Target intelligence / Profile preview

Intestinal absorption of glucose

Molecular classification
Transporter (Na+-dependent glucose cotransporter), Transporter (facilitative glucose transporter)
01

Overview

The intestinal absorption of glucose is mainly mediated by Sodium/glucose cotransporter 1 (SGLT1) at low luminal glucose concentrations, with Glucose transporter type 2 (GLUT2) participating in both facilitated diffusion across the basolateral membrane and, at higher glucose concentrations, also the apical membrane of enterocytes[1][2]. SGLT1 is the principal active transporter responsible for the uptake of dietary glucose from the small intestinal lumen into enterocytes, utilizing the sodium gradient as its energy source. At high carbohydrate loads, GLUT2 can be translocated to the apical (brush border) membrane to allow rapid facilitated diffusion of glucose[1][2][4]. Both transporters are implicated in glycemic control and are upregulated in diabetes, making them important therapeutic targets. Inhibitors of SGLT1 are used or under development for the treatment of diabetes mellitus, aiming to reduce intestinal glucose uptake and subsequent hyperglycemia without significant gastrointestinal side effects[1][2].

Other names
Sodium-dependent glucose transporter 1SLC5A1Facilitative glucose transporter member 2SLC2A2
02

Mechanism of action

Inhibition of intestinal glucose absorption by blocking SGLT1. Delay or reduction of postprandial glucose rise. Potential modulation of incretin hormone secretion.

03

Biological functions

Active glucose uptake (SGLT1)Facilitated glucose transport (GLUT2)Regulation of enteroendocrine hormone secretion (GIP, GLP-1)Modulation of energy absorption and glycemic control
04

Disease associations

Type 2 diabetes mellitusType 1 diabetes mellitusGlucose-galactose malabsorptionObesity/metabolic syndromeOther disorders of glycemic homeostasis
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Safety considerations

Potential gastrointestinal side effects (e.g., diarrhea, malabsorption) with potent SGLT1 inhibitionHypoglycemia risk is generally low for SGLT1-specific inhibitors, but broader hypoglycemia risk applies to some dual SGLT1/2 inhibitorsAdaptation of transporter expression in metabolic diseases may affect efficacy
06

Interacting drugs

SGLT1 inhibitors (e.g., sotagliflozin, approved dual SGLT1/2 inhibitors)

1 more in the full profile.

07

Biomarkers

Intestinal SGLT1 and GLUT2 expression/activityPlasma glucose levels following oral glucose tolerance test (OGTT)Levels of incretins (GIP, GLP-1) in response to glucose load

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