B2.1.16 (HL)—Sodium-glucose cotransporters

Sodium-glucose cotransporters use sodium gradients to move glucose into epithelial cells by indirect active transport; This mechanism explains glucose recovery in kidney tubules and intestinal absorption.

Syllabus
First assessment 2025
Objective
B2.1.16
Level
HL

Exam analysis

Chance of appearing1%of analysed past papers
Latest appearanceNovember 2014
Most common paperPaper1
Typical marks1

Common command terms

  • Identify

Recent exam appearances

November 2014Paper1 ["HL"] · TZ06[ 1 ]B2.1.16 (HL)—Sodium-glucose cotransporters
Practice this objective

Coverage 2014–2014 · Updated 15 Jul 2026

Sodium–Glucose Cotransport Uses One Gradient to Move Another Solute

HL only

A sodium-dependent glucose cotransporter uses downhill sodium entry to move glucose into an epithelial cell against the glucose gradient—indirect or secondary active transport.

The cotransporter binds both solutes and changes conformation. A basolateral sodium-potassium pump uses ATP to keep intracellular sodium low, storing the energy that sodium later releases as it enters through the cotransporter.

Site Function
Small-intestine epithelium Absorbs glucose from the gut lumen into epithelial cells
Nephron epithelium Reabsorbs filtered glucose so it can return to the blood

Glucose can enter an intestinal epithelial cell even when its concentration is already higher inside, provided sodium moves inward down the gradient maintained by the sodium-potassium pump.

The cotransporter does not hydrolyze ATP directly, but transport still depends on ATP indirectly through maintenance of the sodium gradient.

Sodium-glucose cotransporters

HL only

Assessment in practice

1 marks
How it is assessed

This objective is assessed through multiple choice, commonly using Identify.

Command terms

Identify

What earns marks

Teaching content should connect that answer to the mechanism: sodium moves down its gradient, glucose is carried with it, and the cell later moves glucose onward.

Representative question

Question 1

[Maximum number: 1]

What transport method is used in the reabsorption of glucose in the proximal convoluted tubule of the kidney?

A

Diffusion

B

Osmosis

C

Endocytosis

D

Active transport

Fluidity, Neurons, Cotransport, Adhesion

HL only

The HL extension asks how membrane structure becomes dynamic cell behaviour. Fatty acid saturation and cholesterol tune fluidity. Fluid membranes form and fuse vesicles. Gated ion channels and sodium-potassium pumps create nerve-cell gradients and electrical responses. Sodium-dependent glucose cotransport uses a sodium gradient to move glucose indirectly against its gradient. Adhesion molecules organize tissues.

  • Unsaturated tails increase fluidity; saturated tails pack closely.
  • Cholesterol buffers animal membrane fluidity at low and high temperature.
  • Fluid membranes allow endocytosis and exocytosis.
  • Gated channels and sodium-potassium pumps support nerve-cell membrane potentials.
  • Sodium-glucose cotransport is indirect active transport.
  • Cadherins, integrins, and junctions organize tissues.

Concept essentials

  • Glucose reabsorption in the proximal convoluted tubule uses active transport.
  • Sodium-glucose cotransport depends on a sodium gradient.
  • Sodium-potassium pumps maintain the gradient that powers cotransport.
  • The mechanism is indirect active transport rather than simple diffusion.