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Departments of 5 Anatomy, Physiological Sciences, and Radiology, 1 Clinical Sciences and 2 Food Animal Health and Resource Management, College of Veterinary Medicine, North Carolina State University, Raleigh 27606, 4 Department of Pediatrics, School of Medicine, University of North Carolina, Chapel Hill, North Carolina 27599; and 3 Division of Geographic Medicine, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia 22908
Cryptosporidium
parvum infection represents a significant cause of diarrhea in
humans and animals. We studied the effect of luminally applied
glutamine and the PG synthesis inhibitor indomethacin on NaCl
absorption from infected calf ileum in Ussing chambers. Infected ileum
displayed a decrease in both mucosal surface area and NaCl absorption.
Indomethacin and glutamine or its stable derivative alanyl-glutamine
increased the net absorption of Na+ in infected tissue in
an additive manner and to a greater degree than in controls.
Immunohistochemical and Western blot studies showed that in control
animals neutral amino acid transport system ASC was present in villus
and crypts, whereas in infected animals, ASC was strongly present only
on the apical border of crypts. These results are consistent
with PGs mediating the altered NaCl and water absorption in this
infection. Our findings further illustrate that the combined use of a
PG synthesis inhibitor and glutamine can fully stimulate
Na+ and Cl
absorption despite the severe
villous atrophy, an effect associated with increased expression of a
Na+-dependent amino acid transporter in infected crypts.
sodium absorption; sodium/hydrogen exchanger; villous atrophy; crypt hyperplasia; prostaglandin E2
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