Molecule of the Month: Glucose Transporters

Glucose is the fuel that powers most of the biosphere. Plants build it using energy from the sun, store it in starches and use it to build their infrastructure of cellulose. The glucose we eat is broken down through glycolysis and used to power the many processes of our cells. Thus, it is essential to supply each of our cells with a steady stream of glucose. Glucose is delivered throughout the body by the blood, and each cell gathers what it needs using glucose transporters.

Glucose transporters manage the traffic of glucose across the cell's outer membrane. They act by alternating between two states. First, the transporter has an opening facing the outside of the cell, and it picks up a molecule of glucose. Then it shifts shape, and opens towards the inside, releasing glucose into the cell. Glucose transporters generally act passively: since glucose is rapidly phosphorylated by hexokinase, the concentration of free glucose in the cytoplasm is generally very low, and the higher concentration of glucose in the blood drives transport of glucose into the cell.

The human genome encodes 14 similar transporters that deliver glucose and other sugars into different types of cells. For instance, GLUT1 (shown here from PDB entry 4pyp) manages the basal levels of glucose uptake and is very common in red blood cells. GLUT2 helps control the flow of glucose in and out of liver cells, and pancreatic beta cells use it to monitor the level of glucose in the blood, releasing insulin when the level rises. Nerve cells in the brain require a constant supply of glucose, so they use GLUT3 (PDB entry 4zwc), a form that works well even when glucose levels are low. GLUT4 is activated by insulin and is used by fat and muscle cells to gather glucose after meals.

When we eat a meal, insulin is released into the blood, telling cells that glucose is available. In response, fat and muscle cells move many GLUT4 transporters to their cell membranes, to gather a supply of glucose while it is plentiful. However, in people with type II diabetes, the body becomes resistant to the action of insulin—both in the production of insulin and in the sites where it acts. One consequence is that less GLUT4 is moved to the membranes of muscle cells after meals, so less glucose is taken up from the blood. This produces dangerously high levels of glucose in the blood, since our skeletal muscles normally consume the lion’s share of glucose.

The GLUT family is part of a larger group of transporters, collectively termed the major facilitator superfamily. They share a similar mechanism, with two domains that rock back and forth to transport molecules across membranes. Many, however, link transport of two different molecules, harnessing a large concentration gradient of one to power transport of the other. For instance, the bacterial lactose permease LacY (PDB entry 1pv6) uses a hydrogen ion gradient to power the transport of lactose. Both molecules move in the same direction into the cell, so LacY is named a symporter. On the other hand, GlpT (PDB entry 1pw4) is an antiporter that uses a gradient of phosphate ions to pump glycerol-3-phosphate in the opposite direction.