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1 Department of Veterinary Preclinical Sciences, The University of Liverpool, Liverpool L69 7ZJ; and 2 Department of Medicine, Royal Liverpool University Hospital, Liverpool L7 8XP, United Kingdom
Noninsulin-dependent diabetes
mellitus (NIDDM) is an increasingly common disease, which brings
a number of life-threatening complications. In rats with experimentally
induced diabetes, there is an increase in the capacity of the intestine
to absorb monosaccharides. We have examined the activity and the
expression of monosaccharide transporters in the intestine of patients
suffering from NIDDM. Na+-dependent D-glucose
transport was 3.3-fold higher in brush-border membrane (BBM) vesicles
isolated from duodenal biopsies of NIDDM patients compared with healthy
controls. Western analysis indicated that SGLT1 and GLUT5 protein
levels were also 4.3- and 4.1-fold higher in diabetic patients. This
was associated with threefold increases in SGLT1 and GLUT5 mRNA
measured by Northern blotting. GLUT2 mRNA levels were also increased
threefold in the intestine of diabetic patients. Analysis of other BBM
proteins indicated that the activity and abundance of sucrase and
lactase were increased by 1.5- to 2-fold and the level of the
structural proteins villin and
-actin was enhanced 2-fold in
diabetic patients compared with controls. The increase in the capacity
of the intestine to absorb monosaccharides in human NIDDM is due to a
combination of intestinal structural change with a specific increase in
the expression of the monosaccharide transporters SGLT1, GLUT5, and GLUT2.
noninsulin-dependent diabetes mellitus; SGLT1; GLUT5; GLUT2; human intestine
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