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Am J Physiol Gastrointest Liver Physiol (February 5, 2004). doi:10.1152/ajpgi.00468.2003
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Submitted on November 5, 2003
Accepted on January 29, 2004

Lateral Intercellular Space Volume as a Determinant of CFTR-Mediated Anion Secretion across Small Intestinal Mucosa

Lara R. Gawenis1, Kathryn T. Boyle1, Bradley A. Palmer1, Nancy M. Walker1, and Lane L. Clarke1*

1 Dalton Cardiovascular Research Center, University of Missouri-Columbia, Columbia, MO, USA; Department of Biomedical Sciences, University of Missouri-Columbia, Columbia, MO, USA

* To whom correspondence should be addressed. E-mail: clarkel{at}missouri.edu.

Studies of full-thickness small intestinal preparations have shown that maximal anion secretion (indexed by short-circuit current, Isc) during cAMPi stimulation is transient and followed by a decline towards baseline. Declining Isc is preceded by decreases in transepithelial conductance (Gt), which in the small intestine, reflects the lateral intercellular space (LIS) volume of the paracellular pathway. We hypothesized that decreases in LIS volume limit the magnitude and duration of cAMPi-stimulated anion secretion. Experimental manipulations to increase the patency of the LIS (assessed by Gt and electron microscopy) were investigated for an effect on the magnitude of cAMPi-stimulated anion secretion (assessed by the Isc and isotopic fluxes) across murine small intestine. In control studies, changes of Gt after cAMPi stimulation were associated with a morphological "collapse" of the LIS, which did not occur in intestine of cystic fibrosis transmembrane conductance regulator (CFTR)-null mice. Removal of the outer intestinal musculature, exposure to a serosal hypertonic solution or increased serosal hydrostatic pressure minimized reductions in Gt and increased the cAMPi-stimulated Isc response. Increased Isc primarily resulted from increased Cl- secretion that was largely bumetanide sensitive. However, bumetanide-insensitive Isc was also increased and similar increases occurred in the Na+/K+/2Cl- cotransporter NKCC1-null intestine, indicating that activities of non-NKCC1 anion uptake proteins are also affected by LIS volume. Thus, LIS patency is an important determinant of the magnitude and duration of CFTR-mediated anion secretion in murine small intestine. Decreases in LIS volume may limit the pool of available anions to basolateral transporters involved in transepithelial secretion.




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