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. Author manuscript; available in PMC: 2023 May 24.
Published in final edited form as: Curr Diab Rep. 2020 Oct 15;20(11):64. doi: 10.1007/s11892-020-01342-8

Table 1.

An overview of tissue-specific fructose metabolism

Importance Organ Amount of fructose metabolized Primary Fructose Transporters Secondary Fructose Transporters First Enzyme of Metabolism Second Enzyme of Metabolism Third Enzyme of Metabolism Metabolism Regulated by
Primary sites of metabolism Intestine 20% GLUT 5
GLUT 2*
GLUT 7
GLUT 9
KHK-C ALDOB TKFC HIF1a
TXNIP
ChREBP
Liver 50–70% GLUT 2
GLUT8*
GLUT 5
GLUT 9
KHK-C ALDOB TKFC Hypoxia
Uric acid
ChREBP
Kidney 20% GLUT 5
SGLT 5
GLUT 2
SGLT 4
KHK-C ALDOB TKFC HIF1a
Uric acid
Dehydration
Inducible metabolism Adipose 0–20% GLUT 5 - HK2
KHK-A
ALDOC - Hypoxia
LXR agonists
Glucocorticoid
Muscle Inducible GLUT 5 - HK2
KHK-A
ALDOA - High Fructose
Chronic
Insulin Tx
Affects organ function Pancreas Minimal GLUT 2 T1R2# HK1
KHK-A
ALDOB * - -
Brain Endogenous production GLUT 5 GLUT 1 HK1
KHK-A
ALDOC - Ischemia
Microglia stress
Metabolism by other tissues Testes Endogenous production GLUT 5 - KHK-A - TKFC -
RBC Minimal GLUT 5 - FN3K ALDOA - -
Lense Endogenous production - - FN3K - - -
“*”

denotes less important contribution;

“-”

indicates the data was not found in the literature;

“#”

stands for sweet taste receptor, not a transporter;

GLUT glucose transporter; SGLT5 sodium glucose cotransporter; KHK ketohexokinase; HK hexokinase; FN3K fructosamine 3 kinase; T1R2 taste receptor type 1 member 2; Aldo aldolase; TKFC triokinase; RBC red blood cells; HIF1a hypoxia-inducible factor 1a; TXNIP thioredoxin-interacting protein; ChREBP carbohydrate response element-binding protein; LXR liver X receptor