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Sodium-dependent glucose co-transporter 2 (SGLT2), also known as SLC5A2, is a membrane protein highly expressed in the renal proximal convoluted tubules, where it mediates active reabsorption of filtered glucose from the glomerular filtrate back into the bloodstream using the sodium electrochemical gradient[2][4][5]. SGLT2 has a single sodium:glucose stoichiometry and is the primary renal transporter responsible for the majority of glucose reuptake in humans. Pharmacological inhibition of SGLT2, by drugs termed "gliflozins," lowers blood glucose by increasing its urinary excretion and is used therapeutically in the treatment of type 2 diabetes, with additional cardiovascular and renal protective effects[2][5]. SGLT2 inhibition is associated with side effects related to increased urinary glucose, such as infections and rare metabolic complications[4].
SGLT2 inhibitors block glucose reabsorption in the renal proximal tubule, increasing urinary glucose excretion and lowering blood glucose[2][4][5]. - Some inhibitors also inhibit SGLT1 (dual SGLT1/2 inhibitors like sotagliflozin)[5].
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