The effect of Giardia lamblia infection on D-glucose uptake and brush-borde
r enzymes was studied in chronically ethanol-fed rats. Giardia lamblia trop
hozoites counts were significantly lower in the intestine of ethanol-fed ra
ts than in the controls. Also, the Nat-dependent uptake of D-glucose and br
ush-border enzymes was significantly reduced (p < 0.0001, p < 0.01, respect
ively) in the G. lamblia-infected rat intestine. There was no change in Nai
-independent glucose uptake under these conditions. Levels of mRNA encoding
Na+-dependent D-glucose transporter (SGLT1) and brush-border sucrase and l
actase were reduced in G. lamblia-infected animals compared with those of t
he controls. However, the mRNA levels encoding these proteins in ethanol-fe
d and control animals were similar in rat intestine. These findings suggest
that downregulation of SGLT1 and disaccharidases could be responsible for
the observed D-glucose malabsorption and decrease in the activity of disacc
haridases in G, lamblia infection.