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Publication : Luminal Na<sup>+</sup> homeostasis has an important role in intestinal peptide absorption in vivo.

First Author  Ishizuka N Year  2018
Journal  Am J Physiol Gastrointest Liver Physiol Volume  315
Issue  5 Pages  G799-G809
PubMed ID  30138575 Mgi Jnum  J:273393
Mgi Id  MGI:6281488 Doi  10.1152/ajpgi.00099.2018
Citation  Ishizuka N, et al. (2018) Luminal Na(+) homeostasis has an important role in intestinal peptide absorption in vivo. Am J Physiol Gastrointest Liver Physiol 315(5):G799-G809
abstractText  Intestinal cell line studies indicated luminal Na(+) homeostasis is essential for proton-coupled peptide absorption, because the driving force of PepT1 activity is supported by the apical Na(+)/H(+) exchanger NHE3. However, there is no direct evidence demonstrating the importance of in vivo luminal Na(+) for peptide absorption in animal experiments. To investigate the relationship between luminal Na(+) homeostasis and peptide absorption, we took advantage of claudin 15-deficient (cldn15(-/-)) mice, whereby Na(+) homeostasis is disrupted. We quantitatively assessed the intestinal segment responsible for peptide absorption using radiolabeled nonhydrolyzable dipeptide (glycylsarcosine, Gly-Sar) and nonabsorbable fluid phase marker polyethylene glycol (PEG) 4000 in vivo. In wild-type (WT) mice, the concentration ratio of Gly-Sar to PEG 4000 decreased in the upper jejunum, suggesting the upper jejunum is responsible for peptide absorption. Gly-Sar absorption was decreased in the jejunum of cldn15(-/-) mice. To elucidate the mechanism underlining these impairments, a Gly-Sar-induced short-circuit ( Isc) current was measured. In WT mice, increments of Gly-Sar-induced Isc were inhibited by the luminal application of a NHE3-specific inhibitor S3226 in a dose-dependent fashion. In contrast to in vivo experiments, robust Gly-Sar-induced Isc increments were observed in the jejunal mucosa of cldn15(-/-) mice. Gly-Sar-induced Isc was inhibited by S3226 or a reduction of luminal Na(+) concentration, which mimics low luminal Na(+) concentrations in vivo . Our study demonstrates that luminal Na(+) homeostasis is important for peptide absorption in native epithelia and that there is a cooperative functional relationship between PepT1 and NHE3. NEW & NOTEWORTHY Our study is the first to demonstrate that luminal Na(+) homeostasis is important for proton-coupled peptide absorption in in vivo animal experiments.
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