Molecular analysis of the SGLT2 gene in patients with renal glucosuria

René Santer, Martina Kinner, Christoph L. Lassen, Reinhard Schneppenheim, Paul Eggert, Martin Bald, Johannes Brodehl, Markus Daschner, Jochen H.H. Ehrich, Markus Kemper, Salvatore Li Volti, Thomas Neuhaus, Flemming Skovby, Peter G.F. Swift, Jürgen Schaub, Dan Arne Klærke

    246 Citations (Scopus)

    Abstract

    The role of SGLT2 (the gene for a renal sodium-dependent glucose transporter) in renal glucosuria was evaluated. Therefore, its genomic sequence and its intron-exon organization were determined, and 23 families with index cases were analyzed for mutations. In 21 families, 21 different SGLT2 mutations were detected. Most of them were private; only a splice mutation was found in 5 families of different ethnic backgrounds, and a 12-bp deletion was found in two German families. Fourteen individuals (including the original patient with 'renal glucosuria type 0') were homozygous or compound heterozygous for an SGLT2 mutation resulting in glucosuria in the range of 14.6 to 202 g/1.73 m(2)/d (81 - 1120 mmol/1.73 m(2)/d). Some, but not all, of their heterozygous family members had an increased glucose excretion of up to 4.4 g/1.73 m(2)/d (24 mmol/1.73 m(2)/d). Likewise, in index cases with glucosuria below 10 g/1.73 m(2)/d (55 mmol/1.73 m(2)/d) an SGLT2 mutation, if present, was always detected in the heterozygous state. We conclude that SGLT2 plays an important role in renal tubular glucose reabsorption. Inheritance of renal glucosuria shows characteristics of a codominant trait with variable penetrance.
    Original languageEnglish
    JournalJournal of the American Society of Nephrology
    Volume14
    Issue number11
    Pages (from-to)2873-2882
    Number of pages10
    ISSN1046-6673
    DOIs
    Publication statusPublished - 2003

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