United European Gastroenterol J. 2014 Feb;2(1):14-21. doi: 10.1177/2050640613505279.
Fructose transporters GLUT5 and GLUT2 expression in adult patients with fructose intolerance.
United European gastroenterology journal
Clive H Wilder-Smith, Xinhua Li, Sherry Sy Ho, Sai Mun Leong, Reuben K Wong, Evelyn Sc Koay, Ronaldo P Ferraris
Affiliations
Affiliations
- Brain-Gut Research Group, Bern, Switzerland ; Neurogastroenterology Unit, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
- Neurogastroenterology Unit, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore.
- Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, Singapore.
- Molecular Diagnosis Centre, Department of Laboratory Medicine, National University Hospital, Singapore ; Department of Pathology, Yong Loo Lin School of Medicine, National University of Singapore.
- Department of Pharmacology & Physiology, UMDNJ - New Jersey Medical School, Newark, USA.
PMID: 24918004
PMCID: PMC4040801 DOI: 10.1177/2050640613505279
Abstract
BACKGROUND: Gastrointestinal symptoms and malabsorption following fructose ingestion (fructose intolerance) are common in functional gastrointestinal disorders (FGID). The underlying mechanism is unclear, but is hypothesized to be related an abnormality of intestinal fructose transporter proteins.
OBJECTIVE: To assess the expression of the main intestinal fructose transporter proteins, glucose transport protein 5 (GLUT5) and 2 (GLUT2), in FGID.
METHODS: The expression of GLUT5 and GLUT2 protein and mRNA in small intestinal biopsy tissue was investigated using real-time reverse-transcription PCR and Western immunoblotting in 11 adults with FGID and fructose intolerance ascertained by breath testing and in 15 controls.
RESULTS: Median expression levels of GLUT5 mRNA normalized to beta-actin were 0.18 (interquartile range, IQR, 0.13-0.21) in patients and 0.17 (IQR 0.12-0.19) in controls (p > 0.05). Respective levels of GLUT2 mRNA were 0.26 (IQR 0.20-0.31) and 0.26 (IQR 0.19-0.31) (p > 0.05). Median expression levels of GLUT5 protein normalized to alpha-tubulin were 0.95 (IQR 0.52-1.68) in patients and 0.95 (IQR 0.59-1.15) in controls (p > 0.05). Respective protein expression levels for GLUT2 were 1.56 (IQR 1.06-2.14) and 1.35 (IQR 0.96-1.79) (p > 0.05).
CONCLUSIONS: Human fructose intolerance may not be associated with marked changes in GLUT5 and GLUT2 expression. Replication of these results in a larger subject group, including measures of transporter activation and membrane and subcellular localization, is warranted.
Keywords: FODMAP; GLUT2; GLUT5; fructose intolerance; fructose transporters; irritable bowel syndrome; malabsorption; visceral pain
References
- J Nutr Biochem. 2004 Oct;15(10):630-7 - PubMed
- Clin Gastroenterol Hepatol. 2007 Aug;5(8):959-63 - PubMed
- J Clin Gastroenterol. 2011 Jan;45(1):16-21 - PubMed
- Eur J Clin Invest. 2008 Aug;38(8):541-7 - PubMed
- Aliment Pharmacol Ther. 2010 Apr;31(8):892-900 - PubMed
- Am J Physiol Gastrointest Liver Physiol. 2005 Jun;288(6):G1310-20 - PubMed
- Neurosci Biobehav Rev. 2012 Jan;36(1):310-40 - PubMed
- Gut. 2013 Jan;62(1):159-76 - PubMed
- World J Gastroenterol. 2011 Oct 21;17(39):4434-9 - PubMed
- Am J Clin Nutr. 2011 Sep;94(3):726-34 - PubMed
- Dig Liver Dis. 2009 Dec;41(12):844-9 - PubMed
- Biochim Biophys Acta. 2003 Jun 10;1612(2):178-85 - PubMed
- Am J Physiol Regul Integr Comp Physiol. 2007 Feb;292(2):R862-7 - PubMed
- J Gastrointest Surg. 2012 Feb;16(2):312-9; discussion 319 - PubMed
- Am J Gastroenterol. 2010 Aug;105(8):1726-8 - PubMed
- Nat Rev Gastroenterol Hepatol. 2010 Mar;7(3):163-73 - PubMed
- Am J Physiol Endocrinol Metab. 2008 Aug;295(2):E225-6 - PubMed
- Curr Opin Pharmacol. 2011 Dec;11(6):586-92 - PubMed
- Aliment Pharmacol Ther. 2013 Jun;37(11):1074-83 - PubMed
- Aliment Pharmacol Ther. 2009 Jul 1;30(2):165-74 - PubMed
- Am J Physiol Gastrointest Liver Physiol. 2002 Feb;282(2):G241-8 - PubMed
- J Clin Invest. 1996 Nov 15;98(10):2398-402 - PubMed
- J Nutr. 2009 Jun;139(6):1228S-1235S - PubMed
- FASEB J. 2012 Feb;26(2):707-21 - PubMed
- Nutr Rev. 2013 May;71(5):300-9 - PubMed
- J Physiol. 2003 Nov 1;552(Pt 3):823-32 - PubMed
- Gut. 1986 Oct;27(10):1161-8 - PubMed
- J Physiol. 2004 Oct 1;560(Pt 1):281-90 - PubMed
- Am J Physiol Endocrinol Metab. 2008 Aug;295(2):E227-37 - PubMed
- Am J Physiol Gastrointest Liver Physiol. 2011 Feb;300(2):G202-6 - PubMed
- J Biol Chem. 2009 Feb 20;284(8):5056-66 - PubMed
- J Physiol. 2013 Jan 15;591(2):401-14 - PubMed
- Am J Clin Nutr. 1993 Nov;58(5 Suppl):737S-747S - PubMed
- Am J Physiol. 1992 Mar;262(3 Pt 1):C795-800 - PubMed
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