School of Health Studies, University of Memphis, Memphis, TN 38152, USA.
Babies Taking Flight, Memphis, TN 38117, USA.
Med Sci (Basel). 2021 Feb 9;9(1):9. doi: 10.3390/medsci9010009.
Studies of fluid secretion by the small intestine are dominated by the coupling with ATP-dependent generation of ion gradients, whereas the contribution of filtration secretion has been overlooked, possibly by the lack of a known mechanistic basis. We measured apical fluid flow and generation of hydrostatic pressure gradients by epithelia of cultured mouse enterocytes, Caco-2 and T-84 cells, and fibroblasts exposed to mechanical force provided by vigorous aeration and in response to ion gradients, inhibitors of ion channels and transporters and in vitro using intact mouse and rat small intestine. We describe herein a paracellular pathway for unidirectional filtration secretion that is driven by mechanical force, requires tight junctions, is independent of ionic and osmotic gradients, generates persistent hydrostatic pressure gradients, and would contribute to the fluid shifts that occur during digestion and diarrhea. Zinc inhibits the flow of fluid and the paracellular marker fluorescein isothyocyanate conjugated dextran (MW = 4 kD) across epithelia of cultured enterocytes (>95%; < 0.001) and intact small intestine (>40%; = 0.03). We propose that mechanical force drives fluid secretion through the tight junction complex via a "one-way check valve" that can be regulated. This pathway of filtration secretion complements chloride-coupled fluid secretion during high-volume fluid flow. The role of filtration secretion in the genesis of diarrhea in intact animals needs further study. Our findings may explain a potential linkage between intestinal motility and intestinal fluid dynamics.
对小肠液体分泌的研究主要集中在与 ATP 依赖性离子梯度产生的偶联上,而过滤分泌的贡献则被忽视了,这可能是因为缺乏已知的机制基础。我们通过培养的小鼠肠上皮细胞、Caco-2 和 T-84 细胞以及暴露于剧烈通气提供的机械力的成纤维细胞,测量了上皮层的顶端液体流动和静水压力梯度的产生,以及离子通道和转运体的抑制剂,并在体外使用完整的小鼠和大鼠小肠进行了测量。我们在此描述了一种顺式过滤分泌的旁细胞途径,该途径由机械力驱动,需要紧密连接,独立于离子和渗透梯度,产生持续的静水压力梯度,并有助于消化和腹泻过程中发生的液体转移。锌抑制流体流动和穿过培养的肠上皮细胞(>95%;<0.001)和完整小肠(>40%;= 0.03)的细胞间标记物异硫氰酸荧光素结合葡聚糖(MW = 4 kD)。我们提出,机械力通过“单向止回阀”驱动液体通过紧密连接复合物分泌,该“单向止回阀”可以被调节。这种过滤分泌途径补充了高体积流体流动期间氯偶联的液体分泌。过滤分泌在完整动物腹泻发生中的作用需要进一步研究。我们的发现可能解释了肠道动力和肠道流体动力学之间的潜在联系。
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