2002
DOI: 10.1007/s00431-002-0939-3
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Facilitated glucose transporter protein type 1 (GLUT1) deficiency syndrome: impaired glucose transport into brain – a review

Abstract: this treatable condition should be suspected in children with unexplained neurological disorders associated with epilepsy and developmental delay and confirmed by a lumbar puncture.

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Cited by 160 publications
(143 citation statements)
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“…The mammalian homologue GLUT1, which is found in erythrocytes and the epithelial cells that form the bloodbrain barrier, mediates the majority uptake of glucose into brain through the blood-brain barrier [19]. GLUT1-deficiency syndrome (GLUT1DS), which results in an inadequate energy supply to brain, manifests as delayed neurological development and other neurological problems [20,21].…”
mentioning
confidence: 99%
“…The mammalian homologue GLUT1, which is found in erythrocytes and the epithelial cells that form the bloodbrain barrier, mediates the majority uptake of glucose into brain through the blood-brain barrier [19]. GLUT1-deficiency syndrome (GLUT1DS), which results in an inadequate energy supply to brain, manifests as delayed neurological development and other neurological problems [20,21].…”
mentioning
confidence: 99%
“…2). However, there appears to be no correlation between 3-OMG uptake values in erythrocytes and phenotypic severity (Klepper et al, 2002;Wang et al, 2005 Zonisamide is a broad-spectrum antiepileptic drug that has been used to treat patients with partial or generalized seizures (Ohtahara, 2006). Although several antiepileptic drugs have been shown to inhibit GLUT1 function, the effects of zonisamide on GLUT1 function remained to be elucidated.…”
Section: Discussionmentioning
confidence: 99%
“…A ketogenic diet has been suggested as the treatment for patients with GLUT1 deficiency syndrome because ketones enter the brain independent of GLUT1-mediated transport and serve as an alternative fuel for the brain (De Vivo et al, 1991;Nordli and De Vivo, 1997;Klepper and Voit, 2002). Although the ketogenic diet may effectively control the seizures, a subgroup of patients requires add-on anticonvulsant therapy.…”
Section: Introductionmentioning
confidence: 99%
“…The GLUT family includes 12 genes encoding 12 GLUT proteins (Vannucci et al, 1997;Klepper and Voit, 2002). Various members of this membrane protein family have been detected in brain (GLUT-1, GLUT-3 and GLUT-5), but the initial glucose transport step across the BBB is mediated exclusively by the facilitative glucose transporter protein type 1 (GLUT-1) (Lund-Andersen, 1979;Pardridge et al, 1990;Klepper and Voit, 2002). Important to note is the fact that despite such facilitative transport mechanism, the actual concentration of glucose in brain is lower than it is in structures lacking a barrier, e.g.…”
Section: Glucose Transportmentioning
confidence: 99%