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1 Clinical Sciences, NC State University, Raleigh, North Carolina, United States
2 Sucampo Pharmacuticals Inc., Bethesda, Maryland, United States
3 Clinical Sciences, NC State University, Raleigh, North Carolina, United States; Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, United States
* To whom correspondence should be addressed. E-mail: anthony_blikslager{at}ncsu.edu.
Previous studies utilizing an ex vivo porcine model of intestinal ischemic injury demonstrated that PGE2 stimulates repair of mucosal barrier function via a mechanism involving chloride (Cl-) secretion and reductions in paracellular permeability. Further experiments revealed that the signaling mechanism for PGE2-induced mucosal recovery was mediated via type-2 chloride channels (ClC-2). Therefore, the objective of the present study was to directly investigate the role of ClC-2 in mucosal repair by evaluating mucosal recovery in ischemic-injured intestinal mucosa treated with the selective ClC-2 agonist, lubiprostone. Ischemic-injured porcine ileal mucosa was mounted in Ussing chambers and short circuit current (Isc) and transepithelial electrical resistance (TER) were measured in response to lubiprostone. Application of 0.01µM - 1µM lubiprostone to ischemic-injured mucosa induced concentration-dependent increases in TER, with 1µM lubiprostone stimulating a 2-fold increase in TER (
TER = 26
·cm2, p<0.01). Furthermore, lubiprostone significantly (p<0.05) reduced mucosal-to-serosal fluxes of 3H-mannitol to levels comparable to those of normal control tissues, and restored occludin localization to tight junctions. Activation of ClC-2 with the selective agonist, lubiprostone, stimulated elevations in TER and reductions in mannitol flux in ischemic-injured intestine associated with structural changes in tight junctions. Prostones such as lubiprostone may provide a selective and novel pharmacological mechanism of accelerating recovery of acutely injured intestine as compared to the non-selective action of prostaglandins such as PGE2.
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