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Glucose uptake in metabolically active tissues is regulated mainly by facilitative glucose transporters, particularly GLUT4 and GLUT2. GLUT4 is the major insulin-responsive transporter in skeletal muscle and adipose tissue, undergoing translocation to the plasma membrane in response to insulin or contraction, facilitating glucose entry for metabolism[1][3]. GLUT2, a low-affinity, high-capacity transporter, is expressed in hepatocytes, pancreatic beta cells, and the intestines, where it senses glucose levels and regulates insulin secretion and gene expression[2][3]. Increased uptake of glucose analogues (such as ^18F-FDG used in PET scans) reflects heightened metabolic activity, especially in tumors or during disease states like diabetes, where transporter function is often dysregulated[1][4]. The process is a critical determinant of energy metabolism, cell growth, and proliferation, making GLUTs both therapeutic and diagnostic targets.
Facilitation of glucose entry into cells via translocation to plasma membrane (GLUT4, insulin-dependent) High-capacity glucose uptake (GLUT2, concentration-dependent, in liver, pancreas)
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