Minhas B S, Field M
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Gastroenterology. 1994 Jun;106(6):1562-7. doi: 10.1016/0016-5085(94)90411-1.
BACKGROUND/AIMS: HCO3- can be absorbed as well as secreted in the rabbit ileum. With 25 mmol/L HCO3- on the serosal side only, a serosa-to-mucosa flux (Jsm) is found; with 25 mmol/L on the mucosal side only, epinephrine elicits a mucosa-to-serosa flux (Jms). This study aimed to localize these two processes along the crypt-villus axis.
Excised ileal segments were exposed luminally to 2 mol/L Na2SO4 (hypertonic treatment) or to isotonic Ringer's solution for 15 minutes. Mucosa was then chamber-mounted, and measurements were made of Jsm or Jms and of short-circuit current (Isc) responses to glucose plus alanine and to either theophylline or epinephrine.
With HCO3-/CO2 added to the serosal side only, hypertonically treated tissues showed a 22% decline in Jsm; a 25% decline in Isc response to theophylline; and a 71% decline in Isc response to glucose plus alanine compared with control. With HCO3-/CO2 added to the mucosal side only, tissues showed 92% and 87% declines in Jms and Isc responses to epinephrine, respectively, and a 87% decline in Isc response to glucose plus alanine. Histological examination showed destruction of villus caused by hypertonic treatment but sparing of crypt cells.
Both HCO3- and Cl- are secreted mainly by crypt cells and absorbed mainly by villus cells.
背景/目的:在兔回肠中,HCO3- 既可以被吸收也可以被分泌。仅在浆膜侧存在25 mmol/L HCO3- 时,可发现从浆膜到黏膜的通量(Jsm);仅在黏膜侧存在25 mmol/L时,肾上腺素可引发从黏膜到浆膜的通量(Jms)。本研究旨在沿隐窝 - 绒毛轴定位这两个过程。
将切除的回肠段腔内暴露于2 mol/L Na2SO4(高渗处理)或等渗林格氏液中15分钟。然后将黏膜安装在小室中,测量Jsm或Jms以及对葡萄糖加丙氨酸和茶碱或肾上腺素的短路电流(Isc)反应。
仅在浆膜侧添加HCO3-/CO2时,高渗处理的组织与对照相比,Jsm下降22%;对茶碱的Isc反应下降25%;对葡萄糖加丙氨酸的Isc反应下降71%。仅在黏膜侧添加HCO3-/CO2时,组织对肾上腺素的Jms和Isc反应分别下降92%和87%,对葡萄糖加丙氨酸的Isc反应下降87%。组织学检查显示高渗处理导致绒毛破坏,但隐窝细胞未受影响。
HCO3- 和Cl- 均主要由隐窝细胞分泌,主要由绒毛细胞吸收。