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Solute carrier family 2, facilitated glucose transporter member 9 (SLC2A9 (also known as GLUT9))

Target
SLC2A9 (also known as GLUT9)
Molecular classification
Transporter, Solute carrier family transporter, Facilitated glucose transporter
01

Overview

Solute carrier family 2, facilitated glucose transporter member 9 (SLC2A9, also known as GLUT9), is a high-capacity urate transporter primarily expressed in the renal proximal tubules and other tissues[3][4][6]. Although initially identified due to its homology with glucose transporters, SLC2A9 has a strong preference for urate over glucose and fructose, acting as the main pathway for returning urate from renal tubular cells to plasma and thus regulating serum uric acid levels[1][2][3][4]. Mutations or alterations in SLC2A9 expression can result in either hypouricemia (with risk of kidney stones and exercise-induced symptoms) or hyperuricemia (predisposing to gout and nephrolithiasis)[5]. Recent structural studies have detailed the substrate-binding mode, revealed how certain inhibitors such as apigenin can block urate transport, and highlighted the role of disease-associated mutations in transporter function—making SLC2A9 a promising therapeutic target for diseases of uric acid dysregulation, most notably gout and related disorders[1][2][4].

Other names
GLUT9Glucose transporter 9Solute carrier family 2 member 9SLC2A9a (splice variant)SLC2A9b (splice variant)
02

Mechanism of action

Inhibitors block urate binding/transport through competitive occupation of the substrate binding site or allosteric modulation[1] Modulating SLC2A9 activity alters plasma uric acid concentration by influencing renal reabsorption and efflux of urate[2][4][5]

03

Biological functions

Renal reabsorption and excretion of urateMaintaining urate homeostasis in plasmaAntioxidant regulation (by modulating urate levels)Glucose and fructose transport (with much lower efficiency than urate)
04

Disease associations

GoutHyperuricemiaKidney stone formationRenal hypouricemiaDiabetes (indirect role, due to glucose/urate transport linkage)
05

Safety considerations

Inhibition or loss-of-function risk: excessive urate loss, renal hypouricemia, nephrolithiasis (kidney stones), possible exercise-induced symptoms[5]Gain-of-function or reduced clearance: raised urate levels, increased risk of gout and urate crystal deposition, possible cardiovascular and renal complications[5]
06

Interacting drugs

Apigenin (API; inhibits SLC2A9 function)[1]

1 more in the full profile.

07

Biomarkers

SLC2A9 gene variants as biomarkers for gout and serum urate levels[3][5]Urate levels (for functional assessment of transporter activity)[3][5]

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