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Am J Physiol Endocrinol Metab (February 17, 2009). doi:10.1152/ajpendo.00004.2009
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Submitted on January 5, 2009
Revised on February 6, 2009
Accepted on February 9, 2009

GLUT2 mutations, translocation and receptor function in diet-sugar managing

Armelle Leturque1*, Edith Brot-Laroche2, and Maude Le Gall3

1 Centre de recherche des Cordeliers, Inserm UMR S 872
2 Centre de recherche des Cordeliers, Inserm 872
3 Centre de Recherche des Cordeliers, Inserm 872

* To whom correspondence should be addressed. E-mail: armelle.leturque{at}crc.jussieu.fr.

Cloned 20 years ago, GLUT2 is a facilitative glucose transporter in the liver, pancreas, intestine, kidney and brain. It ensures large bidirectional fluxes of glucose in and out the cell due to its low affinity and high capacity. It also transports other dietary sugars, such as fructose and galactose, within the range of physiological concentrations. Sugars and hormones regulate its gene expression. The contribution of GLUT2 to human metabolic diseases previously appeared modest. However, in the past decade, three major features of the GLUT2 protein have been revealed. First, GLUT2 mutations cause the severe but rare Fanconi-Bickel syndrome, mainly characterized by glycogenosis. Recently, a GLUT2 polymorphism has been associated with preferences for sugary food. Second, the GLUT2 location at the cell surface is regulated; this governs cellular activities dependent on glucose in the intestine, and possibly those in the liver and pancreas. For instance, GLUT2 translocation from an intracellular pool to apical membrane after a sugar meal transiently increases sugar uptake by enterocytes (reviewed in 32). Third, GLUT2 functions as a membrane receptor of sugar. Independently of glucose metabolism, GLUT2 detects the presence of extracellular sugar and transduces a signal to modulate cell functions, including ß cell insulin secretion, renal reabsorption and intestinal absorption, according to the sugar environment. These recent developments are examined here in heath and metabolic disease, highlighting various unanswered questions.




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