LOSS OF SGLT1 REDUCES GLUCOSE UPTAKE IN RAT PERITONEAL MESOTHELIAL CELLS

 

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LOSS OF SGLT1 REDUCES GLUCOSE UPTAKE IN RAT PERITONEAL MESOTHELIAL CELLS

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Tsubasa
Yuki
Tsubasa Yuki yuki.tsubasa@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan *
Takuro Hirose hirose.takuo@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan - Tohoku Medical and Pharmaceutical University Division of Integrative Renal Replacement Therapy Sendai Japan
Hiroki Ito hito@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Chika Takahashi c.takahashi@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Integrative Renal Replacement Therapy Sendai Japan -
Shigemitsu Sato sshige@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Integrative Renal Replacement Therapy Sendai Japan -
Kentaro Yano k.yano@hosp.tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Takahito Kaburagi kaburaki1996@hosp.tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Risa Ishikawa sr4111@hosp.tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Akari Endo endoakari820@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Ayaka Kamada ayaka.kamada@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Ikuko Oba-Yabana iku-yabana@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan -
Takefumi Mori tmori@tohoku-mpu.ac.jp Tohoku Medical and Pharmaceutical University Division of Nephrology and Hypertension Sendai Japan - Tohoku Medical and Pharmaceutical University Division of Integrative Renal Replacement Therapy Sendai Japan
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In patients with heart failure, renal dysfunction can lead to diuretic resistance, complicating fluid management. Compared with hemodialysis, peritoneal dialysis (PD) enables gradual ultrafiltration and better hemodynamic stability, providing an effective strategy for treating volume overload. In PD, ultrafiltration largely depends on the glucose concentration of the dialysis solution; however, the mechanisms underlying glucose transport across the peritoneal membrane remain incompletely understood. This study aimed to investigate the glucose uptake capacity of peritoneal mesothelial cells isolated from gene-modified rats lacking sodium-glucose cotransporters (SGLTs).

Genome editing of Sglt1 and Sglt2 was performed in Sprague-Dawley rats using the rat genome-editing via oviductal nucleic acids delivery (rGONAD) technique, an in vivo clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated protein 9 (Cas9)-based genome editing method. Peritoneal mesothelial cells were isolated and cultured from Sglt1-deficient rats and their wild-type littermates, as well as from Sglt2-deficient rats and their wild-type littermates. Cellular glucose uptake was examined using flow cytometry under incubation with 2-NBDG [2-(N-(7-nitrobenz-2-oxa-1,3-diazol-4-yl)amino)-2-deoxyglucose], a fluorescently labeled glucose analog. Cell viability was assessed using the WST-8 assay.

Glucose uptake, indicated by 2-NBDG fluorescence intensity, was partially reduced in peritoneal mesothelial cells derived from Sglt1-deficient rats compared with wild-type controls, whereas Sglt2 deficiency had no effect. Neither Sglt1 nor Sglt2 deletion altered cell viability or morphology under standard culture conditions.

SGLT1, but not SGLT2, contributes to glucose uptake in peritoneal mesothelial cells. These findings suggest that SGLT1 plays a key role in glucose transport across the peritoneal membrane. A better understanding of glucose handling in peritoneal mesothelial cells may provide new insights for optimizing PD therapy and improving osmotic ultrafiltration efficiency in patients with heart failure and volume overload.

Kewords