nutrition and poor intestinal perfusion are hypothesized to play an important pathogenic role in nonocclusive small bowel necrosis. This study tests the hypothesis that glucose and glutamine transport are differentially regulated during hypoxia regardless of the luminal nutrient present. Sprague-Dawley rats (247 Ϯ 3 g; n ϭ 16) were randomized to receive 1 h of intestinal hypoxia or serve as normoxic controls. During this hour, jejunal loops were randomized to receive in situ perfusions of mannitol, glucose, or glutamine. When compared with normoxic groups, glucose but not glutamine transport was impaired (P Ͻ 0.001) during hypoxia. Messenger RNA abundance of the sodium glucose cotransporter sodium-dependent glucose cotransporter-1 (SGLT-1) and neutral basic amino acid transporter B o did not differ with hypoxia or nutrient perfused. Jejunal brush-border SGLT-1 abundance was decreased (P ϭ 0.039) with hypoxia; however, total cellular SGLT-1 protein abundance did not differ among treatment groups. These data indicate that SGLT-1 activity is regulated during hypoxia at the posttranslational level. Additional information regarding the mechanisms regulating nutrient transport in the hypoperfused intestine is critical for optimizing the composition of enteral nutrient formulas.sodium-dependent glucose cotransporter-1; nutrient absorption; small intestine THE INCIDENCE OF NONOCCLUSIVE small bowel necrosis is significant in traumatically injured patients, despite adequate systemic resuscitation. Currently, the causative mechanism remains unknown; however, enteral nutrition has been provided in ϳ90% of cases (21), suggesting that the inappropriate administration of specific nutrients into a poorly perfused small bowel may play a pathogenic role (12,21,23,25). During states of low blood flow to the intestine, enteral nutrients may increase oxygen demand beyond that available, potentially increasing intestinal hypoxia and impairing intestinal function. Gastrointestinal function has been shown to be impaired during hypoperfusion or decreased oxygenation of the intestine (28). Previous in vivo rat studies from our lab indicate that, during hypoperfusion, impaired barrier function, increased lactate concentration, decreased ATP concentration, and altered nutrient transport are characteristic (15). The detrimental effects of hypoperfusion may be minimized with an enteral formula composed of nutrients easily processed by the hypoperfused intestine.The purpose of the current study was to determine how nutrient perfusion alters sodium-dependent glucose and glutamine transport activity and their regulation at the cellular level during hypoperfusion. Glutamine transport occurs via system B o , which is part of a family of transporters for neutral amino acids (14). Glucose transport occurs via the sodium-glucose cotransporter [sodium-dependent glucose cotransporter-1 (SGLT-1)]. We previously reported that, during hypoxia, brush-border glucose transport is impaired, but glutamine transport remains unaltered following luminal perfusio...