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1 1Department of Physiology I, University of Tuebingen, Tuebingen, Germany
2 2Department of Physiology, University of Innsbruck, Innsbruck, Austria
3 3Institute of Physiology and Center for Integrative Human Physiology, University of Zuerich, Zuerich, Switzerland
4 4Department of Biochemistry, University of Dundee, Dundee, United Kingdom
* To whom correspondence should be addressed. E-mail: florian.lang{at}uni-tuebingen.de.
The phosphoinositide dependent kinase PDK1 activates the serum- and glucocorticoid-inducible kinase and protein kinase B isoforms which in turn are known to stimulate the renal and intestinal Na+-dependent glucose transporter SGLT1. The present study has been performed to explore the role of PDK1 in electrogenic glucose transport in small intestine and proximal renal tubules. To this end, mice expressing ~20 % of PDK1 (pdk1hm) were compared to their wild type littermates (pdk1wt). According to Ussing chamber experiments electrogenic glucose transport was significantly smaller in the jejunum of pdk1hm than of pdk1wt mice. Similarly, proximal tubular electrogenic glucose transport in isolated perfused renal tubule segments was decreased in pdk1hm as compared to pdk1wt mice. Intraperitoneal injection of 3 g/kg bw glucose resulted in a similar increase of plasma glucose concentration in pdk1hm and in pdk1wt mice but led to a higher increase of urinary glucose excretion in pdk1hm mice. In conclusion, reduction of functional PDK1 leads to impairment of electrogenic intestinal glucose absorption and renal glucose reabsorption. The experiments disclose a novel element of glucose transport regulation in kidney and small intestine.
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