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Solute carrier family 2, facilitated glucose transporter member 1 (GLUT1) (GLUT1)

Target
GLUT1
Molecular classification
Transporter, Solute carrier family, Facilitative glucose transporter family, Major facilitator superfamily (MFS)
01

Overview

Solute carrier family 2, facilitated glucose transporter member 1, commonly referred to as the hexose transport protein or GLUT1, is a transmembrane uniporter responsible for the facilitative movement of glucose across plasma membranes down its concentration gradient. It is highly expressed in erythrocytes and at the blood-brain barrier, ensuring a constant supply of glucose to the central nervous system and other high-demand tissues. In many malignancies, GLUT1 is markedly upregulated as part of the Warburg effect to sustain the high glycolytic flux required for rapid tumor proliferation and survival under hypoxic conditions. Due to its critical role in cancer metabolism, GLUT1 is a focal point for the development of small-molecule inhibitors aimed at starving tumor cells of their primary energy source. However, the essential nature of GLUT1 in brain energy metabolism presents a significant therapeutic challenge regarding selectivity and neurotoxicity. Beyond oncology, mutations in the SLC2A1 gene lead to GLUT1 deficiency syndrome (De Vivo disease), a condition characterized by seizures and developmental delay which is primarily managed through ketogenic diets to provide the brain with alternative metabolic fuels.

Other names
Hexose transport proteinGlucose transporter 1GLUT-1SLC2A1Erythrocyte/brain-type glucose transporterHepG2 glucose transporter
02

Mechanism of action

Small-molecule inhibitors typically bind to the transporter in either its inward-facing or outward-facing conformation, competitively or non-competitively blocking the binding site and preventing the translocation of hexose sugars across the cell membrane.

03

Biological functions

Facilitative glucose transportGalactose transportDehydroascorbic acid transportBasal glucose uptakeBlood-brain barrier nutrient transportGlucose homeostasis
04

Disease associations

Cancer (various solid tumors)GLUT1 deficiency syndrome (De Vivo disease)Alzheimer's diseaseType 2 diabetesInflammationIschemia
05

Safety considerations

Neurotoxicity due to impaired brain glucose uptakeHypoglycorrhachiaSystemic hypoglycemiaImpaired erythrocyte functionSelectivity challenges against other GLUT isoforms (e.g., GLUT2, GLUT3)
06

Interacting drugs

BAY-876

9 more in the full profile.

07

Biomarkers

GLUT1 protein expression (IHC)SLC2A1 gene mutation statusFDG-PET (Fluorodeoxyglucose-Positron Emission Tomography) signalCerebrospinal fluid (CSF) glucose levels (Hypoglycorrhachia)Lactate-to-pyruvate ratio

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