 LR - 20231004 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 18 DP - 2023 Sep 13 TI - Regulation of Transporters for Organic Cations by High Glucose. LID - 10.3390/ijms241814051 [doi] LID - 14051 AB - Endogenous positively charged organic substances, including neurotransmitters and cationic uremic toxins, as well as exogenous organic cations such as the anti-diabetic medication metformin, serve as substrates for organic cation transporters (OCTs) and multidrug and toxin extrusion proteins (MATEs). These proteins facilitate their transport across cell membranes. Vectorial transport through the OCT/MATE axis mediates the hepatic and renal excretion of organic cations, regulating their systemic and local concentrations. Organic cation transporters are part of the remote sensing and signaling system, whose activity can be regulated to cope with changes in the composition of extra- and intracellular fluids. Glucose, as a source of energy, can also function as a crucial signaling molecule, regulating gene expression in various organs and tissues. Its concentration in the blood may fluctuate in specific physiological and pathophysiological conditions. In this work, the regulation of the activity of organic cation transporters was measured by incubating human embryonic kidney cells stably expressing human OCT1 (hOCT1), hOCT2, or hMATE1 with high glucose concentrations (16.7 mM). Incubation with this high glucose concentration for 48 h significantly stimulated the activity of hOCT1, hOCT2, and hMATE1 by increasing their maximal velocity (V(max)), but without significantly changing their affinity for the substrates. These effects were independent of changes in osmolarity, as the addition of equimolar concentrations of mannitol did not alter transporter activity. The stimulation of transporter activity was associated with a significant increase in transporter mRNA expression. Inhibition of the mechanistic target of rapamycin (mTOR) kinase with Torin-1 suppressed the transporter stimulation induced by incubation with 16.7 mM glucose. Focusing on hOCT2, it was shown that incubation with 16.7 mM glucose increased hOCT2 protein expression in the plasma membrane. Interestingly, an apparent trend towards higher hOCT2 mRNA expression was observed in kidneys from diabetic patients, a pathology characterized by high serum glucose levels. Due to the small number of samples from diabetic patients (three), this observation must be interpreted with caution. In conclusion, incubation for 48 h with a high glucose concentration of 16.7 mM stimulated the activity and expression of organic cation transporters compared to those measured in the presence of 5.6 mM glucose. This stimulation by a diabetic environment could increase cellular uptake of the anti-diabetic drug metformin and increase renal tubular secretion of organic cations in an early stage of diabetes. FAU - Steinbuchel, Martin AU - Steinbuchel M AD - Experimental Nephrology, Department of Internal Medicine D, University Hospital Munster, 48149 Munster, Germany. FAU - Menne, Johannes AU - Menne J AD - Experimental Nephrology, Department of Internal Medicine D, University Hospital Munster, 48149 Munster, Germany. FAU - Schroter, Rita AU - Schroter R AD - Experimental Nephrology, Department of Internal Medicine D, University Hospital Munster, 48149 Munster, Germany. FAU - Neugebauer, Ute AU - Neugebauer U AD - Experimental Nephrology, Department of Internal Medicine D, University Hospital Munster, 48149 Munster, Germany. FAU - Schlatter, Eberhard AU - Schlatter E AD - Experimental Nephrology, Department of Internal Medicine D, University Hospital Munster, 48149 Munster, Germany. FAU - Ciarimboli, Giuliano AU - Ciarimboli G AUID- ORCID: 0000-0002-4365-3656 AD - Experimental Nephrology, Department of Internal Medicine D, University Hospital Munster, 48149 Munster, Germany. LA - eng GR - CI107/11-1-2 and CI107/14-1/Deutsche Forschungsgemeinschaft/ PT - Journal Article DEP - 20230913 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Organic Cation Transport Proteins) RN - 0 (Organic Cation Transporter 2) RN - 9100L32L2N (Metformin) RN - 0 (Cations) RN - 0 (RNA, Messenger) SB - IM MH - Humans MH - *Organic Cation Transport Proteins/metabolism MH - Organic Cation Transporter 2/genetics MH - *Metformin/pharmacology/metabolism MH - Cations/metabolism MH - RNA, Messenger PMC - PMC10531077 OTO - NOTNLM OT - diabetes OT - glucose OT - organic cation transporters OT - regulation COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2023/09/28 06:43 MHDA- 2023/10/04 06:43 PMCR- 2023/09/13 CRDT- 2023/09/28 01:18 PHST- 2023/08/01 00:00 [received] PHST- 2023/09/08 00:00 [revised] PHST- 2023/09/11 00:00 [accepted] PHST- 2023/10/04 06:43 [medline] PHST- 2023/09/28 06:43 [pubmed] PHST- 2023/09/28 01:18 [entrez] PHST- 2023/09/13 00:00 [pmc-release] AID - ijms241814051 [pii] AID - ijms-24-14051 [pii] AID - 10.3390/ijms241814051 [doi] PST - epublish SO - Int J Mol Sci. 2023 Sep 13;24(18):14051. doi: 10.3390/ijms241814051.