![]() |
|
|
Department of Pharmacology and Physiology, University of Medicine and Dentistry of New Jersey (UMDNJ)New Jersey Medical School, Newark, NJ 07103-2714
* To whom correspondence should be addressed. E-mail: ferraris{at}umdnj.edu.
| ABSTRACT |
|---|
|
|
|---|
| Introduction |
|---|
|
|
|---|
We identified by microarray fructose-1,6-bisphosphatase (FBPase) and glucose-6-phosphatase (G6Pase) as fructose-responsive genes, paralleling fructose-induced changes in GLUT5 (5). Hence, we hypothesized that products of these enzymes may serve as key intermediary signals in the fructose-induced activation of the GLUT5 mRNA level and activity in neonatal rat small intestine. FBPase is a highly regulated enzyme that catalyzes the second-to-last step in gluconeogenesis, preceding G6Pase in the metabolic pathway. FBPase is acutely regulated by fructose-2,6-bisphosphate, a product of the bifunctional enzyme 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase. Years ago, Korieh and Crouzoulon (6) found that a high fructose diet increases rat hepatic and intestinal FBPase activities. G6Pase is a multicomponent enzyme that is tightly associated with the endoplasmic reticulum (ER) membrane: glucose-6-phosphate (G6P) hydrolysis involves a glucose-6-phosphate translocase (G6PT) protein, which transports G6P from the cytosol across the ER, and a glucose-6-phosphatase catalytic subunit (G6Pase) located on the luminal side of the ER (7). A high fructose diet increases rat hepatic G6Pase gene expression and activities as well as G6Pase activities in the intestine (6,8,9). Fructose perfusion also increases intestinal G6Pase mRNA levels, which is an increase known to precede fructose-induced increases in GLUT5 expression (5).
In light of the increasing incidence of fructose-induced metabolic syndromes, the effect of fructose on intestinal G6Pase and FBPase may be critically important because intestinal gluconeogenesis, previously thought of as insignificant relative to renal and hepatic gluconeogenesis, may actually contribute to the total endogenous production of glucose (7). Moreover, G6Pase likely plays a key role in this process (10). Although the existence of intestinal gluconeogenesis remains controversial even in neonates, the expression of gluconeogenic enzymes in the intestine is still high at this stage of development (11). We hypothesize that the gluconeogenic enzymes G6Pase and/or FBPase may regulate GLUT5 gene expression and fructose transport in the small intestine of neonatal rats. To evaluate the role of gluconeogenesis in the fructose-induced increase in GLUT5 expression, we used 2 potent inhibitors of gluconeogenesis: sodium orthovanadate (vanadate, V) (12) and sodium tungstate (tungstate, T) (13).
| Materials and Methods |
|---|
|
|
|---|
Perfusion model. The rat intestinal perfusion procedure was conducted following the method of Jiang and Ferraris (4). The small intestine was continuously perfused with sugar solution (100 mmol/L fructose or glucose in KRB ± inhibitor) at a rate of 30 mL/h at 37°C for 4 h. Composition of the perfusion solution was as follows (in mmol/L): 78 NaCl, 4.7 KCl, 2.5 CaCl2·5H2O, 1.2 MgSO4, 19 NaHCO3, 2.2 KH2CO3, and 100 mmol/L glucose or fructose (± 2 mmol/L inhibitor). Rat pups were kept under continuous anesthesia. The perfusion duration and sugar concentration were based on previous findings (4,14). Rats were killed by a lethal euthasol injection into the heart. Jejunal samples were collected for determinations of sugar uptake rates. Mucosal scrapes of intestine were quickly frozen in liquid nitrogen and then stored at 80°C for subsequent determinations of enzyme activities and mRNA levels.
Fructose and glucose uptake measurements. After perfusion, everted jejunum sleeves were prepared as previously described (4) and incubated at 37°C in an oxygenated, stirred (1,200 rpm) solution containing either [D-14C]-labeled glucose for 1 minute or [D-14C]-labeled fructose for 2 min (Perkin Elmer). [L-3H]-labeled glucose was also added to correct for adherent fluid and passive diffusion of glucose and fructose. Results were expressed as nmol/mg wet weight of intestine.
Total RNA extraction and processing. Total RNA was extracted using the TRIzol reagent (GIBCO-BRL). Total RNA samples were treated by RQ1 RNase-Free DNase prior to RT-PCR (Promega), to avoid genomic DNA amplification. cDNA was generated from 1µg DNase-treated RNA using SuperScript III RNase H-Reverse Transcriptase (Invitrogen). The samples were then stored at 20°C for subsequent relative quantification of specific mRNA levels by real-time PCR.
Gene expression levels by real-time PCR.
Real-time PCR was performed in the MX 3000P (Stratagene). Quantitative PCRs were performed on 10 µL of the RT reaction mixture using the Brilliant SYBR Green QPCR Master Mix (Stratagene). The total volume of the PCR was 25 µL, and contained 100 nmol/L of primers chosen with the primer3 tool web site (15) (Supplemental Table 1). Thermal cycling was initiated with incubation at 95°C for 10 min for SureStart Taq DNA polymerase activation. Forty steps of PCR were performed; each step consisted of heating the mixture at 95°C for 30 s for denaturing, at 59°C for 30 s for annealing, and 1 min for extension. Following the final cycle of the PCR, melting curves were systematically monitored (55°C temperature gradient at 0.05°C/s from 55 to 95°C). Serial dilutions of cDNAs generated from selected samples that expressed target genes at a suitable level were used to generate a standard curve for each target gene and the chosen reference gene transcript [housekeeping gene
-elongation factor 1(EF1
)] to evaluate PCR efficiency. Relative quantification of the target gene transcript (G6Pase, G6PT, FBPase, SGLT1 or GLUT5), in comparison with EF1
expression level in the same sample, was made following the method by Pfaffl et al. (16).
Enzyme activities. The assay of intestinal G6Pase activity was based on the specific inactivation of the enzyme upon brief exposure to an acidic pH at 37°C (17). Rat intestine scrapes were homogenized in Hepes 10 mmol/L, DTT 1 mmol/L, and saccharose 0.25 mol/L. One-half of each homogenate was brought to pH 4.5 by the adding 1 mol/L HCl and incubating for 10 min at 37°C to assay for nonspecific phosphohydrolase activity. The pH was then neutralized to 7.0 by adding 1 mol/L NaOH. Treated and nontreated microsomes were prepared and G6Pase activities assayed as previously described (18). Nonspecific alkaline phosphatase activities were assayed using the same protocol and were found to be negligible. FBPase activity assays were performed on the cytosolic fraction as previously described (18). All enzyme activities were expressed as per mg of protein. Protein concentration was determined using a Bio Rad protein assay kit (Bio Rad) with bovine serum albumin as standard. One unit of the enzyme activity was defined as the amount of enzyme that catalyzed the hydrolysis of 1 µmol of substrate under the specified conditions (37°C).
Statistical analyses. Data are presented as means ± SEM. A 2-way ANOVA was first used to determine the difference of relative mRNA abundance among groups with different treatments. If there was a significant difference, Fisher's paired least significant difference (LSD) test was used to determine the particular effect that caused that difference (STATVIEW, Abacus Concepts). Differences were considered significant, P < 0.05.
| Results |
|---|
|
|
|---|
|
|
Effect of vanadate and tungstate on SGLT1. The SGLT1 mRNA abundance between HG- and HF-perfused intestines did not differ (Tables 1 and 2). Vanadate and tungstate each had no effect on SGLT1 expression in both HG- and HF-perfused intestines. Glucose uptake rate between the HG- and HF-perfused intestine did not differ. Vanadate but not tungstate markedly reduced (P < 0.0001) glucose uptake in both HG- and HF-perfused intestine.
Effect of vanadate and tungstate on GLUT5.
Compared with HG-perfused intestine, fructose perfusion markedly increased GLUT5 mRNA abundance by >400% (P < 0.0001, Fig. 1A,C).Vanadate prevented the fructose-induced increase in GLUT5 expression, but had no effect on GLUT5 expression in glucose-perfused intestine. Tungstate had no effect on GLUT5 expression in both HF- and HG-perfused intestines. Fructose perfusion increased the rate of intestinal fructose uptake by
50% (P < 0.05), and vanadate also prevented this fructose-induced increase in GLUT5 activity (Fig. 1B). The effect of vanadate on GLUT5 expression and activity is specific because the fructose-induced increase in intestinal fructose uptake and GLUT5 mRNA abundance was not prevented by tungstate (Fig. 1C,D). Moreover, vanadate did not decrease fructose uptake and GLUT5 mRNA abundance in intestines perfused with glucose.
|
| Discussion |
|---|
|
|
|---|
Luminal fructose and intestinal G6Pase and FBPase. Despite the dramatic and rapid increase in G6Pase mRNA levels, there was paradoxically no subsequent increase in intestinal G6Pase activity. A similar disconcordance has been observed in the adult rat liver where G6Pase mRNA abundance but not activity increased with dietary sucrose (8). G6Pase activity may not change (among other reasons) because: the mRNA is not translated and therefore G6Pase protein abundance is low; G6Pase protein abundance is high, but activity is reduced by allosteric inhibition; and sufficient amounts of substrate are unavailable to G6Pase. This latter explanation is possible because fructose markedly enhanced G6Pase but only modestly increased G6PT expression (G6PT transports G6P from the cytosol to the endoplasmic reticulum for processing by G6Pase). Therefore, G6Pase catalytic activity may also have been inhibited because of a limited supply of its substrate G6P. In this study, we were unable to determine glucose-6-phosphate transport in microsomes or G6Pase protein abundance because of limited amounts of neonatal jejunal tissue. The consumption of fructose has been shown to increase G6Pase activity in the liver of adult rats (6), but in these early studies, G6Pase mRNA abundance was not measured. It is unclear why these findings differ from ours and those of Pagliasotti et al. (8).
In contrast to G6Pase, fructose perfusion stimulated intestinal FBPase activities independent of changes in the abundance of FBPase mRNA. A high fructose diet also increased FBPase activities in adult rat liver and intestine (6). The discrepancy between FBPase gene expression and enzyme activity is not surprising, because complex transcriptional and post-transcriptional mechanisms are involved in the regulation of this enzyme (19). In particular, alterations in FBPase activity do not always involve changes in FBPase mRNA abundance and are highly dependant on allosteric effectors (20), including fructose-2,6-bisphosphate produced by the bifunctional enzyme fructose-2,6-bisphosphatase/6-phosphofructokinase-2 (21), which was also recently found to be fructose-responsive in the neonatal rat intestine (5). Because FBPase precedes G6Pase in the gluconeogenic pathway, the possibility that the fructose-induced activation of FBPase activities might directly or indirectly stimulate increases in G6Pase mRNA, cannot be ruled out.
Effect of inhibitors on intestinal G6Pase and FBPase. Vanadium and tungsten compounds are potential therapeutic agents for diabetes, because they normalize plasma glucose homeostasis, carbohydrates, and lipid metabolism by currently unknown mechanisms (22,23). They generally mimic most of the actions of insulin in various insulin-responsive cells and tissues (24,25) but may also exhibit noninsulin-like effects (26). In neonatal rats, both vanadate and tungstate dramatically reduced intestinal G6Pase activity whether glucose or fructose was perfused along with the inhibitor. This finding confirms the results of previous work (12,13,27). Surprisingly, mRNA levels of intestinal G6Pase catalytic and translocase subunits were both vanadate- and tungstate-insensitive. Unfortunately, to our knowledge, there have been no studies on the effect of these inhibitors on intestinal G6Pase mRNA abundance. In contrast, our data support the post-transcriptional effect of vanadate on intestinal G6Pase and FBPase.
The vanadate effect on the fructose-induced increase in FBPase activity was not accompanied by changes in FBPase mRNA levels. Vanadate is known to increase the levels of the FBPase-potent allosteric inhibitor, fructose-2,6-bisphosphate, in rat hepatocytes (28), heart (29), and intestine in diabetic models (30). Vanadate, by increasing fructose-2,6-bisphosphate concentrations, can therefore inhibit the fructose-induced increase in FBPase activity. Vanadate inhibition of the fructose-induced effect may be specific, because vanadate did not inhibit baseline FBPase activity in glucose-perfused intestines, and tungstate did not prevent the fructose-induced increase in FBPase activity. However, tungstate was also reported to require 3- to 5-fold higher concentrations than vanadate to raise fructose-2,6-bisphosphate concentrations (25). Because we used similar modest concentrations of vanadate and tungstate (2 mmol/L, proven to be effective against G6Pase), we postulate that vanadate but not tungstate inhibited the fructose-induced increase in FBPase activity because vanadate was more effective at these concentrations. Hepatic FBPase has also been shown to be less vulnerable to tungstate inhibition, especially in nondiabetic rats (31).
The role of G6Pase and FBPase in GLUT5 regulation. Luminal fructose in the neonatal rat small intestine consistently enhances GLUT5 expression and activity and also increases G6Pase mRNA abundance and FBPase activity. Are these events causally linked, or are they parallel, coincidental responses to fructose perfusion? The divergent effect of vanadate and tungstate on FBPase activities was an important clue, because vanadate, but not tungstate, was able to prevent the fructose-induced activation of GLUT5 in the neonatal rat small intestine. The vanadate-sensitivity of GLUT5 expression was found in adult rat adipocytes (32). Vanadate inhibition of fructose-induced increases in FBPase activity paralleled exactly vanadate inhibition of fructose-induced increases in GLUT5 mRNA abundance and activity. Hence, fructose-induced changes in FBPase activity may play a role in increasing GLUT5 mRNA abundance and activity perhaps via metabolites produced by gluconeogenesis thought to occur in neonatal intestines (11). Future studies will determine whether the fructose-induced activation of FBPase activity is sufficient by itself to trigger the induction of GLUT5 in the small intestine of neonate rats, by specifically modulating FBPase activity.
It is unclear, even in neonates that exhibit high gluconeogenic enzyme expression, whether gluconeogenic enzymes in the intestine actually produce endogenous glucose or are related to other processes in the intestine (11). Because salts of vanadium interfere not only with a variety of phosphatases but also with other enzyme systems such as ATPases (33), an indirect or more complex mechanism potentially unrelated to gluconeogenic capacities could be responsible for the observed prevention of fructose-induced activation of GLUT5 by vanadate. Vanadate inhibits glucose uptake without modifying SGLT1 mRNA levels in both glucose and fructose-perfused intestine of nondiabetic neonatal rats. Inhibition of intestinal glucose absorption by vanadate is thought to be mediated by decreases in activity and expression of
-glucosidases as well as of GLUT2, a facilitative glucose transporter located in the basolateral membrane of intestinal epithelial cells (34). Vanadate was also shown to regulate Na+/K+-ATPase activity and GLUT4 translocation in diabetic rats (35). The Na+/K+-ATPase mechanism could not be invoked in this experiment because Na+-dependent proline uptakes were not modified by vanadate perfusions (S. Kirchner and R. Ferraris, unpublished observations). Our data suggested that the vanadate effect on GLUT5 was mediated by a transcriptional mechanism but GLUT5 protein levels and translocation to the brush border membrane might be similarly affected. These alternative mechanisms of action of vanadate will be investigated in future studies by quantifying
-glucosidase, GLUT2, and GLUT5 protein.
The coactivation of intestinal G6Pase and GLUT5 gene expression by luminal fructose could be unrelated for the following reasons. First, only G6Pase mRNA abundance increased with fructose, whereas G6Pase activity did not; in contrast, both GLUT5 mRNA abundance and activity increased with fructose. Second, the tungstate-induced inhibition of G6Pase activity does not lead to an inhibition of the fructose-induced induction of GLUT5 in the neonate rat small intestine. This hypothesis was reinforced by a comparison of the promoter regions of G6Pase, G6PT, and GLUT5. Using an analytical program, the Gene2Promoter (36), we identified 5 models, each consisting of 3 potential transcription-factor-binding sites that follow the same sequential order of appearance on the 3 putative promoters. Within 1000 base pairs upstream of the transcription start site, 2 of these models were not found on SGLT1 or NaPi2b, which are 2 transporters whose mRNA levels are not increased by luminal fructose (5). Such a high similarity of regulatory frameworks on the 3 promoter regions suggests that G6Pase, G6PT, and GLUT5 genes are more likely regulated in parallel by similar pathways and mechanisms related to fructose appearance. In contrast to G6Pase and G6PT, the GLUT5 promoter would additionally contain a response element that would be blocked by vanadate.
| FOOTNOTES |
|---|
2 A list of primers used for quantification of the target gene transcripts (Supplemental Table 1) is available with the online posting of this paper at jn.nutrition.org. ![]()
3 Abbreviations used: FBPase, fructose-1,6-bisphosphatase; G6P, glucose-6-phosphate; G6Pase, glucose-6-phosphatase; G6PT, glucose-6-phosphate translocase; GLUT5, intestinal fructose transporter, HF, high fructose; HG, high glucose; SGLT1, sodium-glucose cotransporter. ![]()
Manuscript received 12 March 2006. Initial review completed 1 May 2006. Revision accepted 28 June 2006.
| LITERATURE CITED |
|---|
|
|
|---|
1. Basciano H, Federico L, Adeli K. Fructose, insulin resistance, and metabolic dyslipidemia. Nutr Metab (Lond). 2005;2:5.[Medline]
2. Litherland GJ, Hajduch E, Gould GW, Hundal HS. Fructose transport and metabolism in adipose tissue of Zucker rats: diminished GLUT5 activity during obesity and insulin resistance. Mol Cell Biochem. 2004;261:2333.[Medline]
3. Park YK, Yetley EA. Intakes and food sources of fructose in the United States. Am J Clin Nutr. 1993;58:737S47S.
4. Jiang L, Ferraris RP. Developmental reprogramming of rat GLUT-5 requires de novo mRNA and protein synthesis. Am J Physiol Gastrointest Liver Physiol. 2001;280:G11320.
5. Cui XL, Soteropoulos P, Tolias P, Ferraris RP. Fructose-responsive genes in the small intestine of neonatal rats. Physiol Genomics. 2004;18:20617.
6. Korieh A, Crouzoulon G. Dietary regulation of fructose metabolism in the intestine and in the liver of the rat. Duration of the effects of a high fructose diet after the return to the standard diet. Arch Int Physiol Biochim Biophys. 1991;99:45560.[Medline]
7. van Schaftingen E, Gerin I. The glucose-6-phosphatase system. Biochem J. 2002;362:51332.[Medline]
8. Pagliassotti MJ, Wei Y, Bizeau ME. Glucose-6-phosphatase activity is not suppressed but the mRNA level is increased by a sucrose-enriched meal in rats. J Nutr. 2003;133:327.
9. Wei Y, Bizeau ME, Pagliassotti MJ. An acute increase in fructose concentration increases hepatic glucose-6-phosphatase mRNA via mechanisms that are independent of glycogen synthase kinase-3 in rats. J Nutr. 2004;134:54551.
10. Mithieux G, Bady I, Gautier A, Croset M, Rajas F, Zitoun C. Induction of control genes in intestinal gluconeogenesis is sequential during fasting and maximal in diabetes. Am J Physiol Endocrinol Metab. 2004;286:E3705.
11. Watford M. Is the small intestine a gluconeogenic organ. Nutr Rev. 2005;63:35660.[Medline]
12. Gerin I, Van Schaftingen E. Evidence for glucose-6-phosphate transport in rat liver microsomes. FEBS Lett. 2002;517:25760.[Medline]
13. Foster JD, Young SE, Brandt TD, Nordlie RC. Tungstate: a potent inhibitor of multifunctional glucose-6-phosphatase. Arch Biochem Biophys. 1998;354:12532.[Medline]
14. Ferraris RP, Yasharpour S, Lloyd KC, Mirzayan R, Diamond JM. Luminal glucose concentrations in the gut under normal conditions. Am J Physiol. 1990;259:G82237.[Medline]
15. Rozen S, Skaletsky HJ. Primer3 on the WWW for general users and for biologist programmers. In: Krawetz S, Misener S, editors. Bioinformatics methods and protocols: methods in molecular biology. Totowa, NJ: Humana Press; 2000. p. 3658.
16. Pfaffl MW, Horgan GW, Dempfle L. Relative expression software tool (REST) for group-wise comparison and statistical analysis of relative expression results in real-time PCR. Nucleic Acids Res. 2002;30:e36.
17. Mithieux G, Rajas F, Gautier-Stein A. A novel role for glucose 6-phosphatase in the small intestine in the control of glucose homeostasis. J Biol Chem. 2004;279:442314.
18. Kirchner S, Seixas P, Kaushik S, Panserat S. Effects of low protein intake on extra-hepatic gluconeogenic enzyme expression and peripheral glucose phosphorylation in rainbow trout (Oncorhynchus mykiss). Comp Biochem Physiol B Biochem Mol Biol. 2005;140:33340.[Medline]
19. Pilkis SJ, Granner DK. Molecular physiology of the regulation of hepatic gluconeogenesis and glycolysis. Annu Rev Physiol. 1992;54:885909.[Medline]
20. Van Schaftingen E. Fructose 2,6-bisphosphate. Adv Enzymol Relat Areas Mol Biol. 1987;59:31595.[Medline]
21. Okar DA, Lange AJ. Fructose-2,6-bisphosphate and control of carbohydrate metabolism in eukaryotes. Biofactors. 1999;10:114.[Medline]
22. Barbera A, Rodriguez-Gil JE, Guinovart JJ. Insulin-like actions of tungstate in diabetic rats. Normalization of hepatic glucose metabolism. J Biol Chem. 1994;269:2004753.
23. Goldwaser I, Gefel D, Gershonov E, Fridkin M, Shechter Y. Insulin-like effects of vanadium: basic and clinical implications. J Inorg Biochem. 2000;80:215.[Medline]
24. Shechter Y. Insulin-mimetic effects of vanadate. Possible implications for future treatment of diabetes. Diabetes. 1990;39:15.[Abstract]
25. Fillat C, Rodriguez-Gil JE, Guinovart JJ. Molybdate and tungstate act like vanadate on glucose metabolism in isolated hepatocytes. Biochem J. 1992;282:65963.[Medline]
26. Furnsinn C, Englisch R, Ebner K, Nowotny P, Vogl C, Waldhausl W. Insulin-like vs. non-insulin-like stimulation of glucose metabolism by vanadium, tungsten, and selenium compounds in rat muscle. Life Sci. 1996;59:19892000.[Medline]
27. Gupta D, Raju J, Baquer NZ. Modulation of some gluconeogenic enzyme activities in diabetic rat liver and kidney: effect of antidiabetic compounds. Indian J Exp Biol. 1999;37:1969.[Medline]
28. Gomez-Foix AM, Rodriguez-Gil JE, Fillat C, Guinovart JJ, Bosch F. Vanadate raises fructose 2,6-bisphosphate concentrations and activates glycolysis in rat hepatocytes. Biochem J. 1988;255:50712.[Medline]
29. Sochor M, Kunjara S, Ali M, McLean P. Vanadate treatment increases the activity of glycolytic enzymes and raises fructose 2,6-bisphosphate concentration in hearts from diabetic rats. Biochem Int. 1992;28:52531.[Medline]
30. Madsen KL, Ariano D, Fedorak RN. Vanadate treatment rapidly improves glucose transport and activates 6-phosphofructo-1-kinase in diabetic rat intestine. Diabetologia. 1995;38:40312.[Medline]
31. Barbera A, Gomis RR, Prats N, Rodriguez-Gil JE, Domingo M, Gomis R, Guinovart JJ. Tungstate is an effective antidiabetic agent in streptozotocin-induced diabetic rats: a long-term study. Diabetologia. 2001;44:50713.[Medline]
32. Hajduch E, Darakhshan F, Hundal HS. Fructose uptake in rat adipocytes: GLUT5 expression and the effects of streptozotocin-induced diabetes. Diabetologia. 1998;41:8218.[Medline]
33. Mukherjee B, Patra B, Mahapatra S, Banerjee P, Tiwari A, Chatterjee M. Vanadiuman element of atypical biological significance. Toxicol Lett. 2004;150:13543.[Medline]
34. Ai J, Du J, Wang N, Du ZM, Yang BF. Inhibition of small-intestinal sugar absorption mediated by sodium orthovanadate Na3VO4 in rats and its mechanisms. World J Gastroenterol. 2004;10:36125.[Medline]
35. Siddiqui MR, Moorthy K, Taha A, Hussain ME, Baquer NZ. Low doses of vanadate and Trigonella synergistically regulate Na(+)/K (+)-ATPase activity and GLUT4 translocation in alloxan-diabetic rats. Mol Cell Biochem. 2006;285:1727.[Medline]
36. Genomatix. Gene2Promoter. c19982006 [cited 2006 February]; Available from: http://www.genomatix.de/products/index.html
This article has been cited by other articles:
![]() |
S. Kirchner, A. Muduli, D. Casirola, K. Prum, V. Douard, and R. P Ferraris Luminal fructose inhibits rat intestinal sodium-phosphate cotransporter gene expression and phosphate uptake Am. J. Clinical Nutrition, April 1, 2008; 87(4): 1028 - 1038. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Douard, X.-L. Cui, P. Soteropoulos, and R. P. Ferraris Dexamethasone Sensitizes the Neonatal Intestine to Fructose Induction of Intestinal Fructose Transporter (Slc2A5) Function Endocrinology, January 1, 2008; 149(1): 409 - 423. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||