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保留甜蜜:健康与疾病状态下的肾脏葡萄糖处理

Saving the sweetness: renal glucose handling in health and disease.

作者信息

Shepard Blythe D, Pluznick Jennifer L

机构信息

Department of Physiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Department of Physiology, Johns Hopkins University School of Medicine, Baltimore, Maryland

出版信息

Am J Physiol Renal Physiol. 2017 Jul 1;313(1):F55-F61. doi: 10.1152/ajprenal.00046.2017. Epub 2017 Mar 29.

Abstract

Glucose homeostasis is highly controlled, and the function of the kidney plays an integral role in this process. The exquisite control of blood glucose relies, in part, on renal glucose filtration, renal glucose reabsorption, and renal gluconeogenesis. Particularly critical to maintaining glucose homeostasis is the renal reabsorption of glucose; with ~162 g of glucose filtered by the kidney per day, it is imperative that the kidney have the ability to efficiently reabsorb nearly 100% of this glucose back in the bloodstream. In this review, we focus on this central process, highlighting the renal transporters and regulators involved in both the physiology and pathophysiology of glucose reabsorption.

摘要

葡萄糖稳态受到高度调控,肾脏功能在这一过程中发挥着不可或缺的作用。血糖的精确调控部分依赖于肾脏的葡萄糖滤过、肾脏葡萄糖重吸收和肾脏糖异生。对维持葡萄糖稳态尤为关键的是肾脏对葡萄糖的重吸收;肾脏每天滤过约162克葡萄糖,因此肾脏必须有能力将几乎100%的葡萄糖有效地重吸收回血液中。在本综述中,我们聚焦于这一核心过程,重点介绍参与葡萄糖重吸收生理和病理生理过程的肾脏转运体和调节因子。

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