2021
DOI: 10.3390/nu13072474
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Mechanisms of Glucose Absorption in the Small Intestine in Health and Metabolic Diseases and Their Role in Appetite Regulation

Abstract: The worldwide prevalence of metabolic diseases such as obesity, metabolic syndrome and type 2 diabetes shows an upward trend in recent decades. A characteristic feature of these diseases is hyperglycemia which can be associated with hyperphagia. Absorption of glucose in the small intestine physiologically contributes to the regulation of blood glucose levels, and hence, appears as a putative target for treatment of hyperglycemia. In fact, recent progress in understanding the molecular and cellular mechanisms o… Show more

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Cited by 52 publications
(45 citation statements)
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“…There is no data on the exact metabolic and absorptive capacity for d -galactose in individual segments of the rat small intestine and the assumption of saturated metabolic and absorptive capacity remains only hypothetical. Nevertheless, given the very large concentrations (0.55 M) administered and the fact that active transport of glucose (mediated by the same mechanism) becomes saturated at “high luminal concentrations” greater than 30 mM [ 44 ], we consider oversaturation highly plausible.…”
Section: Discussionmentioning
confidence: 99%
“…There is no data on the exact metabolic and absorptive capacity for d -galactose in individual segments of the rat small intestine and the assumption of saturated metabolic and absorptive capacity remains only hypothetical. Nevertheless, given the very large concentrations (0.55 M) administered and the fact that active transport of glucose (mediated by the same mechanism) becomes saturated at “high luminal concentrations” greater than 30 mM [ 44 ], we consider oversaturation highly plausible.…”
Section: Discussionmentioning
confidence: 99%
“…SGLT1 and GLUT2 are major intestinal glucose transporters [ 31 ]. SGLT1 plays the dominant role in glucose absorption when glucose concentration is less than 30 mM, while GLUT2 makes the main contribution when glucose concentration is above 30 mM after food intake [ 3 ]. Translocation of GLUT2 from cytoplasm to BBM mediates massive glucose absorption, while internalization of GLUT2 from BBM to cytoplasm prevents postprandial hyperglycemia, which constitutes a dynamic balance [ 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…Luminal glucose is transported into epithelial cells through SGLT1 in the brush border membrane (BBM) and transported from intestinal epithelial cells to mesenteric vein through GLUT2 in the basolateral membrane (BLM) when the luminal concentration of glucose is lower than 30 mmol/L. However, with higher concentration of luminal glucose in postprandial condition, cytoplastic GLUT2 is translocated to BBM rapidly and transports glucose by facilitated diffusion, and thus, GLUT2-mediated glucose diffusion becomes the dominant approach of glucose absorption after meals [ 3 ]. Insulin and other hormones that promote secretion of insulin are upregulated; with increased blood glucose, insulin acts as a limiter of intestinal glucose absorption through internalizing GLUT2 from BBM to cytoplasm [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…There is no data on the exact metabolic and absorptive capacity for D-galactose in individual segments of the rat small intestine and the assumption of saturated metabolic and absorptive capacity remains only hypothetical. Nevertheless, given the very large concentrations (0.55 M) administered and the fact that active transport of glucose (mediated by the same mechanism) becomes saturated at "high luminal concentrations" greater than 30 mM glucose [51], we consider oversaturation highly plausible.…”
Section: Discussionmentioning
confidence: 99%