1. Comparison of the chloride channel activator lubiprostone and the oral laxative Polyethylene Glycol 3350 on mucosal barrier repair in ischemic-injured porcine intestine.
- Author
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Moeser AJ, Nighot PK, Roerig B, Ueno R, and Blikslager AT
- Subjects
- Alprostadil pharmacology, Animals, Cell Membrane Permeability drug effects, Cell Membrane Permeability physiology, Chloride Channel Agonists, Disease Models, Animal, Epithelial Cells drug effects, Epithelial Cells physiology, Female, Intestinal Mucosa drug effects, Intestinal Mucosa pathology, Inulin metabolism, Lubiprostone, Male, Mannitol metabolism, Reperfusion Injury pathology, Swine, Alprostadil analogs & derivatives, Ileum blood supply, Intestinal Mucosa physiopathology, Laxatives pharmacology, Polyethylene Glycols pharmacology, Recovery of Function drug effects, Reperfusion Injury physiopathology
- Abstract
Aim: To investigate the effects of lubiprostone and Polyethylene Glycol 3350 (PEG) on mucosal barrier repair in ischemic-injured porcine intestine., Methods: Ileum from 6 piglets (approximately 15 kg body weight) was subjected to ischemic conditions by occluding the local mesenteric circulation for 45 min in vivo. Ileal tissues from each pig were then harvested and mounted in Ussing chambers and bathed in oxygenated Ringer's solution in vitro. Intestinal barrier function was assessed by measuring transepithelial electrical resistance (TER) and mucosal-to-serosal fluxes of (3)H-mannitol and (14)C-inulin. Statistical analyses of data collected over a 120-min time course included 2-way ANOVA for the effects of time and treatment on indices of barrier function., Results: Application of 1 micromol/L lubiprostone to the mucosal surface of ischemic-injured ileum in vitro induced significant elevations in TER compared to non-treated tissue. Lubiprostone also reduced mucosal-to-serosal fluxes of (3)H-mannitol and (14)C-inulin. Alternatively, application of a polyethylene laxative (PEG, 20 mmol/L) to the mucosal surface of ischemic tissues significantly increased flux of (3)H-mannitol and (14)C-inulin., Conclusion: This experiment demonstrates that lubiprostone stimulates recovery of barrier function in ischemic intestinal tissues whereas the PEG laxative had deleterious effects on mucosal repair. These results suggest that, unlike osmotic laxatives, lubiprostone stimulates repair of the injured intestinal barrier.
- Published
- 2008
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