Fig. 7: RBC from chronically hyperglycemic mice and patients with diabetes mellitus type 2 have higher S1P and PP2A and lower GLUTs and glucose uptake.

C57Bl6 mice were fed either standard chow diet or high caloric diet (DIO diet) for 12 weeks and the following parameters were determined. A Fasting plasma blood glucose levels (n = 5/6), (B) HbA1c (n = 8/8), (C) S1P concentrations (n = 11/12), (D) PP2A activity (n = 8/7), (E) glucose uptake (n = 8 each), and (F) Sphk activity (n = 4 each) based on the conversion of C17-sphingosine to C17-S1P as measured by LC-MS/MS (n = 4). G HbA1c levels of human patients with and without T2DM (n = 13 case-controls, characteristics in Supplementary Table 1). H Intracellular S1P concentrations (n = 13 each), (I) PP2A activity (n = 10/9) and (J) cell surface GLUT1 (n = 8/6) on RBC from patients with and without T2DM (randomly selected from above groups). K Correlation between intracellular S1P and PP2A activity in RBC from T2DM patients (n = 10). Data are presented as mean ± sd and tested with two-tailed unpaid t test (A–I) and two tailed Pearson correlation coefficient (J); p* < 0.05; p**<0.01; p**** < 0.0001.