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High-Fructose-Induced Salt-Sensitive Hypertension: The Potential Benefit of SGLT4 or SGLT5 Modulation.
Sharif Hasan Siddiqui1, Noreen F Rossi1,2
1Department of Physiology, Wayne State University, Detroit, MI 48201, USA.
High salt and fructose intake worsen hypertension and cardiovascular disease. Targeting SGLT5 transporters may offer new strategies for managing salt-sensitive hypertension and related heart conditions.
Area of Science:
- Cardiovascular Science
- Nephrology
- Metabolic Disease
Background:
- Hypertension is a major cardiovascular disease risk factor.
- High salt and fructose intake exacerbate hypertension and cardiovascular issues.
- Fructose is absorbed by the small intestine and reabsorbed by kidney tubules via transporters like SGLT4 and SGLT5.
Purpose of the Study:
- To review the roles of SGLT4 and SGLT5 in fructose absorption, salt-sensitive hypertension, and cardiovascular disease.
- To explore the potential of targeting these transporters for therapeutic interventions.
Main Methods:
- Literature review of studies on SGLT4, SGLT5, fructose, salt-sensitive hypertension, and cardiovascular disease.
- Analysis of gene knockout studies in rats regarding fructose consumption and blood pressure.
Main Results:
- SGLT4 gene knockout does not affect fructose-induced blood pressure changes.
- SGLT5 knockout rats show no increase in blood pressure despite fructose consumption.
- SGLT5 mRNA is expressed in the heart, suggesting a direct role in cardiovascular function.
Conclusions:
- SGLT5 plays a significant role in mediating the hypertensive effects of fructose.
- Targeting SGLT5 offers a promising therapeutic avenue for salt-sensitive hypertension and cardiovascular disease.
- Developing fructose inhibitors that target SGLT transporters could mitigate adverse cardiovascular effects.
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