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Am J Physiol Gastrointest Liver Physiol 278: G83-G88, 2000;
0193-1857/00 $5.00
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Vol. 278, Issue 1, G83-G88, January 2000

Increased lactulose/rhamnose ratio during fluid load is caused by increased urinary lactulose excretion

Marcella M. Hallemeesch1, Wouter H. Lamers2, Peter B. Soeters1, and Nicolaas E. P. Deutz1

1 Department of Surgery, Maastricht University, 6200 MD Maastricht; and 2 Department of Anatomy and Embryology, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands

Noninvasive assessment of intestinal permeability in vivo is based on the measurement of urinary excretion of orally administered sugar probes. It is expressed as a ratio, usually lactulose/rhamnose or 3-O-methyl-D-glucose (3-OMG)/rhamnose. In both endotoxemic and control rats that were receiving fluid, we observed an increase in the recovery of lactulose and 3-OMG but not rhamnose in both groups, suggesting an enhancement of intestinal permeability. In the measurement of intestinal permeability, all pre- and postmucosal factors are considered equal for all sugars. We hypothesized that postmucosal factors and not changes in intestinal permeability caused the increased urinary lactulose and 3-OMG recoveries observed during fluid loading. Therefore, the effects of fluid loading on urinary excretion of the sugar probes were studied in healthy rats receiving the sugars intravenously. After intravenous injection, fluid loading increased urinary lactulose recovery threefold but not that of 3-OMG and rhamnose. In conclusion, fluid loading increases the lactulose/rhamnose ratio independent of changes in intestinal permeability. The 3-OMG/rhamnose ratio is not influenced by fluid loading.

permeability; kidney


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