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1 Clinical Sciences, North Carolina State University, College of Veterinary Medicine, Raleigh, North Carolina, United States
2 Biomed Sci, University of Missouri-Columbia, Columbia, Missouri, United States
* To whom correspondence should be addressed. E-mail: anthony_blikslager{at}ncsu.edu.
Ischemic injury induces breakdown of the intestinal barrier. Recent studies in porcine post-ischemic tissues indicate that inhibition of NHE2 results in enhanced recovery of barrier function in vitro via a process involving interepithelial tight junctions. To further study this process, recovery of barrier function was assessed in wild type (NHE2+/+) and NHE2-/- mice in vivo and wild type mice in vitro. Mice were subjected to complete mesenteric ischemia in vivo, after which barrier function was measured by blood-to-lumen mannitol clearance over a 3-hour recovery period or measurement of transepithelial electrical resistance (TER) in Ussing chambers immediately following ischemia. Tissues were assessed for expression of select junctional proteins. Compared with NHE2+/+ mice, NHE2-/- mice had greater intestinal permeability during the post-ischemic recovery process. In contrast to prior porcine studies, pharmacological inhibition of NHE2 in post-ischemic tissues from wild type mice also resulted in significant reductions in TER. Mucosa from NHE2-/- mice displayed a shift of occludin and claudin-1 expression to the Triton-X soluble membrane fractions and showed disruption of occludin and claudin-1 localization patterns following injury. This was qualitatively and quantitatively recovered in NHE2+/+ mice as compared to NHE2-/- mice by the end of the 3-hour recovery period. Serine phosphorylation of occludin and claudin-1 was down-regulated in NHE2-/- post-ischemia compared with wild type mice. These data indicate an important role for NHE2 in recovery of barrier function in mice via a mechanism involving tight junctions.
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