How much % of glucose gets reabsorbed in late PCT?
Glucose is freely filtered at the glomerulus. The reabsorption occurs primarily in the proximal convoluted tubule. The early PCT is where about 60-70% of glucose is reabsorbed, and the late PCT accounts for the remaining 30-40%. So overall, almost all glucose is reabsorbed in the PCT, with the late PCT handling the majority of the remaining after the early part.
The core concept here is the distribution of glucose reabsorption along the nephron. The sodium-glucose cotransporter 2 (SGLT2) in the early PCT reabsorbs the first portion, and SGLT1 in the late PCT handles the rest. If the question is about the late PCT specifically, the answer would be around 30-40%.
Now, looking at the options, the correct answer is C, which I assume is 30-40%. The other options would be incorrect if they suggest higher or lower percentages. For example, if option A is 100%, that's wrong because all glucose isn't reabsorbed in the late PCT. Option B might be 60-70%, which is the early PCT's contribution. Option D could be 10%, which is too low.
I need to make sure the explanation is clear, mentions the SGLTs, and clarifies the distribution between early and late PCT. Also, a clinical pearl might be that SGLT2 inhibitors target the early PCT and are used in diabetes management, which helps the student connect the anatomy with pharmacology.
**Core Concept**
Glucose reabsorption occurs in the proximal convoluted tubule (PCT). The **early PCT** reabsorbs ~60-70% of filtered glucose via **SGLT2** (sodium-glucose cotransporter 2), while the **late PCT** reabsorbs the remaining **30-40%** via **SGLT1**. This ensures nearly 100% reabsorption under normal conditions.
**Why the Correct Answer is Right**
The late PCT reabsorbs approximately **30-40%** of the filtered glucose. This occurs via **SGLT1**, which has a lower affinity for glucose compared to SGLT2. Once reabsorbed, glucose exits the tubule via **GLUT transporters** into peritubular capillaries. The combined action of SGLT2 (early PCT) and SGLT1 (late PCT) ensures minimal glucose excretion unless plasma concentrations exceed renal threshold (~350 mg/dL).
**Why Each Wrong Option is Incorrect**
**Option A:** 100% is incorrect because glucose reabsorption is not complete in the late PCT—only ~90-95%