Figure 1.
Glucose reabsorption in the renal proximal tubule. The basolateral Na+/K+ ATPase pumps Na+ out and K+ into the cell to establish an inward Na+ gradient. This gradient is used for Na+ and glucose co-transport across the luminal brush border of the early proximal tubule through SGLT2, and the glucose is passively returned via GLUT2 to the interstitium/bloodstream. In the late proximal tubule, SGLT1 is responsible for ‘mopping up’ remaining luminal glucose, while the role of basolateral GLUT1-facilitated glucose transport in this segment remains unclear. Apical efflux of K+ maintains the electrogenic gradient.
Na+/K+ ATPase: sodium potassium adenosine triphosphatase active transporter; SGLT: sodium-dependent glucose transporter; GLUT: facilitative glucose transporter.